Forms
A page within Youth Protection
Requirements by Program Type
University Custodial Activities
Requirements
- Program Emergency Plan
- Youth Supervision Plan
- Participant Roster
- Programs are responsible for sending and collecting consent/waiver/health forms for all participants.
- Staff/Volunteer Roster
- Activity Director (AD) completes a staff/volunteer roster and submits to Youth Protection
- AD is responsible for ensuring that all screening and training requirements are completed and documented prior to the first day of the adult’s interaction with a youth participant in a covered activity and reporting compliance to Youth Protection
- For Overnight Programs
- Staff Code of Conduct
- Participant Code of Conduct (highly recommended)
- ATCP 78 Requirements (State regulation)
- For Mixed-Age Programs (both adult and youth participants)
Individual Youth Activities
Requirements
- Program Emergency Plan
- Participant Roster
- Activity Directors are responsible for sending and collecting consent and waiver forms for all participants.
- Parents/guardians must be informed in advance that the activity will include 1-1 interactions, if applicable
- Staff/Volunteer Roster
- Activity Director (AD) completes a staff/volunteer roster and submits to Youth Protection
- AD is responsible for ensuring that all screening and training requirements are completed and documented prior to the first day of the adult’s interaction with a youth participant in a covered activity and reporting compliance to Youth Protection
- 1-1 Interaction Acknowledgement Form
- Completed by AD and Director Supervisor
University Non-Custodial Activities
Requirements
- Third-Party Acknowledgment Form
- Activity Directors (ADs) are responsible for sending the form to visiting groups for completion.
- Each group must have a signed form on file prior to their campus visit.
- A DocuSign link is available for electronic submission; signed forms go directly to the Youth Protection Coordinator.
- A PDF version is also available. ADs should ensure completed forms are collected via email, fax, or mail.
- Visiting Group Roster
- For documentation
- Staff/Volunteer Roster
- For documentation
Highly Recommended
- Program Emergency Plan
- Training for program staff, if not already a requirement
- Youth Protection best practices
- Prohibited behaviors
- Mandated Reporter
Third-Party Youth Activities
Requirements (Custodial)
- Facility Use Agreement/Contract
- Youth Addendum
By signing the facility use agreement/contract, the third-party group will:
- Provide supervising staff in compliance with minimum supervision ratios
- Perform (or has already performed) background checks for supervising staff
- Secure insurance coverage for the activity and provide a certificate of insurance upon request
The Third-Party Organization shall maintain:
- A complete staff and participant roster;
- Maintain/verify supervision ratios are met;
- Participant consent/field trip forms;
- Maintain Emergency Plan;
- Staff training and prohibited conduct, mandatory reporting and safety.
Third-Parties must retain copies of documents in accordance with the data retention policy.
Requirements (Non-Custodial)
- Facility Use Agreement/Contract
- Secure insurance coverage for the activity and provide a certificate of insurance upon request
Third-Parties must retain copies of documents in accordance with the data retention policy.