UMN Program Submission Form: Submission #935

Submission information

Submission Number: 935

Submission ID: 4681

Submission UUID: 34803b33-bfd1-43f2-b04c-d216724d68c8

Submission URI: /program-submission-form

Created: Thu, 02/08/2024 - 16:32

Completed: Thu, 02/08/2024 - 16:32

Changed: Thu, 02/22/2024 - 10:39

Remote IP address: 172.69.58.247

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 Pui 2024 GeoDict

Unit Mechanical Engineering

Link to Program Registration N/A

Description Providing opportunity to the high school student the exposure to scientific research experience. The high school may be asked to conduct hands-on research activities, literature reviews, and data analysis, under the guidance of the experienced lab members

Phone 6126252537

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

Program Director/Leader David Pui

Program Leader Email [email protected]

Program Information

Start Date Thu, 03/14/2024 - 00:00

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

Months Offered Jan, Feb, Mar, Apr, May, Jun, Jul, Aug, Sep, Oct, Nov, Dec

Age 16, 17

Estimated number of participants 1

Subject Science, Technology, Engineering, and Math

Program Location Twin Cities/Central MN- In-person, 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? 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 Thu, 02/08/2024 - 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? Yes

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? 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? Yes

Virtual Program Information

Is this a virtual program? No

I agree to the terms of service. Yes