UMN Program Submission Form: Submission #751

Submission information

Submission Number: 751

Submission ID: 3761

Submission UUID: c3e1f88f-d4a1-470b-a8dc-7e451dcbd38e

Submission URI: /program-submission-form

Created: Thu, 02/23/2023 - 14:19

Completed: Thu, 02/23/2023 - 14:19

Changed: Thu, 03/09/2023 - 18:08

Remote IP address: 172.70.131.178

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 High School Scholars Program

Unit Program in Health Disparities Research

Link to Program Registration https://redcap.ahc.umn.edu/surveys/?s=C4TPHL44Y99DY83H

Description Our school year hybrid after school program focusing on cancer research and healthcare.

Phone 6512856936

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

Program Director/Leader Renee Boney-Jett

Program Leader Email [email protected]

Program Information

Start Date Wed, 10/26/2022 - 00:00

End Date Sat, 04/15/2023 - 00:00

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

Age 14, 15, 16, 17

Estimated number of participants 71

Subject 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? 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? Not yet

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 Thu, 02/23/2023 - 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? Yes

Have all participants been informed that the recording will take place? Yes

Has the purpose for the recording been communicated to all participants? Yes

Will you delete the recording within 30 days? No

Will the recording be kept on a University accessible device? Yes

I agree to the terms of service. Yes