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”:

Access Humboldt
Adult Day Health Care of Mad River
Alcohol / Drug Care Services, Inc.: Serenity Inn
Alder Grove Charter School
Arcata Animal Hospital
Arcata Christian School
Arcata Economic Development Corporation
Arcata House Partnership
Arcata Playhouse
Baroni DBA Plaza Home
Baroni Designs
Bear River Band of Rohnerville Rancheria / Bear River Casino
Big Brothers Big Sisters of the North Coast
Bird Ally X [inc. Humboldt Wildlife Care Center]
Blue Lake Family Resource Center
Bonanza Ranch
Boys and Girls Club of the Redwoods [inc. Club Houses, Teen Center, Teen Court]
Bureau of Land Management – Arcata Field Office
California Conservation Corps: Watershed Stewards Project
CarStations, Inc.
Catholic Charities of the Diocese of Santa Rosa [inc. Betty Kwan Chinn Homeless Foundation; and Betty Chinn Day Center in Eureka]
Cher-Ae Heights Indian Community of the Trinidad Rancheria
Children of the Redwoods Infant & Toddler Center
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.
City of Blue Lake
City of Billings, Montana: Environmental Affairs Division; Water Treatment Plant Lab; Planning Division
City of Eureka
Clarke Museum
Coastal Grove Charter School
Coast Central Credit Union
College of the Redwoods
Commercial Fishermen's Wives of Humboldt
Community Alliance with Family Farmers [inc. Farm to School Docent Program-at Redwood Roots Farm; and Harvest of the Month programs]
Consumer Credit Counseling Service of the North Coast
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.
Court Appointed Special Advocate of Humboldt (CASA)
Dick Taylor Craft Chocolate
Discovery Museum [inc. Discovery Camp]
Dominique Lascaud Production
Emma Center
Environmental Protection Information Center (EPIC)
EPT Rehabilitation for HSU Kinesiology Dept. Academic Interns
Fire and Light
Food for People [Humboldt County Food Bank]
Friends of the Dunes
Fuente Nueva Charter School
Girl Scouts of Northern California
Gracelyn Home Care
Green Diamond Resource Company
Greenway Partners
Growing Tree Family Child Care for HSU Child Development Dept. placements
Headlands Center for the Arts
HealthSPORT for HSU Kinesiology Dept. Academic Interns
Holly Yashi
Humboldt Area Foundation [inc. Redwood Coast Rural Action, Humboldt Made]
HSU Bookstore
Humboldt Arts Council [inc. Morris Graves Museum]
Humboldt Bay Harbor District
Humboldt Baykeeper
Humboldt Community Access and Resource Center (HCAR) [inc. The Studio and Cheri Blackerby Gallery]
Humboldt Community Breast Health Project
Humboldt County Central Democratic Committee
Humboldt County Historical Society
Humboldt County Office of Education: Programs [SSAs Received: Court & Community Schools—Student Assistance Center.]
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]
Humboldt County Resource Conservation District
Humboldt Domestic Violence Services
Humboldt Folklife Society
Humboldt Hotsauce
Humboldt Light Opera Company
Humboldt Physical Therapy, Inc. for HSU Kinesiology Dept. Academic Interns
Humboldt Regeneration
Humboldt Trails Council [inc. Volunteer Trail Stewards]
Hydesville Elementary School District
Ink People Center for the Arts [inc. all sponsored programs]
Jacoby Creek Land Trust
Jessicurl
Kokatat
KRCR - TV Channel 7 [Redding, CA]
LatinoNet
Little Learners Preschool for HSU Child Development Dept. placements.
Little Redwoods Preschool HSU Child Development Dept. placements
Los Angeles County Superior Court [expires 6/9/14]
Los Bagels
Lost Coast Brewery & Café
Lost Coast Communications, Inc. [inc. KHUM, KSLG, KWPT, KXGO, LOCO-Lost Coast Outpost]
Mad River Brewing Company
Mad River Montessori Preschool
Mad River Radio [special LSA expires 10/2/14]
Marimba One
Martial Athletics for HSU Kinesiology Dept. Academic Interns
Mattole Unified School District [inc. North Coast Learning Academy, Mattole Valley Charter School, etc.]
McKinleyville Community Services District [inc. First Five Playgroup hosted by MCSD Parks & Rec]
Miranda’s Rescue
National Park Service: Redwood National Park
Natural Decadence
NBC Universal Bravo Network [Burbank, CA]
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.]
North Coast Co-op
North Coast Rape Crisis Team
North Coast Veterans Resource Center
North Coast Veterinary Hospital [Arcata, Fortuna]
Northcoast Environmental Center
Northern California Indian Development Council
Northern California Small Business Development Network/Office for Economic, Community & Business Development
Northern Redwood Federal Credit Union
Office of Assemblyman Wesley Chesbro
Ohana Organics
Ohlone College [Fremont, CA]
Open Door Community Health Centers
Planwest Partners
Q Center [Portland, OR]
Redwood Acres – 9th District Agricultural Association
Redwood Alliance [inc. Zero Waste Humboldt; Hope Coalition]
Redwood Capitol Bank
Redwood Coast Energy Authority
Redwood Community Action Agency (RCAA) [inc. Youth Services Bureau- RAVEN Project; Family Services Division-Multiple Assistance Center (MAC); Natural Resources Division; etc.]
Redwood Community Radio – KMUD
Redwood Empire Public Television, Inc. –KEET TV
Redwood Region Economic Development Commission
Redwoods and Rivers [Big Bar, CA]
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
Rehabilitation and Wellness Centers (LP) [inc. Granada, Seaview, Pacific, Eureka, Fortuna sites]
Rohnerville School District
Sainte Partners II, L.P. [for KVIQ-Channel 6, Eureka, CA]
Salvation Army: Silvercrest Residences
Sanctuary Forest
Santa Cruz Museum of Art and History
Sewell Gallery
Seventh Generation Fund for Indian Development
Six Rivers Planned Parenthood
Southern Humboldt Community Park
St. Bernard’s Catholic School
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
State of California - California Department of Corrections and Rehabilitation - Division of Adult Parole Operations [expires 1/15/15]
StreamGuys, Inc.
Streamline Planning Consultants
The Mill Yard
The Watershed Center [inc. Indian Valley Summer Camp]
Timber Ridge [McKinleyville & Eureka sites]
Tri-County Independent Living
Trikone [San Francisco]
Trillium Charter School
Trinidad Museum
Trumpet Behavioral Health
U.S. Fish and Wildlife – Humboldt Bay National Wildlife Refuge
Union Street Charter School
United Indian Health Services [inc. Potawot Community Health Garden]
United Way
United States Servas
University of California, Office of the President
Vector Rehabilitation for HSU Kinesiology Dept. Academic Interns
Westside Community Improvement Association [Jefferson Community Center]
Williamson Financial Group
Wing Inflatables
Wiyot Tribe
Wool Tree Mill
Yurok Tribe: All Programs except Head Start
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)

