UMN Program Submission Form: Submission #714

Submission information

Submission Number: 714

Submission ID: 3576

Submission UUID: c5f93fa1-7fa1-4e45-ba09-5819a45ac5c9

Submission URI: /program-submission-form

Created: Mon, 10/31/2022 - 14:52

Completed: Mon, 10/31/2022 - 14:52

Changed: Fri, 12/16/2022 - 14:19

Remote IP address: 172.70.131.216

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 CPHS Internship

Unit School of Public Health, Division of Health Policy and Manamagement, Center for Public Health Systems

Link to Program Registration [email protected]

Description This internship is to allow Gabrielle Smith to serve as an intern with the Center for Public Health Systems. She is specifically working on a media analysis of harrassment of public health workers during the COVID-19 pandemic.

Phone 612-625-0908

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

Program Director/Leader Jonathon P. Leider

Program Leader Email [email protected]

Program Information

Start Date Mon, 10/31/2022 - 00:00

End Date Wed, 08/30/2023 - 00:00

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

Age 16, 17, 18

Estimated number of participants 1

Subject Health, Nutrition, and Human Development

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? 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? Not applicable

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? Not applicable

Is there a plan for the safe movement of minors? Not applicable

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 Mon, 10/31/2022 - 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? Yes

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

Is recording taking place? No

I agree to the terms of service. Yes