UMN Program Submission Form: Submission #955

Submission information

Submission Number: 955

Submission ID: 4781

Submission UUID: fbaaa29b-f8a0-4533-b92b-565e7536254c

Submission URI: /program-submission-form

Created: Tue, 03/05/2024 - 11:55

Completed: Tue, 03/05/2024 - 11:55

Changed: Tue, 03/05/2024 - 11:55

Remote IP address: 172.69.59.94

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 Caring for People with Memory Loss Conference

Unit McNamara for event; Mayo D351 or student's home for prep-work beforehand

Link to Program Registration https://www.sph.umn.edu/events-calendar/caring-for-person-with-memory-loss-confere

Description Prepare conference materials (on or after 5.1.24; tasks like name tags, stuffing folders, similar tasks); assisting attendees; providing conference support.

Phone 612-626-2485

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

Program Director/Leader Joe Gaugler

Program Leader Email [email protected]

Program Information

Start Date Wed, 05/01/2024 - 00:00

End Date Sun, 06/02/2024 - 00:00

Months Offered Jun

Age 18

Estimated number of participants approximately 200 in person; 200 online

Subject Health, Nutrition, and Human Development

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? 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? 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? 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? 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, 03/05/2024 - 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