February 4, 2014
Learning Site Agreement (LSA) in Place - “Approved” Community Partners
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Message for Faculty:
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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.
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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:
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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.
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For more information and direct links to required forms, please see our website at: http://www.humboldt.edu/cslai/
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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
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Community-Based Organizations, Schools & Businesses covered by LSA – “Approved”:
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Access Humboldt
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Adult Day Health Care of Mad River
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Alcohol / Drug Care Services, Inc.: Serenity Inn
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Alder Grove Charter School
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Arcata Animal Hospital
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Arcata Christian School
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Arcata Economic Development Corporation
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Arcata House Partnership
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Arcata Playhouse
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Baroni DBA Plaza Home
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Baroni Designs
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Bear River Band of Rohnerville Rancheria / Bear River Casino
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Big Brothers Big Sisters of the North Coast
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Bird Ally X [inc. Humboldt Wildlife Care Center]
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Blue Lake Family Resource Center
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Bonanza Ranch
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Boys and Girls Club of the Redwoods [inc. Club Houses, Teen Center, Teen Court]
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Bureau of Land Management – Arcata Field Office
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California Conservation Corps: Watershed Stewards Project
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CarStations, Inc.
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Catholic Charities of the Diocese of Santa Rosa [inc. Betty Kwan Chinn Homeless Foundation; and Betty Chinn Day Center in Eureka]
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Cher-Ae Heights Indian Community of the Trinidad Rancheria
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Children of the Redwoods Infant & Toddler Center
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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.
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City of Blue Lake
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City of Billings, Montana: Environmental Affairs Division; Water Treatment Plant Lab; Planning Division
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City of Eureka
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Clarke Museum
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Coastal Grove Charter School
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Coast Central Credit Union
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College of the Redwoods
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Commercial Fishermen's Wives of Humboldt
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Community Alliance with Family Farmers [inc. Farm to School Docent Program-at Redwood Roots Farm; and Harvest of the Month programs]
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Consumer Credit Counseling Service of the North Coast
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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.
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Court Appointed Special Advocate of Humboldt (CASA)
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Dick Taylor Craft Chocolate
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Discovery Museum [inc. Discovery Camp]
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Dominique Lascaud Production
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Emma Center
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Environmental Protection Information Center (EPIC)
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EPT Rehabilitation for HSU Kinesiology Dept. Academic Interns
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Fire and Light
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Food for People [Humboldt County Food Bank]
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Friends of the Dunes
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Fuente Nueva Charter School
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Girl Scouts of Northern California
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Gracelyn Home Care
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Green Diamond Resource Company
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Greenway Partners
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Growing Tree Family Child Care for HSU Child Development Dept. placements
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Headlands Center for the Arts
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HealthSPORT for HSU Kinesiology Dept. Academic Interns
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Holly Yashi
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Humboldt Area Foundation [inc. Redwood Coast Rural Action, Humboldt Made]
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HSU Bookstore
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Humboldt Arts Council [inc. Morris Graves Museum]
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Humboldt Bay Harbor District
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Humboldt Baykeeper
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Humboldt Community Access and Resource Center (HCAR) [inc. The Studio and Cheri Blackerby Gallery]
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Humboldt Community Breast Health Project
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Humboldt County Central Democratic Committee
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Humboldt County Historical Society
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Humboldt County Office of Education: Programs [SSAs Received: Court & Community Schools—Student Assistance Center.]
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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]
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Humboldt County Resource Conservation District
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Humboldt Domestic Violence Services
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Humboldt Folklife Society
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Humboldt Hotsauce
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Humboldt Light Opera Company
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Humboldt Physical Therapy, Inc. for HSU Kinesiology Dept. Academic Interns
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Humboldt Regeneration
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Humboldt Trails Council [inc. Volunteer Trail Stewards]
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Hydesville Elementary School District
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Ink People Center for the Arts [inc. all sponsored programs]
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Jacoby Creek Land Trust
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Jessicurl
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Kokatat
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KRCR - TV Channel 7 [Redding, CA]
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LatinoNet
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Little Learners Preschool for HSU Child Development Dept. placements.
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Little Redwoods Preschool HSU Child Development Dept. placements
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Los Angeles County Superior Court [expires 6/9/14]
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Los Bagels
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Lost Coast Brewery & Café
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Lost Coast Communications, Inc. [inc. KHUM, KSLG, KWPT, KXGO, LOCO-Lost Coast Outpost]
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Mad River Brewing Company
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Mad River Montessori Preschool
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Mad River Radio [special LSA expires 10/2/14]
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Marimba One
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Martial Athletics for HSU Kinesiology Dept. Academic Interns
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Mattole Unified School District [inc. North Coast Learning Academy, Mattole Valley Charter School, etc.]
