Humboldt State University



August 1, 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: |

|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 Core Pilates for HSU Kinesiology Dept. Academic Interns

8. Arcata Economic Development Corporation

9. Arcata House Partnership

10. Arcata Playhouse

11. Area 1 Agency on Aging

12. Baroni DBA Plaza Home

13. Baroni Designs

14. Bay Area Packaging [Lafayette, CA]

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

16. Big Brothers Big Sisters of the North Coast

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

18. Blue Lake Family Resource Center

19. Bonanza Ranch

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

21. Bureau of Land Management – Arcata Field Office

22. California Conservation Corps: Watershed Stewards Project

23. Camp Gold Arrow [Clovis, CA]

24. CarStations, Inc.

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

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

27. Children of the Redwoods Infant & Toddler Center

28. 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.

29. City of Blue Lake

30. City of Billings, Montana [inc. Environmental Affairs Division; Water Treatment Plant Lab; Planning Division]

31. City of Eureka

32. City of Fortuna [inc. Parks & Recreation; Planning Division; River Lodge Conference Center; Finance Dept.]

33. Clarke Museum

34. Coastal Grove Charter School

35. Coast Central Credit Union

36. College of the Redwoods

37. Commercial Fishermen's Wives of Humboldt

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

39. Companion Animal Foundation [Sunny Brae location]

40. Consumer Credit Counseling Service of the North Coast

41. County of Humboldt [all departments; inc. Headwaters Fund, Coroner's Office…] 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.

42. Court Appointed Special Advocate of Humboldt (CASA)

43. Cumulus Media San Francisco [San Francisco, CA; Includes KFOG 104.5, KNBR 680, 107.7 The Bone, KGO 810, KSFO 560]

44. Dell'Arte International

45. Dick Taylor Craft Chocolate

46. Discovery Museum [inc. Discovery Camp]

47. Dominique Lascaud Production [France]

48. East Bay Regional Park District [Oakland, CA]

49. Emma Center

50. Environmental Protection Information Center (EPIC)

51. EPT Rehabilitation for HSU Kinesiology Dept. Academic Interns

52. Fire and Light

53. Fit Nor Cal

54. Food for People [Humboldt County Food Bank]

55. Friends of the Dunes

56. Fuente Nueva Charter School

57. Gala Events and Weddings

58. Girl Scouts of Northern California

59. Gracelyn Home Care

60. Green Diamond Resource Company

61. Greenway Partners

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

63. Headlands Center for the Arts

64. HealthSPORT [Arcata] for HSU Kinesiology Dept. Academic Interns

65. Holly Yashi

66. Hoopa Tribal Civilian Community Corps/AmeriCorps on Native Lands

67. HSU Bookstore

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

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

70. Humboldt Bay Harbor District

71. Humboldt Bay Municipal Water District

72. Humboldt Baykeeper

73. Humboldt Center for Constitutional Rights

74. Humboldt Community Access and Resource Center (HCAR) [inc. 2-1-1 Humboldt, The Studio & Cheri Blackerby Gallery]

75. Humboldt Community Breast Health Project

76. Humboldt County Central Democratic Committee

77. Humboldt County Historical Society

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

79. 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]

80. Humboldt County Resource Conservation District

81. Humboldt Crossfit

82. Humboldt Domestic Violence Services

83. Humboldt Folklife Society

84. Humboldt Hotsauce

85. Humboldt Light Opera Company

86. Humboldt Mediation Services

87. Humboldt Patient Resource Center

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

89. Humboldt Regeneration

90. Humboldt Senior Resource Center [Arcata Senior Lunch Site]

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

92. Hydesville Elementary School District

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

94. , LLC [Internet based business]

95. Jacoby Creek Land Trust

96. Jessicurl

97. Kayak Zak's [inc. Big Lagoon Park Rd.; 115336 Hwy 101, Trinidad; Indian Beach, Trinidad]

98. Kokatat

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

100. LatinoNet

101. Lima’s Pharmacy

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

103. Little Redwoods Preschool for HSU Child Development Dept. placements

104. Los Angeles Valley College [Valley Glen, CA]

105. Los Bagels

106. Lost Coast Brewery & Café

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

108. Mad River Alliance [for OFF site (HSU self-directed) work only; expires 4/17/15]

109. Mad River Brewing Company

110. Mad River Montessori Preschool

111. Mad River Radio [expires 10/2/14]

112. Manila Community Services District [inc. Manila Community Resource Center]

113. Marimba One

114. Martial Athletics for HSU Kinesiology Dept. Academic Interns

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

116. McKeever Energy and Electric, Inc.

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

118. Medical Staffing Network

119. Miranda’s Rescue

120. National Center for Youth Law [Oakland, CA]

121. National Park Service: Redwood National Park

122. Natural Decadence

123. NBC Universal Bravo Network [Burbank, CA]

124. 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.]

