JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
RIT-Sponsored Youth Program Acknowledgment of Compliance
The program organizer should use this form to indicate the youth program has satisfied the requested elements below. You may edit this form after your initial submission in order to update responses as necessary.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your name
*
Your answer
Name of program (program, camp, event, or activity)
*
Your answer
Program date(s)
*
Your answer
Every participant has submitted the appropriate registration form.
*
Yes
No
Every participant has submitted the appropriate release waiver and code of conduct or has been provided the Virtual Program Terms.
*
Yes
No
If there will be any non-RIT volunteers on the program staff (non-RIT employees or students), I have thoroughly vetted them for fitness to work with minors, such as through interviews, asking their work and volunteer history, and checking personal and professional references. (This does not apply to guest speakers or panelists.)
*
Yes
No
There will not be any non-RIT volunteers working this program.
If background check results for a member of the program staff have not been received prior to the start of the program, I have planned staffing to ensure that individual will not be alone with or supervising minors until the results are received.
*
Yes
No
N/A - I have verified all background check results have been received
I have ensured staffing levels are sufficient to prevent 1:1 contact or communication between staff/volunteers and participants or 1:1 contact or communication between participants as necessary.
*
Yes
No
I have ensured that program staff and volunteers will not use personal vehicles to transport participants.
*
Yes
No
This is not an in-person program
I have ensured parents/legal guardians have received staff contact information and information on how to report concerns about the program.
*
Yes
No
For virtual programs, I have ensured all staff and volunteers have utilized the recommended security and privacy settings of the online platform to ensure only registered participants join an activity.
*
Yes
No
This program does not include virtual programming
Program staff and volunteers will not have any contact with participants outside of scheduled program hours or activities or on other platforms not approved for use by your program, unless such activity has been approved by the Office of Youth Protection and Compliance.
*
Yes, program staff and volunteers will not have outside contact with participants
No, I have not addressed this with program staff and volunteers
If this program will include virtual programming, please list all pre-recorded lectures/videos and live virtual sessions here, including date, time, and link to the session. If this is not a virtual program, please respond N/A.
*
Your answer
If you answered "No" to any question above, please explain the reason for your response.
*
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Rochester Institute of Technology.
Report Abuse
Forms