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McKinleyville Community Services District [inc. First Five Playgroup hosted by MCSD Parks & Rec]
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Miranda’s Rescue
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National Park Service: Redwood National Park
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Natural Decadence
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NBC Universal Bravo Network [Burbank, CA]
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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.]
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North Coast Co-op
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North Coast Rape Crisis Team
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North Coast Veterans Resource Center
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North Coast Veterinary Hospital [Arcata, Fortuna]
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Northcoast Environmental Center
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Northern California Indian Development Council
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Northern California Small Business Development Network/Office for Economic, Community & Business Development
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Northern Redwood Federal Credit Union
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Office of Assemblyman Wesley Chesbro
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Ohana Organics
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Ohlone College [Fremont, CA]
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Open Door Community Health Centers
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Planwest Partners
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Q Center [Portland, OR]
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Redwood Acres – 9th District Agricultural Association
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Redwood Alliance [inc. Zero Waste Humboldt; Hope Coalition]
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Redwood Capitol Bank
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Redwood Coast Energy Authority
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Redwood Community Action Agency (RCAA) [inc. Youth Services Bureau- RAVEN Project; Family Services Division-Multiple Assistance Center (MAC); Natural Resources Division; etc.]
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Redwood Community Radio – KMUD
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Redwood Empire Public Television, Inc. –KEET TV
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Redwood Region Economic Development Commission
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Redwoods and Rivers [Big Bar, CA]
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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
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Rehabilitation and Wellness Centers (LP) [inc. Granada, Seaview, Pacific, Eureka, Fortuna sites]
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Rohnerville School District
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Sainte Partners II, L.P. [for KVIQ-Channel 6, Eureka, CA]
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Salvation Army: Silvercrest Residences
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Sanctuary Forest
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Santa Cruz Museum of Art and History
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Sewell Gallery
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Seventh Generation Fund for Indian Development
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Six Rivers Planned Parenthood
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Southern Humboldt Community Park
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St. Bernard’s Catholic School
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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
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State of California - California Department of Corrections and Rehabilitation - Division of Adult Parole Operations [expires 1/15/15]
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StreamGuys, Inc.
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Streamline Planning Consultants
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The Mill Yard
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The Watershed Center [inc. Indian Valley Summer Camp]
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Timber Ridge [McKinleyville & Eureka sites]
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Tri-County Independent Living
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Trikone [San Francisco]
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Trillium Charter School
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Trinidad Museum
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Trumpet Behavioral Health
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U.S. Fish and Wildlife – Humboldt Bay National Wildlife Refuge
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Union Street Charter School
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United Indian Health Services [inc. Potawot Community Health Garden]
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United Way
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United States Servas
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University of California, Office of the President
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Vector Rehabilitation for HSU Kinesiology Dept. Academic Interns
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Westside Community Improvement Association [Jefferson Community Center]
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Williamson Financial Group
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Wing Inflatables
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Wiyot Tribe
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Wool Tree Mill
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Yurok Tribe: All Programs except Head Start
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Yurok Tribal Head Start
Additional “Approved” Community Partners
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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):
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HSU – Related Programs
(No LSA required)
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Arcata School District
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Blue Lake Union School District
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Bridgeville School
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Columbia Elementary School District
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Cotati-Rohnert Park Unified S.D. of Sonoma Co.
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Cuddeback Union School District
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Cupertino Union School District
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Cutten Elementary School District
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Del Norte County School District
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Eureka Unified School District
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Evergreen Union S.D. of Shasta Co.
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Ferndale Unified School District
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Fieldbrook School District
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Fortuna Union Elem School District
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Fortuna Union High School District
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Freshwater School District
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Garfield School District
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Green Point School District
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Humboldt County Office of Education
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Jacoby Creek Charter School District
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Junction Elementary School District
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Klamath-Trinity Joint Unified School District
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Kneeland Elementary School
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Lake Elsinore Unified School District
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Lakeport Unified School District
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Los Angeles Unified School District
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Los Gatos – Saratoga UHSD
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McKinleyville Union School District
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Mendocino Unified School District
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Newport-Mesa Unified School District
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Northern Humboldt Union High School District
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Orick School District
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Pacheco Union SD
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Pacific Union School District
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Peninsula Union School District
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Rio Dell School District
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Rohnerville School District
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San Lorenzo Valley Unified School District
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Scotia School District
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Sonoma County Office of Education
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South Bay Union School District
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Sweetwater Union High School District
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Temecula Valley Unified SD
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Trinidad Union School District
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Trinity Alps Unified School District
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Yreka Union High School District
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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:
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Advancement Foundation
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Associated Students
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CA Center for Rural Policy
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HSU Academic Departments
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HSU Center for International Programs
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HSU Children’s Center [reserved for Child Dev. Classes]
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HSU: Marketing and Communications (Marcom)
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HSU Natural History Museum
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HSU: Student Health Center
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HSU: The Studio School
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HSU: Marine Lab
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Indian Tribal Education & Personnel Program (ITEPP)
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KHSU
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MultiCultural Center
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Schatz Energy Research Center
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Sponsored Programs Foundation
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University Center
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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:
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Campus Center Appropriate Technology
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Eric Rofes Queer Resource Center
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Graduation Pledge Alliance
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Student Access Gallery
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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:
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HSU Bookstore [LSA in place]
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Northern California Small Business Development Network/ Office for Economic, Community, & Business Development: [LSA in place]
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Kinesiology / Recreation Administration -- Academic Internship “Approved” Sites
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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.