Arcata School District
Blue Lake Union School District
Bridgeville School
Columbia Elementary School District
Cotati-Rohnert Park Unified S.D. of Sonoma Co.
Cuddeback Union School District
Cupertino Union School District
Cutten Elementary School District
Del Norte County School District
Eureka Unified School District
Evergreen Union S.D. of Shasta Co.
Ferndale Unified School District
Fieldbrook School District
Fortuna Union Elem School District
Fortuna Union High School District
Freshwater School District
Garfield School District
Green Point School District
Humboldt County Office of Education
Jacoby Creek Charter School District
Junction Elementary School District
Klamath-Trinity Joint Unified School District
Kneeland Elementary School
Lake Elsinore Unified School District
Lakeport Unified School District
Los Angeles Unified School District
Los Gatos – Saratoga UHSD
McKinleyville Union School District
Mendocino Unified School District
Newport-Mesa Unified School District
Northern Humboldt Union High School District
Orick School District
Pacheco Union SD
Pacific Union School District
Peninsula Union School District
Rio Dell School District
Rohnerville School District
San Lorenzo Valley Unified School District
Scotia School District
Sonoma County Office of Education
South Bay Union School District
Sweetwater Union High School District
Temecula Valley Unified SD
Trinidad Union School District
Trinity Alps Unified School District
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:

