UMN Program Submission Form: Submission #696

Submission information

Submission Number: 696

Submission ID: 3486

Submission UUID: d93c6bb1-7027-4074-8006-01fb2d86844a

Submission URI: /program-submission-form

Created: Wed, 09/14/2022 - 12:03

Completed: Wed, 09/14/2022 - 12:03

Changed: Wed, 10/05/2022 - 19:46

Remote IP address: 162.158.212.229

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 Lincoln Park Homework Club

Unit UMD- SCSE

Link to Program Registration https://scse.d.umn.edu/outreach

Description Weekly positive adult mentoring and homework support for Lincoln Park Middle School students. Carpooling available for up to 2 additional student volunteers each week.

Phone 12182353205

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

Program Director/Leader Amy Renee Kireta

Program Leader Email [email protected]

Program Information

Start Date Wed, 09/21/2022 - 00:00

End Date Tue, 05/03/2022 - 00:00

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

Age 14, 15, 16, 17, 18

Estimated number of participants 20

Subject Science, Technology, Engineering, and Math

Program Location Duluth/Northeast MN- In-person

Publish on Youth Central website? No

Staffing Information

Have all covered staff/volunteers passed a background check within the last three years? Yes

Have all covered staff/volunteers completed the Safety of Minors mandatory training via the Training Hub? Yes

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? No

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 Wed, 09/14/2022 - 00:00

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

Virtual Program Information

Is this a virtual program? No

I agree to the terms of service. Yes