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“Approved” Agencies covered by LSA
[grey highlights =local/available for other HSU departments]
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“Approved” Agencies covered by “Clinical Agreements”
Updated 7/3/13
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24 Hour Fitness Super Sport [Lakewood, CA]
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Accelerate Sports Performance [San Francisco, CA]
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Apple Wellness
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Body Kinetics [Novato & Mill Valley Sites]
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Delaware North Company (DNC) – Wellness Center [Yosemite, CA]
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Department of Veteran's Affairs San Diego Medical Center [San Diego, CA]
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ept Rehabilitation [Eureka, CA]
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HealthSPORT
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Humboldt Physical Therapy, Inc [Arcata, CA]
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Jill B. Nimble/Nimble Training [Santa Rosa, CA]
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Kern County Public Health Services Department
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Martial Athletics [Arcata, CA]
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Philippi Sports Institute [Las Vegas, NV]
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Plus One Holdings, Inc. [inc. San Jose CA Cisco Systems]
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Rawmana Fitness [San Diego, CA]
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Regents of the University of California, on behalf of University of California Cooperative Extension Humboldt-Del Norte Counties [inc. 4-H Youth Programs]
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Shasta Family YMCA [Redding, CA]
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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.”]
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The Oaks at Ojai
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University of Colorado at Boulder
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University of Southern California - Recreational Sports
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Vector Rehabilitation
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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.”]
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Alderete Chiropractic
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Athletic Evolution
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Carmichael Training Systems
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Cressey Performance, LLC
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Duke University Health System, Inc. (annual auto renewal)
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Elemental Training Center
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Enloe Medical Center
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Fit Stop Human Performance Lab
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Green Mountain at Fox Run
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Health Solutions, Inc.
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L & T Health & Fitness
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Mad River Hospital - Pre-Physical Therapy and Exercise Science
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Mustang Soccer League
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Notre Dame
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Orange County Fire Authority
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Physiotherapy Associates
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Plus One Health Management, Inc. (Marathon Energy Club)
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Providence Health & Services Alaska
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ReActive Gym
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Redwoods Community College District
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Renown Health
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Saint Joseph Hospital- Santa Rosa Mem, Petaluma, Queen of the Valley
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Saint Joseph Hospital Child Dev. - SEE LSA
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Scripps Hospital
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South Side Strength & Fitness
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TJ's Gym
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University of Pittsburgh
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Velocity Sports, Dublin
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Yosemite Community College District - Columbia
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LSAs in Progress – NOT yet “Approved”
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CA Department of Fish & Wildlife
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CA State Parks
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Companion Animal Foundation
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East Bay Regional Park District
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Harkness Center for Dance Injury, NYU Langone Medical Center [New York, NY] For KINS dept. only.
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Heald College
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Humboldt Bay Tourism Center
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Humboldt County Republican Central Committee
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Humboldt Senior Resource Center [inc. Arcata Senior Lunch Site]
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Iconic Innovations, Inc. For KINS dept. only.
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IMPAQ International
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Los Angeles Valley College
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Mad River Alliance
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Marginal Implications
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National Center for Youth Law –signed by agency; waiting for Mike Burghart’s review/approval.
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National Marine Fisheries Service
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National Park Service [at national level- beyond Redwood Natl. Parks]
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North Coast Laboratories
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Redwood Jazz Alliance
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Santa Ana Community College/Centennial Education Center
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Six Rivers National Forest - Supervisor's Office
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Sonoma County Water Agency
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State of California - Superior Court of California
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Sun Valley Group
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U.S. Coast Guard [Marine Safety Detachment Unit - Humboldt Bay]
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U.S. Fish & Wildlife Service: Arcata Office
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U.S. Forest Service
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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.
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U.S.D.A. Forest Service
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