UMN Program Submission Form: Submission #963

Submission information

Submission Number: 963

Submission ID: 4821

Submission UUID: e4fb689c-a86f-40a6-86e1-b19340bce3fd

Submission URI: /program-submission-form

Created: Tue, 03/12/2024 - 10:42

Completed: Tue, 03/12/2024 - 10:42

Changed: Fri, 03/15/2024 - 14:23

Remote IP address: 162.158.137.36

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 ISD 709 BIPOC intro to Pharmacy

Unit College of Pharmacy

Link to Program Registration none

Description Introducing Duluth public school BIPOC students to the profession of Pharmacy

Phone 218-726-6001

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

Program Director/Leader Olihe Okoro

Program Leader Email [email protected]

Program Information

Start Date Tue, 03/19/2024 - 00:00

End Date Tue, 03/19/2024 - 00:00

Months Offered Mar

Age 13, 14, 15, 16, 17, 18

Estimated number of participants 100

Subject Science, Technology, Engineering, and Math

Program Location Duluth/Northeast 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? Not yet

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? Yes

Is there a plan for the safe movement of minors? Yes

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? Yes

Has the program established and communicated to program staff appropriate procedures for addressing emergencies, accidents and illnesses? Yes

Will the program obtain a signed release of liability from all parents/guardians of minors prior to participation? No

Does the program lodge people overnight? No

Has the program operated previously? No

Notification Date Tue, 03/12/2024 - 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