UMN Program Submission Form: Submission #644

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Submission information

Submission Number: 644

Submission ID: 3226

Submission UUID: 9120ea02-147c-46c4-8a1c-681e863f3340

Submission URI: /program-submission-form

Created: Mon, 06/06/2022 - 10:06

Completed: Mon, 06/06/2022 - 10:06

Changed: Mon, 06/20/2022 - 14:15

Remote IP address: 162.158.212.183

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: Step-Up Employment Program

Step-Up Youth Employment

Will you be hiring a Step-Up Youth Employment Intern? Yes

Number of Youth Interns 1

Dates 6/27/22-8/26/22

Site Location UMN Division of Physical Therapy

Host Contact Info Jacquelyn Ruen
[email protected]
3195415049

Is this your first time hosting a youth intern? Yes

Have you completed all required paperwork per the Step-Up program via the City of Minneapolis? Yes

Have all adults working directly with the youth intern/s completed the on-line Safety of Minors training found in the training hub? Not yet

Have all adults working directly with the youth intern/s passed a background check within the last three years? Yes

Per the Safety of Minors: Health and Safety Requirements, I understand that the youth intern/s will maintain appropriate ratios, including no one-on-one interaction with an adult. Interactions must be observable and interruptible at all times. Yes, I understand this requirement

UMN Program Submission Form: Submission #644

Step-Up Youth Employment

Youth Central

Questions?