UMN Program Submission Form: Submission #917

Submission information

Submission Number: 917

Submission ID: 4591

Submission UUID: bec1656a-8739-41a8-bda3-f01725972e1e

Submission URI: /program-submission-form

Created: Mon, 01/22/2024 - 22:19

Completed: Mon, 01/22/2024 - 22:19

Changed: Mon, 01/29/2024 - 18:58

Remote IP address: 172.69.58.122

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 Volunteer CAN Lab

Unit Psychiatry

Link to Program Registration canlab.umn.edu

Description She will be working directly with the volunteer coordinator to assist with data organization and data management. She will not have interactions with participants.

Phone 6126258448

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

Program Director/Leader Amy Yang

Program Leader Email [email protected]

Program Information

Start Date Mon, 01/29/2024 - 00:00

End Date Fri, 05/31/2024 - 00:00

Months Offered Jan, Feb, Mar, Apr, May

Age 16

Estimated number of participants 1

Subject Health, Nutrition, and Human Development, Science, Technology, Engineering, and Math

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? Not applicable

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? Not applicable

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 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? No

Notification Date Mon, 01/22/2024 - 00:00

Will a minor be present in lab environment? No

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