UMN Program Submission Form: Submission #860

Submission information

Submission Number: 860

Submission ID: 4306

Submission UUID: fe6a0d81-99ba-4969-8938-148e656f3175

Submission URI: /program-submission-form

Created: Thu, 07/06/2023 - 07:41

Completed: Thu, 07/06/2023 - 07:41

Changed: Mon, 07/10/2023 - 11:20

Remote IP address: 172.70.126.156

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 SCRUBS Camp

Unit CAIMH

Link to Program Registration http://www.healthforceminnesota.org/students/scrubscamp_registration.html

Description High school students will be attending a SCRUBS camp, hosted by Hibbing Community College. They will visit the Medical and Pharmacy schools on the Duluth campus for a brief activity and to learn about the schools.

Phone 2187268303

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

Program Director/Leader Brenda Shafer-Pellinen

Program Leader Email [email protected]

Program Information

Start Date Tue, 08/01/2023 - 00:00

End Date Tue, 08/01/2023 - 00:00

Months Offered Aug

Age 14, 15, 16, 17, 18

Estimated number of participants 30

Subject Health, Nutrition, and Human Development, 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? Not applicable

Have all covered staff/volunteers completed the Safety of Minors mandatory training via the Training Hub? Not applicable

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? Not applicable

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? Not applicable

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 Thu, 07/06/2023 - 00:00

Will a minor be present in lab environment? No

Virtual Program Information

Is this a virtual program? No

I agree to the terms of service. Yes