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Learning Site Agreement (lsa) in Place “Approved” Community Partners


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February 4, 2014

Learning Site Agreement (LSA) in Place - “Approved” Community Partners



Message for Faculty:

  • Please contact Stacy Becker x4963 if you have any questions regarding whether an agency or program is “approved”; some community programs may be covered by currently “approved” agencies with the Learning Site Agreement (LSA) and Learning Site Self-Assessment (SSA) already in place.

  • This is a resource list for faculty use only; it is not designed to be directly distributed to students.


Risk Management paperwork required of students at ALL organizations – on campus (HSU Direct Programs) and off campus:

  • The Learning Plan, Participation Guidelines, Student Time Log, and Release of Liability forms are required of HSU students for Service Learning and Academic Internship placements for academic credit.

  • For more information and direct links to required forms, please see our website at: http://www.humboldt.edu/cslai/

  • Additionally, specific agencies may have their own required documents.

For these forms and further assistance, please contact Stacy Becker at the

Center for Service Learning & Academic Internships, 122 Gist Hall, 826-4963, or email spb1@humboldt.edu


Community-Based Organizations, Schools & Businesses covered by LSA – “Approved”:




  1. Access Humboldt

  2. Adult Day Health Care of Mad River

  3. Alcohol / Drug Care Services, Inc.: Serenity Inn

  4. Alder Grove Charter School

  5. Arcata Animal Hospital

  6. Arcata Christian School

  7. Arcata Economic Development Corporation

  8. Arcata House Partnership

  9. Arcata Playhouse

  10. Baroni DBA Plaza Home

  11. Baroni Designs

  12. Bear River Band of Rohnerville Rancheria / Bear River Casino

  13. Big Brothers Big Sisters of the North Coast

  14. Bird Ally X [inc. Humboldt Wildlife Care Center]

  15. Blue Lake Family Resource Center

  16. Bonanza Ranch

  17. Boys and Girls Club of the Redwoods [inc. Club Houses, Teen Center, Teen Court]

  18. Bureau of Land Management – Arcata Field Office

  19. California Conservation Corps: Watershed Stewards Project

  20. CarStations, Inc.

  21. Catholic Charities of the Diocese of Santa Rosa [inc. Betty Kwan Chinn Homeless Foundation; and Betty Chinn Day Center in Eureka]

  22. Cher-Ae Heights Indian Community of the Trinidad Rancheria

  23. Children of the Redwoods Infant & Toddler Center

  24. City of Arcata An additional City of Arcata Volunteer Packet, including livescan/background check, is required of all students serving with the City in ongoing volunteer positions; this packet will be distributed as needed by the City staff overseeing the student. Please inform the HSU Center for Service Learning & Academic Internships (CSLAI) about ANY placements with City programs, as these need to be reported to the City Personnel Director, Danette Demello. At the Arcata Marsh, "Interpretive/Marsh tours" work ONLY is covered by the City of Arcata LSA. For more info, please contact the CSLAI at x 4963.

  25. City of Blue Lake

  26. City of Billings, Montana: Environmental Affairs Division; Water Treatment Plant Lab; Planning Division

  27. City of Eureka

  28. Clarke Museum

  29. Coastal Grove Charter School

  30. Coast Central Credit Union

  31. College of the Redwoods

  32. Commercial Fishermen's Wives of Humboldt

  33. Community Alliance with Family Farmers [inc. Farm to School Docent Program-at Redwood Roots Farm; and Harvest of the Month programs]

  34. Consumer Credit Counseling Service of the North Coast

  35. County of Humboldt [all departments; inc. Headwaters Fund] Please inform the HSU Center for Service Learning & Academic Internships (x 4963) about any placements with County program), as these need to be reported to the Deputy County Administrative Officer, Amy Nilsen.