125. North Coast Co-op

126. North Coast Rape Crisis Team

127. North Coast Veterans Resource Center

128. North Coast Veterinary Hospital [Arcata, Fortuna]

129. Northcoast Environmental Center

130. Northern California Indian Development Council

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

132. Northern Redwood Federal Credit Union

133. Northtown Coffee

134. Office of Assemblyman Wesley Chesbro

135. Ohana Organics

136. Ohlone College [Fremont, CA]

137. Open Door Community Health Centers

138. Planwest Partners

139. Praxis Fitness, LLC for HSU Kinesiology Dept. Academic Interns

140. Professional Climbers International Ops [Portland, OR]

141. Q Center [Portland, OR]

142. Rancho Santiago Community College District on behalf of Santa Ana Community College [1530 W. 17th St. Santa Ana, CA]

143. Redwood Acres – 9th District Agricultural Association

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

145. Redwood Capitol Bank

146. Redwood Coast Energy Authority

147. Redwood Coast Montessori for HSU Child Dev. Dept. Academic Interns

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

149. Redwood Community Radio – KMUD

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

151. Redwood Region Economic Development Commission

152. Redwoods and Rivers [Big Bar, CA]

153. Redwoods Rural Health Center

154. 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

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

156. Remote Control Productions [Santa Monica, CA]

157. Rohnerville School District

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

159. Salvation Army: Silvercrest Residences

160. Samoa Peninsula Fire District

161. Sanctuary Forest

162. Santa Cruz Museum of Art and History [Santa Cruz, CA]

163. Scribe America for HSU Kinesiology Dept. Academic Interns

164. Scripps Research Institute [La Jolla, CA]

165. Sewell Gallery

166. Seventh Generation Fund for Indian Development

167. Six Rivers Planned Parenthood

168. South Bay BMW [Torrance, CA]

169. Southern Humboldt Community Park

170. St. Bernard’s Catholic School

171. St. Joseph Hospital System [This is a “Clinical and non-clinical training Affiliation Agreement;” expires 5/2/17. Covers 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. No SSAs on file.] for HSU Kinesiology Dept. Academic Interns

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

173. StreamGuys, Inc.

174. Streamline Planning Consultants

175. Sun Valley Group [this agency may require HSU Intellectual Property Addendum, depending on internship work]

176. The Mill Yard

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

178. Timber Ridge [McKinleyville & Eureka sites]

179. Tri-County Independent Living

180. Trikone [San Francisco, CA]

181. Trillium Charter School

182. Trinidad Museum

183. Trumpet Behavioral Health

184. UPLIFT San Diego [San Diego, CA; covers multiple sites under this agency]

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

186. U.S. Fish and Wildlife – Humboldt Bay National Wildlife Refuge

187. U.S.D.A. Six Rivers National Forest - Supervisor's Office [SSA for Bayshore Way Office]

188. Union Street Charter School

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

190. United Way of the Wine Country – Humboldt/Del Norte Region

191. United States Servas

192. University of California, Office of the President [Oakland, CA]

193. Vector Rehabilitation for HSU Kinesiology Dept. Academic Interns

194. Vixen Kitchen

195. Westside Community Improvement Association [Jefferson Community Center]

196. Williamson Financial Group

197. Wing Inflatables

198. Wiyot Tribe

199. Wool Tree Mill

200. Yurok Tribe: All Programs except Head Start

201. Yurok Tribal Head Start

|Additional “Approved” Community Partners |

|Hum. Co. Schools/Districts |HSU – Related Programs |

|Covered by Teacher Education Agreements 2013-14 |(No LSA required) |

|(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): | |

| | |

|Arcata School District |HSU Programs/Departments |

|Blue Lake Union School District |(No LSA required) |

|Bridgeville School |The Learning Plan, Participation Guidelines, Student Time Log, and Release of |

