Youth Program Registration Request Form

The College of Charleston is dedicated to the welfare and safety of youth who visit the College’s campus, who participate in the College’s programs, or who are entrusted to the College’s care. As such, the College of Charleston will not tolerate the abuse of minors in any form.

To ensure the protection of minors (i.e., non-CofC students under the age of 18), the College has established measures to screen individuals and monitor compliance using relevant campus policies and standards. One such measure is the annual submission of this Youth Program Registration Request Form to conduct a youth program on behalf of the College or on the College campus.

The appropriate Dean or Executive Vice President must pre-approve any proposed youth program. Every approved youth camp, activity, or program seeking to operate on behalf of the College or using College facilities must submit a Youth Program Registration Request Form each year of operation. It is important to note that this form is a request, therefore, subject to review. Submission of this form alone does not meet the compliance requirements. Additional documentation may be required to complete the youth program registration process.

The Youth Program Registration Request Form should be submitted by the Youth Program Director in consultation with, and as approved by the relevant Dean or Executive Vice President. It is recommended that the Youth Program Registration Request Form be submitted approximately 30 days in advance of the planned start date to allow time to comply with all program requirements. Registration requests are valid annually from August 15 through August 14.

Youth Program Name(Required)

Please enter the youth program name.

When will the youth program take place? Select one.(Required)

If your program operates both afterschool and during the summer AND requires participants to sign up separately for each component, then each session (afterschool, summer) must be registered separately.

Fall Semester

Spring Semester

Fall and Spring Semesters

Summer session(s)

Select the youth program type.(Required)

Internal – the program will be operated by a CofC unit, group, or individual on behalf of the College

External – the program will use CofC facilities but will be operated by and for an external entity

Describe the youth program(Required)

Describe the youth program including brief history, purpose, target audience, etc.

Youth Program Leadership

Youth Program Director Name(Required)

First Last

Youth Program Director's Email(Required)

Name of Co-Director or Assistant Director

First Last

Email of Co-Director or Assistant Director

College Sponsor Name(Required)

Each youth program is expected to have a College Sponsor. For internal programs, the College Sponsor is the CofC department or unit operating or hosting the program. For external programs, the College Sponsor is the CofC employee, department, or unit serving as liaison between the program and the College.

First Last

College Sponsor Email(Required)

An appropriate supervisor or designee is appropriate. The youth program director or co-director should not be listed here.

Name of Dean or Executive Vice President Authorizing Sponsorship(Required)

First Last

Program Activities

Indicate the types of activities and the level of involvement expected of youth participating in the program.(Required)

	Observation only	Little participation	Moderate participation	Intense participation	N/A
Attending CofC classes, rehearsals, practices, or other non-public events
Visiting public CofC facilities, events, or exhibitions
Classroom activities (presentations, group work, etc.)
Tutoring or completing homework
Sports and/or active play (organized or recess)
Creating or performing art
Laboratory research involving chemicals or animals
Outdoor research or enrichment activities (excavations, wildlife observations, gardening, etc.)
Construction, set design, or other building activities
Cooking, baking, or other culinary experiences
Activities in or around standing water (pool, lake, river, ocean, etc.)

Other Activity Involvement

Optional. Add other activities and level of involvement not already accounted for.

Transportation(Required)

Indicate how youth will be transported from one activity location to another. Select all that apply.

Youth will not be transported. All activities will occur within a single room or building.

Youth will walk from building to building at the program site

Youth will walk to and from off-site locations

Youth will be transported via school or charter bus to/from off-site locations

Youth will be transported via CofC or state motorpool vehicle to/from off-site locations

N/A. Virtual program.

Other

Transportation ("Other" description)(Required)

You selected other for Transportation. Please explain.

Arrival & Departure(Required)

How will youth arrive and depart from the program site? Select all that apply.

Parents/legal guardians will drop off and pick up youth at the program site

Youth will transport themselves to and from the program site

Program staff will pick up and return youth to an off-site location

Program staff will bring youth from an off-site location to the program site. Parents will pick up from the program site.

Youth will arrive/depart as a group with their chaperones

N/A. Virtual program.

Other

Arrival & Departure ("Other" description)(Required)

You selected other for Arrival & Departure. Please explain.

Certifications and Documents

I certify, warrant, and assure that:(Required)

I am the youth program director or designee and authorized to submit this registration request form.

The information provided on this form is, to the best of my knowledge, truthful, complete, and accurate.

This program has been reviewed and approved by my College of Charleston supervisor or other appropriate administrator.

I understand that the youth program must comply with all applicable State and local laws, regulations, and ordinances, as well as best practices and requirements of the College of Charleston.

Submission of this form does not authorize the program to begin serving youth.

If you have one, provide the URL to the program's webpage.

Program Marketing Materials

Upload marketing materials about the program (flyers, articles, etc.). Do not upload anything not intended for the public.

Drop files here or

Max. file size: 1 MB.

Youth Program Registration Request Form

Youth Program Leadership

About the Youth Program

Program Activities

Program Staff

Certifications and Documents