  36. Court Appointed Special Advocate of Humboldt (CASA)

  37. Dick Taylor Craft Chocolate

  38. Discovery Museum [inc. Discovery Camp]

  39. Dominique Lascaud Production

  40. Emma Center

  41. Environmental Protection Information Center (EPIC)

  42. EPT Rehabilitation for HSU Kinesiology Dept. Academic Interns

  43. Fire and Light

  44. Food for People [Humboldt County Food Bank]

  45. Friends of the Dunes

  46. Fuente Nueva Charter School

  47. Girl Scouts of Northern California

  48. Gracelyn Home Care

  49. Green Diamond Resource Company

  50. Greenway Partners

  51. Growing Tree Family Child Care for HSU Child Development Dept. placements

  52. Headlands Center for the Arts

  53. HealthSPORT for HSU Kinesiology Dept. Academic Interns

  54. Holly Yashi

  55. Humboldt Area Foundation [inc. Redwood Coast Rural Action, Humboldt Made]

  56. HSU Bookstore

  57. Humboldt Arts Council [inc. Morris Graves Museum]

  58. Humboldt Bay Harbor District

  59. Humboldt Baykeeper

  60. Humboldt Community Access and Resource Center (HCAR) [inc. The Studio and Cheri Blackerby Gallery]

  61. Humboldt Community Breast Health Project

  62. Humboldt County Central Democratic Committee

  63. Humboldt County Historical Society

  64. Humboldt County Office of Education: Programs [SSAs Received: Court & Community Schools—Student Assistance Center.]

  65. Humboldt County Office of Education: Afterschool Consortium [SSAS received: Blue Lake Union School, Bridgeville School, Peninsula School, Redway School, Scotia School, So. Fortuna Elem, Toddy Thomas, Trinidad Union School]

  66. Humboldt County Resource Conservation District

  67. Humboldt Domestic Violence Services

  68. Humboldt Folklife Society

  69. Humboldt Hotsauce

  70. Humboldt Light Opera Company

  71. Humboldt Physical Therapy, Inc. for HSU Kinesiology Dept. Academic Interns

  72. Humboldt Regeneration

  73. Humboldt Trails Council [inc. Volunteer Trail Stewards]

  74. Hydesville Elementary School District

  75. Ink People Center for the Arts [inc. all sponsored programs]

  76. Jacoby Creek Land Trust

  77. Jessicurl

  78. Kokatat

  79. KRCR - TV Channel 7 [Redding, CA]

  80. LatinoNet

  81. Little Learners Preschool for HSU Child Development Dept. placements.

  82. Little Redwoods Preschool HSU Child Development Dept. placements

  83. Los Angeles County Superior Court [expires 6/9/14]

  84. Los Bagels

  85. Lost Coast Brewery & Café

  86. Lost Coast Communications, Inc. [inc. KHUM, KSLG, KWPT, KXGO, LOCO-Lost Coast Outpost]

  87. Mad River Brewing Company

  88. Mad River Montessori Preschool

  89. Mad River Radio [special LSA expires 10/2/14]

  90. Marimba One

  91. Martial Athletics for HSU Kinesiology Dept. Academic Interns

  92. Mattole Unified School District [inc. North Coast Learning Academy, Mattole Valley Charter School, etc.]

  93. McKinleyville Community Services District [inc. First Five Playgroup hosted by MCSD Parks & Rec]

  94. Miranda’s Rescue

  95. National Park Service: Redwood National Park

  96. Natural Decadence

  97. NBC Universal Bravo Network [Burbank, CA]

  98. Northcoast Children’s Services [inc. the following 16 Head Start or State Preschool locations: Alice Birney; Crescent City; Fortuna; Jefferson; McKinleyville; Orleans; Pine Grove; Rio Dell; Smith River; Sonoma Street; Toddy Thomas Head Start - Preschool; Willow Creek; Winzler; Worthington; Children of the Redwoods Infant Toddler Center; Children of the Redwoods Head Start.]

