UMN Program Submission Form: Submission #838

Submission information

Submission Number: 838

Submission ID: 4196

Submission UUID: 2fde3c9f-9eeb-445a-91d0-c1107c0604dd

Submission URI: /program-submission-form

Created: Tue, 06/13/2023 - 07:11

Completed: Tue, 06/13/2023 - 07:11

Changed: Tue, 06/13/2023 - 07:11

Remote IP address: 172.68.54.220

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 Kannan lab

Unit Neuroscience

Link to Program Registration icnlabs.org

Description Participants will learn the basics of molecular biology techniques, learn about animal surgical techniques and voltage imaging during behavior. They will also be involved in the analyses of voltage imaging datasets

Phone 6126263713

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

Program Director/Leader Madhuvanthi Kannan

Program Leader Email [email protected]

Program Information

Start Date Thu, 06/01/2023 - 00:00

End Date Sun, 12/31/2023 - 00:00

Months Offered Jun, Jul, Aug, Sep, Oct

Age 14, 15, 16, 17

Estimated number of participants 4

Subject Science, Technology, Engineering, and Math

Program Location Twin Cities/Central 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? Not applicable

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? Not applicable

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? Yes

Does the program collect and keep within easy access information on each participant including current medications administered during program time frame and contact information for parents/guardians? Yes

Do program staff know how to find and use this information? Yes

Has the program established and communicated practices to prevent accidents and illnesses, including adequate first aid and proper handling of medications? Yes

Does the program have emergency plans for fire, weather (e.g., tornado), toxic gas evacuations, unfamiliar packages, intruders, lost or missing children, and other emergencies? Yes

Has the program established and communicated to program staff appropriate procedures for addressing emergencies, accidents and illnesses? Yes

Will the program obtain a signed release of liability from all parents/guardians of minors prior to participation? Yes

Does the program lodge people overnight? No

Has the program operated previously? No

Notification Date Tue, 06/13/2023 - 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