Permit Request • CampusOptics

The following guidelines apply to Youth/Minors in Labs (Non-Hazardous labs, classroom/computer settings):

Faculty and staff involved in the lab activities with the minor must complete the child abuse and molestation awareness training every 2 years and annual background check.
Complete the Background Check | Training Request for Youth Programs form to submit request for training and background checks.
Obtain written consent from the parents or guardians In advance, establish a monthly/weekly schedule for the students to follow.
Provide notification and schedule of their visits to security staff for the building about the youth/minors being in the building, if the building has assigned security staff.
Provide lab safety overview/training to the youth/minors as appropriate for the type of setting.
Review emergency procedures with youth/minors during their first visit.

Requester

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Permit Date & Time

Start Date* Required

Start Time* Required

Expiration Date* Required

Expiration Time* Required

Location

Campus, Building, or Outdoor Area* Required

Additional Location Details

YOUTH IN LABS REQUEST

Principal Investigator's Name* Required

Principal Investigator Department* Required

Principal Investigator's Email* Required

Principal Investigator's Phone Number* Required

List of Participating Youth

Student 1* Required

Student 2* Required

Student 3* Required

Student 4* Required

Lab Project

Brief description of activities or project: * Required

Minor participant start date* Required

Minor participant anticipated end date* Required

Location (building and room #)* Required

Please select applicable materials and equipment to be used* Required

Chemicals (flammable, reactive, carcinogenic, toxic, corrosive, oxidizer, pharmaceuticals, gasses, etc.)
Biological materials (bacteria, viruses, fungi, parasites, human source material, insects, plants, animals, etc.)
Equipment (fume hoods, biosafety cabinet, laminar clean bench, autoclave, centrifuge, analytical instruments, industrial machinery, noise production equipment, etc.)

UNT Requirements

I have read and understand the applicable requirements outlined in the 04.025 UNT Youth Protection Program Policy.* Required

I understand that laboratory personnel to supervise minor participant are required to complete annual background checks and sexual abuse/child molestation/neglect identification and awareness training course ($16.00 fee per background check applies).* Required

List of personnel to provide supervision to participating youth: (add names and active email address)* Required

Add Supporting Documents

Add files to upload as supporting documentation along with your permit request.

Files