Non-University Program Registration Form

Name of Non-University Program *

Name of Non-University Program Director or Organizer *

First Last

Non-University Program Director or Organizer Phone Number *

Non-University Program Director or Organizer Email Address *

Date(s) of Non-University Program *

Location(s) of Non-University Program *

Please list the areas on campus where the Non-University Program or activity will be held.

Approximate Number of Minor Participants *

Will the Non-University Program Accept Custody and Control of the Minor Participants as Defined Below? *

Yes
No

Definition of Custody and Control: Accepting supervision over and responsibility for Minors in the absence of their parents or other legal guardians. If no form of contract, waiver, or written assumption of supervision is entered into with a Minor’s legal guardian, there is a presumption that the University Program has not assumed custody and control over a Minor.

Will the Minor Participants be Staying Overnight on Campus? *

Yes
No
Some Yes, Some No

Which Housing Units will Minor Participants be Staying in (Check all that Apply)? *

Name of University Contact *

Phone Number of University Contact *

Please provide an in-depth description of your Event

Is There Anything Else the Office of Institutional Compliance and Ethics Should Know About the Event?

Attestations *

Under Boise State University Policy 12060 (Protection of Minors), non-University programs that accept custody and control of the minor participants must ensure their employees, volunteers, and representatives undergo a criminal history background check, minor abuse prevention training, and agree to have a standard of conduct in place designed to prevent the abuse of minors.

Please review the following policies and complete the following attestations:

University Policy 12060 (Protection of Minors)
University Policy 7005 (Background Verifications)

I certify I understand that as a non-University program, all employees, volunteers, and representatives working with the minor participants must have completed a criminal history background check that is at least as stringent as those conducted by the University under Boise State University Policy 7005 (Background Verifications).
I certify I understand that that as a non-University program, all employees, volunteers, and representatives working with the minor participants must have completed a minor abuse prevention training that meets or exceeds the minimum requirements outlined in Section 7.4 in Boise State University Policy 12060 (Protection of Minors).
I certify I understand that that as a non-University program, I must have standards of conduct in place designed to prevent the abuse of minors outlined in Section 8.e. in Boise State University Policy 12060 (Protection of Minors).
I certify I understand that that as a non-University program, the University may request documentation necessary to verify that I have met the above requirements for up to one year following the last day of the event. I understand if I fail to provide any requested documentation necessary to verify this compliance, future programs may be canceled or not allowed to use Boise State University property and facilities.
I certify I understand the following administrative fee structure to help ensure appropriate staffing for the Minors on Campus program and to maintain compliance with University policies: $5 per registrant for all day-use only programs, regardless of registration fee; $10 per registrant for all overnight programs.