UMN Program Submission Form: Submission #892

Submission information

Submission Number: 892

Submission ID: 4466

Submission UUID: c088f7e7-f5b8-49da-949e-bc4b000f922f

Submission URI: /program-submission-form

Created: Tue, 10/10/2023 - 11:26

Completed: Tue, 10/10/2023 - 11:26

Changed: Tue, 10/10/2023 - 11:26

Remote IP address: 172.70.179.64

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 Gopher CSE

Unit Office of Admissions - Freshman Recruitment

Link to Program Registration https://admit.umn.edu/register/?id=ad17f987-942d-45b0-ba73-06b9ed3875a4

Description At Gopher CSE, prospective students will get to hear from faculty, work on engineering activities and ask current students questions. Parents will be in attendance at all points during this event.

Phone 6126250246

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

Program Director/Leader Kyra Barbot

Program Leader Email [email protected]

Program Information

Start Date Fri, 11/10/2023 - 18:00

End Date Fri, 11/10/2023 - 18:00

Months Offered Nov

Age 15, 16, 17, 18

Estimated number of participants 35

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? 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 Tue, 10/10/2023 - 00:00

Will a minor be present in lab environment? Yes

In addition to the general release and waiver form, has each participants' adult caregiver signed off on the Labs Use Agreement Form (Paid Lab activity) or the Volunteers/Guests in Labs Form? No

Are you prepared to give a safety overview of the lab space? Yes

Do you require any enrolled college students using the lab to complete a specific training safety module related to the lab activity? Yes

Have you required the minors to also take the training module (this is a requirement). No

Do you need an additional HSRM risk assessment because chemicals, dust, fumes, vapors, gases, biological materials, radioactive materials or other substances may be present? No

Virtual Program Information

Is this a virtual program? No

I agree to the terms of service. Yes