  99. North Coast Co-op

  100. North Coast Rape Crisis Team

  101. North Coast Veterans Resource Center

  102. North Coast Veterinary Hospital [Arcata, Fortuna]

  103. Northcoast Environmental Center

  104. Northern California Indian Development Council

  105. Northern California Small Business Development Network/Office for Economic, Community & Business Development

  106. Northern Redwood Federal Credit Union

  107. Office of Assemblyman Wesley Chesbro

  108. Ohana Organics

  109. Ohlone College [Fremont, CA]

  110. Open Door Community Health Centers

  111. Planwest Partners

  112. Q Center [Portland, OR]

  113. Redwood Acres – 9th District Agricultural Association

  114. Redwood Alliance [inc. Zero Waste Humboldt; Hope Coalition]

  115. Redwood Capitol Bank

  116. Redwood Coast Energy Authority

  117. Redwood Community Action Agency (RCAA) [inc. Youth Services Bureau- RAVEN Project; Family Services Division-Multiple Assistance Center (MAC); Natural Resources Division; etc.]

  118. Redwood Community Radio – KMUD

  119. Redwood Empire Public Television, Inc. –KEET TV

  120. Redwood Region Economic Development Commission

  121. Redwoods and Rivers [Big Bar, CA]

  122. Regents of the University of California, on behalf of University of California Cooperative Extension Humboldt-Del Norte Counties [inc. 4-H Youth Programs] for HSU Kinesiology Dept. Academic Interns

  123. Rehabilitation and Wellness Centers (LP) [inc. Granada, Seaview, Pacific, Eureka, Fortuna sites]

  124. Rohnerville School District

  125. Sainte Partners II, L.P. [for KVIQ-Channel 6, Eureka, CA]

  126. Salvation Army: Silvercrest Residences

  127. Sanctuary Forest

  128. Santa Cruz Museum of Art and History

  129. Sewell Gallery

  130. Seventh Generation Fund for Indian Development

  131. Six Rivers Planned Parenthood

  132. Southern Humboldt Community Park

  133. St. Bernard’s Catholic School

  134. St. Joseph Hospital System [inc. Santa Rosa Memorial Hospital, SRM Alliance Hospital Services dba Petaluma Valley Hospital, Queen of the Valley Medical Center, St. Joseph Hospital in Eureka and Redwood Memorial Hospital. This is a “Clinical and non-clinical training Affiliation Agreement.”] for HSU Kinesiology Dept. Academic Interns

  135. State of California - California Department of Corrections and Rehabilitation - Division of Adult Parole Operations [expires 1/15/15]

  136. StreamGuys, Inc.

  137. Streamline Planning Consultants

  138. The Mill Yard

  139. The Watershed Center [inc. Indian Valley Summer Camp]

  140. Timber Ridge [McKinleyville & Eureka sites]

  141. Tri-County Independent Living

  142. Trikone [San Francisco]

  143. Trillium Charter School

  144. Trinidad Museum

  145. Trumpet Behavioral Health

  146. U.S. Fish and WildlifeHumboldt Bay National Wildlife Refuge

  147. Union Street Charter School

  148. United Indian Health Services [inc. Potawot Community Health Garden]

  149. United Way

  150. United States Servas

  151. University of California, Office of the President

  152. Vector Rehabilitation for HSU Kinesiology Dept. Academic Interns

  153. Westside Community Improvement Association [Jefferson Community Center]

  154. Williamson Financial Group

  155. Wing Inflatables

  156. Wiyot Tribe

  157. Wool Tree Mill

  158. Yurok Tribe: All Programs except Head Start

  159. Yurok Tribal Head Start



Additional “Approved” Community Partners


Hum. Co. Schools/Districts

Covered by Teacher Education Agreements 2013-14

(The Teacher Ed Agreements in place with the following entities have been approved by the HSU Risk Manager as sufficient to cover both Service Learning and Academic Internship placements, as well as Teacher Ed students):

HSU – Related Programs

(No LSA required)




