Urban Homestead Institute

Risk Management & Partnership Training

1. In the event that additional unforeseen risks become apparent the Organization must agree to communicate all risk-related concerns immediately to the Office of Community Engagement. Please indicate the Organization’s acknowledgement of this requirement. : I accept
2. To ensure that both the University and community organization observe all rules, regulations, and procedures in place with their respective organizations, we require that a designated representative attend a Community Organization Partnership Training.: I accept
3. If the University determines it necessary to request a site(s) visit by a University Representative prior to entering into an Internship/Service Learning Agreement, will your organization comply? I accept
1. Will the students be supervised less than 50% of the time or will the supervisor be responsible for overseeing more than 8 people? Yes
1a. If Yes Please Describe: There will be always onsite supervision
2. Will the students be working with populations that are identified as “behaviorally challenged? No
2a. If Yes Please Describe: [empty]
3. Will the students be working with individuals who have a known criminal background or history of violent behavior? No
3a. If Yes Please Describe: [empty]
4. Would the location be described as a high-crime area? No
4a. If Yes Please Describe: [empty]
5. Are there concerns about the parking and working areas being secure or adequately illuminated? No
5a. If Yes Please Describe: [empty]
6. Have there been incidents of criminal activity at the organization within the last year? No
6a. If Yes Please Describe: [empty]
7. Are there any concerns with the site’s physical location such as physical, environmental, or inherent hazards that are not addressed adequately by training and security measures? No
7a. If Yes Please Describe: [empty]
8. Does the placement require working with any hazardous materials, heavy equipment, or heavy machinery? No
8a. If Yes Please Describe: [empty]
9. Are there any concerns as to the Learning Site’s Emergency Plan or regarding non-working fire-rated doors or blockages to the exits and hallways? No
9a. If Yes Please Describe: [empty]
10. Is there anything else not covered that might impact the safety and wellbeing of the students? No
10a. If Yes Please Describe: [empty]
11. Does the placement require working with minors? Yes
11a. If Yes Please Describe: Sometimes, if there happens to be a school tour any volunteers onsite might be asked to assist with the school group.

11. Does the placement require working with minors? Yes
11a. If Yes Please Describe: Sometimes, if there happens to be a school tour any volunteers onsite might be asked to assist with the school group.