UMN Program Submission Form: Submission #606

Submission information

Submission Number: 606

Submission ID: 3036

Submission UUID: 9f9d2c38-2241-4b78-adea-928478a25f17

Submission URI: /program-submission-form

Created: Fri, 05/06/2022 - 13:50

Completed: Fri, 05/06/2022 - 13:50

Changed: Mon, 05/09/2022 - 13:42

Remote IP address: 172.70.130.250

Submitted by: Anonymous

Language: English

Is draft: No

Webform: UMN Program Submission Form

Submitted to: UMN Program Submission Form

Please indicate which type of program you would like to submit: K-12 Youth Event/Program/Camp/Intern/Conference (In-Person and/or On line)

Basic Information

Program Title National Tribal Tobacco Conference

Unit Masonic Cancer Center

Link to Program Registration nttc.umn.edu

Description This conference will address the traditional uses of tobacco and commercial tobacco impact in American Indian and Alaska Native (AI/AN) communities across the United States.

Phone 612-624-7552

Email (point of contact for participants) [email protected]

Program Director/Leader Lissa Martinez Huebner

Program Leader Email [email protected]

Program Information

Start Date Sun, 05/15/2022 - 00:00

End Date Mon, 05/16/2022 - 00:00

Months Offered May

Age 16

Estimated number of participants 200 - 1 minor in person, other minors participated in a video recording only & all provided release/waiver from legal guardian

Subject Health, Nutrition, and Human Development, Science, Technology, Engineering, and Math, Communication, Diversity, History, Languages, and Social Studies

Program Location Twin Cities/Central MN- Virtual

Publish on Youth Central website? No

Staffing Information

Have all covered staff/volunteers passed a background check within the last three years? Not applicable

Have all covered staff/volunteers completed the Safety of Minors mandatory training via the Training Hub? Not applicable

Will there be a minimum of two program staff on duty at all times who are 18 or older and two years older than the oldest participant? Yes

Will all program staff/volunteers/student workers receive an orientation? Not applicable

Safety of Minors Information

Have you planned appropriate physical environments to ensure quality learning environments and help prevent illnesses and accidents? Yes

Is there a plan to change facilities or modify activities for participants with special needs? Not applicable

Is there a plan to change facilities or modify activities in case of extreme weather? Not applicable

Have you assessed the environment to determine if minors need to be accompanied to the bathrooms? Yes

Is there a plan for the safe movement of minors? Yes

Do minors attend without a parent or other caretaker? No

Does the program lodge people overnight? Yes

Will the program follow lodging requirements? Yes

Will there be a minimum of two program staff on duty overnight who are 21 or older? Yes

Has the program operated previously? No

Notification Date Fri, 05/06/2022 - 00:00

Will a minor be present in lab environment? {Empty}

Virtual Program Information

Is this a virtual program? Yes

Is the platform supported by the University of MN? Yes

Will you be live streaming your program? Yes

Have all staff/volunteers completed virtual safety guidelines training? No

Has oversight been established to include a minimum of two adults during all virtual engagement activities? Yes

Is recording taking place? Yes

Have all participants been informed that the recording will take place? Yes

Has the purpose for the recording been communicated to all participants? Yes

Will you delete the recording within 30 days? No

Will the recording be kept on a University accessible device? Yes

I agree to the terms of service. Yes