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University of Southern Indiana Child Event Application

USI Child Event Application

In accordance with the University of Southern Indiana Child Protection Policy, any person(s) who will be in direct contact with minors during your event must complete the volunteer application linked below.  This application also includes acknowledgement of the University of Southern Indiana Child Protection Policy Training.

 

Child Protection Event Signup

The University of Southern Indiana is committed to taking appropriate measures to ensure the safety and well-being of children/minors participating in University related activities.   Employees, Students, Representatives and Volunteers who participate in events primarily designed for persons under the age of 18 must complete the USI Child Event Application. 

 

 

Important

  • Please make sure that you fill out the application completely and select the specific event in which you are volunteering.
  • Under School Preference please select “All Schools”

 

 

Additional Information:

It is very important that the information you enter on the application matches your government-issued identification card including your full legal name. It is important that you provide a valid email address so you can be notified as to the status of your application and for future communication. If you are unable to provide an email address, you use the university's email address. All information collected on the application will remain confidential.

If you have any questions about the application, please contact your event organizer or USI Public Safety.

Thank you,
University of Southern Indiana-Public Safety

(812) 464-1845


Personal Information

Personal Information


I don't have a middle name
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Phone number is required
Please note: An email will be sent to the email address entered to inform you of the status of your application. If you do not have access to email, please enter and a district administrator will call you regarding the status.
School Preferences

Please select the schools at which you wish to volunteer

Functions

Please select the functions from the list below. (select all that apply)

Organizations

Please select the organization(s) on behalf of which you are volunteering (if not applicable, select "None")

Disclaimer

Please read the disclaimer below and provide your signature

University of Southern Indiana Volunteer Child Protection Policy Training.

The University of Southern Indiana is committed to protecting the safety and well-being of children [under Indiana law, a child is anyone who is not yet 18 years of age] who participate in University sponsored programs, both on and off campus. The participation of children in these University sponsored programs requires an increased level of care, and the University requires all students, employees and volunteers to conduct themselves appropriately in the presence of children on campus and/or in University-sponsored programs. All volunteers participating in any University sponsored program involving children must review and agree to adhere to the following requirements of the University’s Child Protection Policy:

When child abuse or neglect is suspected, report it immediately to Child Protective Services (CPS) (Indiana Child Abuse Hotline (1-800-800-5556)) and/or law enforcement and the University Director of Public Safety. When suspected abuse or neglect occurs in an off-campus location, suspected child abuse or neglect must immediately be reported to CPS and/or to local law enforcement officials.

 Authorized adult supervision is required: o Two-deep leadership - It is recommended that two or more authorized adult supervisors be present at activities involving children. At a minimum one authorized adult and another adult are required for all such activities. o Unsupervised one-on-one contact with children is prohibited.

When staying overnight, no child is permitted to sleep in the room of an adult other than the child's parent or guardian.

Engage in appropriate conduct when working with children.

           DO NOT: 

                          Engage in any form of physical, verbal, or emotional abuse of a child !

                          Engage in sexually inappropriate conduct or make sexually suggestive comments of any kind toward or in the presence of a child !

                          Use or be under the influence of alcohol or illegal drugs during programs involving children !

                          Enable, facilitate, or fail to address a child’s use of alcohol or illegal/nonprescribed drugs

           DO: 

                          Protect children’s health and safety !

                          Ensure use of appropriate protective equipment !

                          Provide appropriate supervision !

                          Remove a child from dangerous or potentially dangerous situations immediately !

                          Use appropriate language !

                          Address and discourage inappropriate behavior by children

 

 

I acknowledge by my signature below that I have read, understand, and agree to adhere to the requirements outlined above.


By signing your name you agree to all the above statements. Use the mouse or touch screen to sign.
Done

Thank You

Your volunteer application has been successfully submitted and will be reviewed per the University's volunteer policy. In the near future, you will be notified as to your volunteer status. If you have any questions, please request to speak with USI Public Safety

 

USI-Public Safety

(812) 464-1845