|Columbia Elementary School District |Liability forms are required of HSU students serving with HSU programs for |

|Cotati-Rohnert Park Unified S.D. of Sonoma Co. |academic credit (see examples below). Please note: students serving in HSU |

|Cuddeback Union School District |Programs MUST be supervised by professional (non-student) staff. |

|Cupertino Union School District | |

|Cutten Elementary School District |Examples: |

|Del Norte County School District |Advancement Foundation |

|Eureka Unified School District |Associated Students |

|Evergreen Union S.D. of Shasta Co. |CA Center for Rural Policy |

|Ferndale Unified School District |HSU Academic Departments |

|Fieldbrook School District |HSU Center for International Programs |

|Fortuna Union Elem School District |HSU Children’s Center [reserved for Child Dev. Classes] |

|Fortuna Union High School District |HSU: Marketing and Communications (Marcom) |

|Freshwater School District |HSU Natural History Museum |

|Garfield School District |HSU: Student Health Center |

|Gateway Unified School District |HSU: The Studio School |

|Green Point School District |HSU: Marine Lab |

|Humboldt County Office of Education |Indian Tribal Education & Personnel Program (ITEPP) |

|Jacoby Creek Charter School District |KHSU |

|Junction Elementary School District |MultiCultural Center |

|Klamath-Trinity Joint Unified School District |Schatz Energy Research Center |

|Kneeland Elementary School |Sponsored Programs Foundation [inc. TRiO Upward Bound] |

|Lake Elsinore Unified School District |University Center |

|Lakeport Unified School District |Y.E.S. Programs [different risk mgt paperwork may be required] |

|Los Angeles Unified School District | |

|Los Gatos – Saratoga UHSD |The following HSU programs are NOT available as Learning Sites, due to no |

|McKinleyville Union School District |professional (non-student) staff available for supervision: |

|Mendocino Unified School District |Campus Center Appropriate Technology |

|Newport-Mesa Unified School District |Eric Rofes Queer Resource Center |

|Northern Humboldt Union High School District |Graduation Pledge Alliance |

|Orick School District |Student Access Gallery |

|Pacheco Union SD |Women's Resource Center |

|Pacific Union School District [inc. Pacific Union Adult School] |[pic] |

|Peninsula Union School District | |

|Rescue Union School District |HSU “OTHER OUTSIDE” Programs (LSA required): |

|Rio Dell School District |In addition to the Learning Plan, Participation Guidelines, Student Time Log, |

|Rohnerville School District |and Release of Liability forms, each of the following programs may have its own |

|San Lorenzo Valley Unified School District |agency-specific volunteer forms naming the student a volunteer of its own |

|Santa Cruz City Schools District |program. These sites include: |

|Scotia School District |HSU Bookstore [LSA in place] |

|Shasta Union High School |Northern California Small Business Development Network/ Office for Economic, |

|Sonoma County Office of Education |Community, & Business Development: [LSA in place] |

|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 | |

| | |

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| | |

|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 |“Approved” Agencies covered by “Clinical Agreements” |

|[grey highlights =local/available for other HSU departments] |Updated 7/3/13 |

| | |

|101 Surf Sports [San Rafael, CA] |Alderete Chiropractic |

|24 Hour Fitness Super Sport [Lakewood, CA] |Athletic Evolution |

|Accelerate Sports Performance [San Francisco, CA] |Carmichael Training Systems |

|Adrenaline Performance Center [Montreal, Quebec] |Cressey Performance, LLC |

|Apple Wellness [Austin, TX] |Duke University Health System, Inc. (annual auto renewal) |

|Arcata Core Pilates |Elemental Training Center |

|Body Kinetics [Novato & Mill Valley Sites] |Enloe Medical Center |

|Cardiovascular Associates of Marin [Larkspur, CA] |Fit Stop Human Performance Lab |

|Cornerstone Physical Therapy [Cottonwood, CA] |Green Mountain at Fox Run |

|Delaware North Company (DNC) – Wellness Center [Yosemite, CA; includes all areas,|Health Solutions, Inc. |

|Community Wellness Center, Pool, etc.] |L & T Health & Fitness |

|Department of Veteran's Affairs San Diego Medical Center [San Diego, CA] |Mad River Hospital - Pre-Physical Therapy and Exercise Science |

