UMN Program Submission Form: Submission #645

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Submission information

Submission Number: 645

Submission ID: 3231

Submission UUID: 216286b6-4b9d-45ca-a7ea-bb9b803ccb36

Submission URI: /program-submission-form

Created: Mon, 06/06/2022 - 15:29

Completed: Mon, 06/06/2022 - 15:29

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

Remote IP address: 172.70.130.117

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 6/27-8/26

Site Location University of Minnesota School of Dentistry

Host Contact Info Molly Cruitt
[email protected]

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? Yes

Have all adults working directly with the youth intern/s passed a background check within the last three years? Not yet

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 #645

Step-Up Youth Employment

Youth Central

Questions?