Risk Requirements Meeting Congruent with Texas A&M University Rule for Campus Programs for Minors (24.01.06.M1) section 1.1.1. Risk Requirements Meeting Program Name: * College, School, or Unit: College of Agriculture and Life SciencesCollege of ArchitectureCollege of Arts and SciencesMays Business SchoolBush School of Government and Public ServiceCollege of DentistryCollege of Education and Human DevelopmentCollege of EngineeringSchool of Engineering MedicineSchool of LawCollege of Marine Sciences and Maritime StudiesCollege of MedicineCollege of NursingCollege of Performance, Visualization & Fine ArtsCollege of PharmacySchool of Public HealthCollege of Veterinary Medicine and Biomedical SciencesOffice of the Provost and Executive Vice PresidentTexas A&M AdmissionsTexas A&M AthleticsDivision of Human Resources and Organizational EffectivenessDivision of ResearchDivision of Risk, Ethics and ComplianceDivision of Student AffairsTexas A&M Corps of CadetsTexas A&M University at GalvestonHigher Education Center at McAllenTexas A&M University at Qatar Department Name: * Program Sponsor 1 Name: * Program Sponsor 1 Email: Program Sponsor 1 Phone Number: Program Sponsor 2/Advisor Name: * Program Sponsor 2/Advisor Email: Program Sponsor 2/Advisor Phone Number: Anticipated Start Date: Recommended Next Risk Requirements Date: An annual risk requirements meeting must be scheduled with University Youth Programs in accordance with section 1.1.1. Brief description of program activities: Are you incorporating College Knowledge activities? Mini Moments, Games, Campus Activities, Curriculum, and Panels Physical Activity Level * Low Moderate High Explain Physical Activity Level: Lab Activity Yes No Other If Yes or Other, please explain: Program Length? * Number of days per session. Number of Sessions: * 12345678910+ Third Party? Yes No All third party programs are expected to hold a contract with the University, secure their own background checks, and submit a copy of their Certificate of Insurance to UYP. If Third Party, please check all that will be required of the program: Contract with the University Certificate of Insurance Overnight Stay? * Yes No Base Tier Level: * Tier 1 Tier 2 Tier 3 Other Tier 1 - Lower Risk: May include but are not limited to short (less than 4 hours) day camps, tours, or low risk activities Tier 2 - Moderate Risk: May include but are not limited to activities using specialized equipment, programs lasting longer than 4 hours, or programs that have moderate level of physical activity. Tier 3 - Higher Risk - May include but are not limited to overnight stays, sport activities, or activities in laboratories. If Other, please explain: Application Type: * Campus Programs for Minors Application (CPM) Events with Minors Application (EMA) Single Participant Youth Program Application (SPLPA) Other If Other, please explain: Secondary Sponsor: Additional Reviewers: Sponsoring Department: Sponsoring Dean: Secondary Sponsor Contact: Additional Reviewers Contact: Sponsoring Department Contact: Sponsoring Dean Contact: Insurance: * Not securing insurance Securing insurance through UYP Securing insurance on their own through TAMU or TAMUS Securing insurance on their own Other If Other, please explain: Support Service Fees * Yes No Other Insurance/Support Service Fees Type n/aNon-Sport Base/Day-OnlyNon-Sport Overnight/OvernightSport Base/Day-OnlySport Overnight/OvernightThird Party ProgramOtherNon-Sport Int'lSport Int'l If Other, please explain: Requiring Background Checks? * Yes No Notes on Background Checks: Requiring Child Protection Training? * Yes No TDSHS State Reportable? * Yes No Other Notes on CPT: TDSHS Deadline * Five (5) business days prior to the start of the program Prior to the start of the program Other Notes on TDSHS: Please check all that will be required of the program: Liability Waivers (fill in lines 3 and 4) Terms of Use Talent Release Overnight supervision protocol Hydration/Heat Stroke Plan Supervision Ratios Means to identify staff and participants 60 Day Deadline Program Director/Sponsor Annual Training All programs are expected to have a missing participant protocol, submit an itinerary to UYP, Check-in/Check-out procedures, have at least two staff members signed up for Code Maroon, a medical response plan, and are required to submit incident reports within 24 hours of an incident. * The program sponsor has been informed of these additional requirement. Exemption: Missing Participant Protocol Exemption: Itinerary Exemption: Check-in/Check-out procedures Exemption: Code Maroon Exemption: Medical Response Plan Exemption: Incident Reports Other Requirements: Additional Notes: Important Links: https://cpm.tamu.edu/compliance/#liability-waivers The waiver must be completed with your program’s information: The (“Activity”) space is the name of your program. The (“Sponsor”) space is the name of your organization/department. https://cpm.tamu.edu/wp-content/uploads/2022/11/Talent-Release-Form.pdf https://cpm.tamu.edu/program-logistics/#supervision-ratios https://cpm.tamu.edu/wp-content/uploads/2024/06/Missing-Participant-Protocol.docx Submit If you are human, leave this field blank.