|Diakadi Body [San Francisco] |Mustang Soccer League |

|ept Rehabilitation [Eureka, CA] |New York University- Hospital for Joint Diseases [inc. Harkness Center for Dance |

|Good Samaritan Hospital/ Cardiac Rehabilitation [Los Angeles, CA] |Injuries] |

|HealthSPORT [Arcata] |Notre Dame |

|Heart Works Cardiac Rehab Center [Santa Rosa, CA] |Orange County Fire Authority |

|Humboldt Physical Therapy, Inc [Arcata, CA] |Physiotherapy Associates |

|Iconic Innovations, Inc. [Studio City, CA] |Plus One Health Management, Inc. (Marathon Energy Club) |

|Jill B. Nimble/Nimble Training [Santa Rosa, CA] |Providence Health & Services Alaska |

|Kern County Public Health Services Department [Bakersfield, CA] |ReActive Gym |

|Martial Athletics [Arcata, CA] |Redwoods Community College District |

|NYU Hospital for Joint Diseases [inc. Harkness Center for Dance Injuries] |Renown Health [Expires 6/9/17] |

|Philippi Sports Institute [Las Vegas, NV] |St. Joseph Hospital System [This is a “Clinical and non-clinical training |

|Plus One Holdings, Inc. [inc. San Jose CA Cisco Systems] |Affiliation Agreement;” expires 5/2/17. Covers Santa Rosa Memorial Hospital, SRM |

|POM Wonderful Fitness Center [Del Rey, CA] |Alliance Hospital Services dba Petaluma Valley Hospital, Queen of the Valley |

|Praxis Fitness, LLC |Medical Center, St. Joseph Hospital in Eureka and Redwood Memorial Hospital. No |

|Rawmana Fitness [San Diego, CA] |SSAs on file.] |

|Regents of the University of California, on behalf of University of California |Scripps Hospital |

|Cooperative Extension Humboldt-Del Norte Counties [inc. 4-H Youth Programs] |South Side Strength & Fitness |

|Scribe America |TJ's Gym |

|Shasta Family YMCA [Redding, CA] |University of Pittsburgh |

|Sports Reaction Center [Bellevue, WA] |Valley Medical Center |

|St. Joseph Hospital [Expires 7/30/17. Covers Kinesiology Pre-Physical Therapy |Velocity Sports, Dublin |

|Practica only- no “Hands on.” SSA on file for: St. Jo’s Physical Therapy Dept- |Yosemite Community College District - Columbia |

|2700 Dolbeer, Eka.] | |

|Tahoe Whitewater Tours [Truckee, CA] | |

|The Oaks at Ojai [Ojai, CA] | |

|University of Colorado at Boulder | |

|University of Southern California - Recreational Sports | |

|Vector Rehabilitation | |

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LSAs in Progress – NOT yet “Approved”

Grey Highlights: Please contact Stacy Becker (x4963 spb1@humboldt.edu) if you have any questions or are overseeing a clearly identified student wishing to serve as an Academic Intern or via a Service Learning course at this agency. We have made MANY efforts (in some cases over a period of years) to establish the Learning Site Agreement paperwork with these larger state/national agencies, which have been unable to resolve legal contractual issues. We can begin the process again when HSU students are clearly identified as wishing to serve in Academic Internship or Service Learning positions at sites under these agencies.

1. California Department of Fish & Wildlife

2. California State Parks

3. Disney World Wide Services, Inc.

4. Ebert Capital Management [5/23/14: HOLD-We can re-approach when there is a student definitely being considered for internship]

5. Humboldt County Republican Central Committee [Need Site Self-Assessment from agency; multiple requests have been made]

6. Humboldt Plan It Green

7. John Madsen Performance [Sandy, UT] [For KINS dept. only]

8. Kaiser Permanente [South Sacramento, CA] [For KINS dept. only]

9. MedX of Estes [Estes Park, CO] [For KINS dept. only]

10. National Marine Fisheries Service

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

12. Om Shala Yoga LLC

13. Redwood Strength

14. Sonoma County Water Agency [Santa Rosa, CA]

15. State of California - Superior Court of California [Eureka, CA]

16. The Getty Fitness Center [Los Angeles, CA] [For KINS dept. only]

17. Toucan, Inc

18. University of California San Francisco [Orthotics and Prosthetics Center] [For KINS dept. only]

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

20. 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.]

21. U.S.D.A. Forest Service [national]

22. Ventura County Fire Department

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