UMN Program Submission Form: Submission #920

Submission information

Submission Number: 920

Submission ID: 4606

Submission UUID: 269cefdb-09c1-486a-951f-d9796bdc64d4

Submission URI: /program-submission-form

Created: Thu, 02/01/2024 - 10:07

Completed: Thu, 02/01/2024 - 10:07

Changed: Thu, 02/01/2024 - 10:07

Remote IP address: 172.70.126.53

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 BioMentors

Unit 1470

Link to Program Registration https://docs.google.com/forms/d/e/1FAIpQLScY3dM7YnNJtMdluigTiZOutK7MqeuFqMfpoeAmbWDrH-49JA/viewform?usp=sf_link

Description BioMentor's is a program for high school students that seeks to educate about the life sciences, and to demystify an academic and professional career in STEM fields. Students will be paired with an undergraduate studying at the University of Minnesota Twi

Phone 612-624-9717

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

Program Director/Leader Simon Vergara Santibanez

Program Leader Email [email protected]

Program Information

Start Date Tue, 02/20/2024 - 18:00

End Date Mon, 12/30/2024 - 18:00

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

Age 15, 16, 17, 18

Estimated number of participants 60

Subject Science, Technology, Engineering, and Math

Program Location 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? Not yet

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

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? Yes

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? 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? Not applicable

Is there a plan for the safe movement of minors? Not applicable

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? No

Do program staff know how to find and use this information? No

Has the program established and communicated practices to prevent accidents and illnesses, including adequate first aid and proper handling of medications? No

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? No

Has the program established and communicated to program staff appropriate procedures for addressing emergencies, accidents and illnesses? No

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 Wed, 01/31/2024 - 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? Not yet

Has oversight been established to include a minimum of two adults during all virtual engagement activities? Not yet

Is recording taking place? Yes

Have all participants been informed that the recording will take place? Not yet

Has the purpose for the recording been communicated to all participants? Not yet

Will you delete the recording within 30 days? Yes

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

I agree to the terms of service. Yes