UMN Program Submission Form: Submission #621

Submission information

Submission Number: 621

Submission ID: 3111

Submission UUID: 0f5eab97-6988-494e-9756-c7afbacc0d09

Submission URI: /program-submission-form

Created: Tue, 05/17/2022 - 13:35

Completed: Tue, 05/17/2022 - 13:35

Changed: Tue, 05/17/2022 - 13:35

Remote IP address: 162.158.212.218

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 M-ASCEND: ADVANCING SCIENCE, ENHANCING DIVERSITY PROGRAM

Unit Program in Health Disparities Research

Link to Program Registration https://redcap.ahc.umn.edu/surveys/?s=XAXNMN34HR

Description M-ASCEND is a theoretically guided, evidence-driven program designed to support the academic persistence of high school and undergraduate students underrepresented in science, and promote their developmental progress towards futures in health sciences.

Phone 612-625-1654

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

Program Director/Leader Renee Boney-Jett

Program Leader Email [email protected]

Program Information

Start Date Tue, 03/02/2021 - 18:00

End Date Tue, 05/30/2023 - 19:00

Months Offered Jan, Feb, Mar, Apr, May, Jun, Jul, Aug, Sep, Oct, Nov, Dec

Age 14, 15, 16, 17, 18

Estimated number of participants 10-80 depending on program

Subject Health, Nutrition, and Human Development, Science, Technology, Engineering, and Math

Program Location Twin Cities/Central MN- In-person, Twin Cities/Central MN- Virtual

Publish on Youth Central website? Yes

Staffing Information

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

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

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? Yes

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? Yes

Is there a plan to change facilities or modify activities in case of extreme weather? Yes

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? Yes

Does the program collect and keep within easy access information on each participant including current medications administered during program time frame and contact information for parents/guardians? Yes

Do program staff know how to find and use this information? Yes

Has the program established and communicated practices to prevent accidents and illnesses, including adequate first aid and proper handling of medications? Yes

Does the program have emergency plans for fire, weather (e.g., tornado), toxic gas evacuations, unfamiliar packages, intruders, lost or missing children, and other emergencies? Yes

Has the program established and communicated to program staff appropriate procedures for addressing emergencies, accidents and illnesses? Yes

Will the program obtain a signed release of liability from all parents/guardians of minors prior to participation? Yes

Does the program lodge people overnight? No

Has the program operated previously? Yes

Were any incidents of suspected abuse known to have been reported to or by staff in the last year? No

Notification Date Tue, 05/17/2022 - 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? No

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? No

Is recording taking place? No

I agree to the terms of service. Yes