One-to-One Interactions

ASU prohibits unapproved one-on-one interactions with minors.

If a one-on-one interaction is completely unavoidable, approval is required from the Sponsoring Department Dean/Director and the Youth Protection Program Office.

The Sponsoring Department must complete this form and must attest that the safeguards listed are in place.

*One form per minor.

Submitter name

Submitter email

MUST ENTER A VALID ASU EMAIL ADDRESS

Use of a personal email address will prevent the submitter from receiving notifications.

Submitter phone

Sponsoring Department Information

ASU Sponsoring Department (main)

You can search for your department in the drop down menu.

IF YOU DO NOT SEE YOUR DEPARTMENT IN THE DROP DOWN, TYPE IN YOUR DEPARTMENT'S FULL OFFICAL NAME 𝗔𝗡𝗗 𝗣𝗥𝗘𝗦𝗦 '𝗘𝗡𝗧𝗘𝗥'.

ASU Sponsoring Department (sub)

You can search for your department in the drop down menu.

IF YOU DO NOT SEE YOUR DEPARTMENT IN THE DROP DOWN, TYPE IN YOUR DEPARTMENT'S FULL OFFICAL NAME 𝗔𝗡𝗗 𝗣𝗥𝗘𝗦𝗦 '𝗘𝗡𝗧𝗘𝗥'.

Program/Activity Name

Interaction Information

Youth Protection Registry Activity #:

All youth activities must be registered in the Youth Protection Registry. Please provide the activity number.

What type of interaction is this?

In-Person

Virtual

Both

Will this interaction take place in an Laboratory?

Minors are not allowed in Laboratories except where permitted under the minors in labs policy and where approved by Environmental Health and Safety (EHS).

Yes

Start date of interaction

When will this one to one interaction start?

End date of interaction

When will this one to one interaction end?

Frequency of interaction

Daily

Weekly

Monthly

Please describe in detail the nature of this interaction and why it is necessary:

Please detail why the "rule of three" cannot be met for this activity.

The “rule of three” specifies that there should always be at least three people present — for example, one employee and two or more children, or two employees and one child.

Minor Participant Information

First and last name of minor:

Age of minor

Have you notified the parent/guardian of the one to one interaction?

Prior to engaging in any approved one-to-one interaction, Sponsoring Department should notify the parent or legal guardian of the minor. This notification should clearly outline the nature of the interaction, including its purpose, duration, location and any activities involved.

Yes

ASU Employee Information

First and last name of ASU employee

ASU Employee Email

ASU Employee ID#

Has the ASU employee successfully completed a fingerprint check and will it be valid through the dates of the interaction?

Fingerprint Check or validation of a fingerprint clearance card must be completed through ASU OHR every 3 years and must not expire before or during the interaction with the minor.

Use the Youth Protection registry to confirm employees compliance status.

Yes

Has the ASU employee successfully completed the required Minors on Campus Training and will the completion date be valid through the dates of interaction?

The minors on campus training must be completed annually and must not expire before or during the interaction with the minor.

Use the Youth Protection registry to confirm employees compliance status.

Yes

Does the ASU employee understand their responsibilities as a mandatory reporter?

Arizona Department of Child Safety

ASU Minors on Campus Policy

Yes

Risk Management

The majority of child sexual abuse is perpetrated in isolated, one-on-one situations. By reducing such interactions between children and adults, you reduce the risk of child sexual abuse. However, ASU also knows that sometimes, one-on-one situations are unavoidable (like after programming when only one youth remains, etc.) and sometimes, one-on-one situations are part of the program design (like with tutoring, coaching, mentoring, etc.).

In those situations where one-on-one interactions is unavoidable and approved, the Sponsoring Department must take the following safeguards to ensure the minors are safe and protected during the one-to-one interactions.

Notification of this interaction has been sent to the Parent/Guardian.

This safeguard is in place

This safeguard is not place

The parent/guardian will remain on location during the interactions.

This safeguard is in place.