  1. Arcata School District

  2. Blue Lake Union School District

  3. Bridgeville School

  4. Columbia Elementary School District

  5. Cotati-Rohnert Park Unified S.D. of Sonoma Co.

  6. Cuddeback Union School District

  7. Cupertino Union School District

  8. Cutten Elementary School District

  9. Del Norte County School District

  10. Eureka Unified School District

  11. Evergreen Union S.D. of Shasta Co.

  12. Ferndale Unified School District

  13. Fieldbrook School District

  14. Fortuna Union Elem School District

  15. Fortuna Union High School District

  16. Freshwater School District

  17. Garfield School District

  18. Green Point School District

  19. Humboldt County Office of Education

  20. Jacoby Creek Charter School District

  21. Junction Elementary School District

  22. Klamath-Trinity Joint Unified School District

  23. Kneeland Elementary School

  24. Lake Elsinore Unified School District

  25. Lakeport Unified School District

  26. Los Angeles Unified School District

  27. Los Gatos – Saratoga UHSD

  28. McKinleyville Union School District

  29. Mendocino Unified School District

  30. Newport-Mesa Unified School District

  31. Northern Humboldt Union High School District

  32. Orick School District

  33. Pacheco Union SD

  34. Pacific Union School District

  35. Peninsula Union School District

  36. Rio Dell School District

  37. Rohnerville School District

  38. San Lorenzo Valley Unified School District

  39. Scotia School District

  40. Sonoma County Office of Education

  41. South Bay Union School District

  42. Sweetwater Union High School District

  43. Temecula Valley Unified SD

  44. Trinidad Union School District

  45. Trinity Alps Unified School District

  46. Yreka Union High School District




HSU Programs/Departments

(No LSA required)

The Learning Plan, Participation Guidelines, Student Time Log, and Release of Liability forms are required of HSU students serving with HSU programs for academic credit (see examples below). Please note: students serving in HSU Programs MUST be supervised by professional (non-student) staff.
Examples:

  1. Advancement Foundation

  2. Associated Students

  3. CA Center for Rural Policy

  4. HSU Academic Departments

  5. HSU Center for International Programs

  6. HSU Children’s Center [reserved for Child Dev. Classes]

  7. HSU: Marketing and Communications (Marcom)

  8. HSU Natural History Museum

  9. HSU: Student Health Center

  10. HSU: The Studio School

  11. HSU: Marine Lab

  12. Indian Tribal Education & Personnel Program (ITEPP)

  13. KHSU

  14. MultiCultural Center

  15. Schatz Energy Research Center

  16. Sponsored Programs Foundation

  17. University Center

  18. Y.E.S. Programs [different risk mgt paperwork may be required]


The following HSU programs are NOT available as Learning Sites, due to no professional (non-student) staff available for supervision:

  1. Campus Center Appropriate Technology

  2. Eric Rofes Queer Resource Center

  3. Graduation Pledge Alliance

  4. Student Access Gallery

  5. Women's Resource Center


HSU “OTHER OUTSIDE” Programs (LSA required):

In addition to the Learning Plan, Participation Guidelines, Student Time Log, and Release of Liability forms, each of the following programs may have its own agency-specific volunteer forms naming the student a volunteer of its own program. These sites include:

  1. HSU Bookstore [LSA in place]

  2. Northern California Small Business Development Network/ Office for Economic, Community, & Business Development: [LSA in place]



Kinesiology / Recreation Administration -- Academic Internship “Approved” Sites



Message for Faculty:

  • Please contact Stacy Becker x4963 if you have any questions regarding whether an agency or program is “approved”; some community programs may be covered by currently “approved” agencies with the LSA already in place.

  • This is a resource list for faculty use only; it was not designed to be directly distributed to students.



Approved” Agencies covered by LSA



[grey highlights =local/available for other HSU departments]

Approved” Agencies covered by “Clinical Agreements”



Updated 7/3/13




  1. 24 Hour Fitness Super Sport [Lakewood, CA]

  2. Accelerate Sports Performance [San Francisco, CA]

  3. Apple Wellness

  4. Body Kinetics [Novato & Mill Valley Sites]

  5. Delaware North Company (DNC) – Wellness Center [Yosemite, CA]

  6. Department of Veteran's Affairs San Diego Medical Center [San Diego, CA]

  7. ept Rehabilitation [Eureka, CA]