Advancement Foundation
Associated Students
CA Center for Rural Policy
HSU Academic Departments
HSU Center for International Programs
HSU Children’s Center [reserved for Child Dev. Classes]
HSU: Marketing and Communications (Marcom)
HSU Natural History Museum
HSU: Student Health Center
HSU: The Studio School
HSU: Marine Lab
Indian Tribal Education & Personnel Program (ITEPP)
KHSU
MultiCultural Center
Schatz Energy Research Center
Sponsored Programs Foundation
University Center
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:

Campus Center Appropriate Technology
Eric Rofes Queer Resource Center
Graduation Pledge Alliance
Student Access Gallery
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:

HSU Bookstore [LSA in place]
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
24 Hour Fitness Super Sport [Lakewood, CA] Accelerate Sports Performance [San Francisco, CA] Apple Wellness Body Kinetics [Novato & Mill Valley Sites] Delaware North Company (DNC) – Wellness Center [Yosemite, CA] Department of Veteran's Affairs San Diego Medical Center [San Diego, CA] ept Rehabilitation [Eureka, CA] HealthSPORT Humboldt Physical Therapy, Inc [Arcata, CA] Jill B. Nimble/Nimble Training [Santa Rosa, CA] Kern County Public Health Services Department Martial Athletics [Arcata, CA] Philippi Sports Institute [Las Vegas, NV] Plus One Holdings, Inc. [inc. San Jose CA Cisco Systems] Rawmana Fitness [San Diego, CA] Regents of the University of California, on behalf of University of California Cooperative Extension Humboldt-Del Norte Counties [inc. 4-H Youth Programs] Shasta Family YMCA [Redding, CA] 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.”] The Oaks at Ojai University of Colorado at Boulder University of Southern California - Recreational Sports Vector Rehabilitation	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.”] Alderete Chiropractic Athletic Evolution Carmichael Training Systems Cressey Performance, LLC Duke University Health System, Inc. (annual auto renewal) Elemental Training Center Enloe Medical Center Fit Stop Human Performance Lab Green Mountain at Fox Run Health Solutions, Inc. L & T Health & Fitness Mad River Hospital - Pre-Physical Therapy and Exercise Science Mustang Soccer League Notre Dame Orange County Fire Authority Physiotherapy Associates Plus One Health Management, Inc. (Marathon Energy Club) Providence Health & Services Alaska ReActive Gym Redwoods Community College District Renown Health Saint Joseph Hospital- Santa Rosa Mem, Petaluma, Queen of the Valley Saint Joseph Hospital Child Dev. - SEE LSA Scripps Hospital South Side Strength & Fitness TJ's Gym University of Pittsburgh Velocity Sports, Dublin Yosemite Community College District - Columbia

LSAs in Progress – NOT yet “Approved”

CA Department of Fish & Wildlife
CA State Parks
Companion Animal Foundation
East Bay Regional Park District
Harkness Center for Dance Injury, NYU Langone Medical Center [New York, NY] For KINS dept. only.
Heald College
Humboldt Bay Tourism Center
Humboldt County Republican Central Committee
Humboldt Senior Resource Center [inc. Arcata Senior Lunch Site]
Iconic Innovations, Inc. For KINS dept. only.
IMPAQ International
Los Angeles Valley College
Mad River Alliance
Marginal Implications
National Center for Youth Law –signed by agency; waiting for Mike Burghart’s review/approval.
National Marine Fisheries Service
National Park Service [at national level- beyond Redwood Natl. Parks]
North Coast Laboratories
Redwood Jazz Alliance
Santa Ana Community College/Centennial Education Center
Six Rivers National Forest - Supervisor's Office
Sonoma County Water Agency
State of California - Superior Court of California
Sun Valley Group
U.S. Coast Guard [Marine Safety Detachment Unit - Humboldt Bay]
U.S. Fish & Wildlife Service: Arcata Office
U.S. Forest Service
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.
U.S.D.A. Forest Service