  8. HealthSPORT

  9. Humboldt Physical Therapy, Inc [Arcata, CA]

  10. Jill B. Nimble/Nimble Training [Santa Rosa, CA]

  11. Kern County Public Health Services Department

  12. Martial Athletics [Arcata, CA]

  13. Philippi Sports Institute [Las Vegas, NV]

  14. Plus One Holdings, Inc. [inc. San Jose CA Cisco Systems]

  15. Rawmana Fitness [San Diego, CA]

  16. Regents of the University of California, on behalf of University of California Cooperative Extension Humboldt-Del Norte Counties [inc. 4-H Youth Programs]

  17. Shasta Family YMCA [Redding, CA]

  18. St. Joseph Hospital System [inc. Santa Rosa Memorial Hospital, SRM Alliance Hospital Services dba Petaluma Valley Hospital, Queen of the Valley Medical Center, St. Joseph Hospital in Eureka and Redwood Memorial Hospital. This is a “Clinical and non-clinical training Affiliation Agreement.”]

  19. The Oaks at Ojai

  20. University of Colorado at Boulder

  21. University of Southern California - Recreational Sports

  22. Vector Rehabilitation







  1. St. Joseph Hospital System [inc. Santa Rosa Memorial Hospital, SRM Alliance Hospital Services dba Petaluma Valley Hospital, Queen of the Valley Medical Center, St. Joseph Hospital in Eureka and Redwood Memorial Hospital. This is a “Clinical and non-clinical training Affiliation Agreement.”]

  2. Alderete Chiropractic

  3. Athletic Evolution

  4. Carmichael Training Systems

  5. Cressey Performance, LLC

  6. Duke University Health System, Inc. (annual auto renewal)

  7. Elemental Training Center

  8. Enloe Medical Center

  9. Fit Stop Human Performance Lab

  10. Green Mountain at Fox Run

  11. Health Solutions, Inc.

  12. L & T Health & Fitness

  13. Mad River Hospital - Pre-Physical Therapy and Exercise Science

  14. Mustang Soccer League

  15. Notre Dame

  16. Orange County Fire Authority

  17. Physiotherapy Associates

  18. Plus One Health Management, Inc. (Marathon Energy Club)

  19. Providence Health & Services Alaska

  20. ReActive Gym

  21. Redwoods Community College District

  22. Renown Health

  23. Saint Joseph Hospital- Santa Rosa Mem, Petaluma, Queen of the Valley

  24. Saint Joseph Hospital Child Dev. - SEE LSA

  25. Scripps Hospital

  26. South Side Strength & Fitness

  27. TJ's Gym

  28. University of Pittsburgh

  29. Velocity Sports, Dublin

  30. Yosemite Community College District - Columbia




LSAs in Progress – NOT yet “Approved


  1. CA Department of Fish & Wildlife

  2. CA State Parks

  3. Companion Animal Foundation

  4. East Bay Regional Park District

  5. Harkness Center for Dance Injury, NYU Langone Medical Center [New York, NY] For KINS dept. only.

  6. Heald College

  7. Humboldt Bay Tourism Center

  8. Humboldt County Republican Central Committee

  9. Humboldt Senior Resource Center [inc. Arcata Senior Lunch Site]

  10. Iconic Innovations, Inc. For KINS dept. only.

  11. IMPAQ International

  12. Los Angeles Valley College

  13. Mad River Alliance

  14. Marginal Implications

  15. National Center for Youth Law –signed by agency; waiting for Mike Burghart’s review/approval.

  16. National Marine Fisheries Service

  17. National Park Service [at national level- beyond Redwood Natl. Parks]

  18. North Coast Laboratories

  19. Redwood Jazz Alliance

  20. Santa Ana Community College/Centennial Education Center

  21. Six Rivers National Forest - Supervisor's Office

  22. Sonoma County Water Agency

  23. State of California - Superior Court of California

  24. Sun Valley Group

  25. U.S. Coast Guard [Marine Safety Detachment Unit - Humboldt Bay]

  26. U.S. Fish & Wildlife Service: Arcata Office

  27. U.S. Forest Service

  28. U.S. Navy Marine Mammal Program [San Diego, CA] - On Hold: this entity will not consider the LSA paperwork until an HSU student is clearly identified and accepted into their Internship program.

  29. U.S.D.A. Forest Service




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