1. 101 Surf Sports San Rafael, CA

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1. 101 Surf Sports San Rafael, CA

April 27, 2017 Learning Site Agreement (LSA) Status List

Message for Faculty: 1. 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) documents already established. 2. Please note that we are reaching the end of 5 year cycles for Learning Site Agreement expiration dates. If you don’t see a familiar agency on the approved list below, please check the “Renewals in Progress” list on page 11, and contact Stacy or Loren to let us know that the agency is a priority. LSA expiration dates in red font on APPROVED agency list below are noted up through August 2017 only. 3. This is a resource list for faculty use only; it is not designed to be directly distributed to students, due to vetting needed by faculty. 4. Agencies on this list may have their own required documents and may conduct their own screening/ background check and acceptance procedures. Please note- 4 Student Risk Documents: HSU students are required to complete the following 4 forms for placements at all OFF campus, non HSU organizations only (these 4 forms are now recommended, not required, for HSU direct/ ON campus programs): The 1) HSU Student Learning Plan, 2) HSU Participation Guidelines, 3) HSU Student Time Log, and 4) HSU Release of Liability forms are required of HSU students for Service Learning and Academic Internship off-campus placements for academic credit. For more information and direct links to required forms, please see our website at: http://www.humboldt.edu/ccbl/ Center for Community Based Learning - 122 Gist Hall Stacy Becker, Community Partner Coordinator, [email protected], 826-4963 Loren Collins, Faculty Support Coordinator, [email protected], 826-5459

APPROVED Community-Based Organizations, Schools & Businesses covered by LSA:

1. 101 Surf Sports [San Rafael, CA] 2. 24 Hour Fitness Super Sport [Lakewood, CA] 3. Accelerate Sports Performance [San Francisco, CA] 4. Access Humboldt 5. Adrenaline Performance Center [Montreal, Quebec] 6. Adult Day Health Care of Mad River 7. Advanced Security Systems 8. AJ Fitness Training [La Mesa, CA] 9. Alcohol / Drug Care Services, Inc.: Serenity Inn 10. Alder Grove Charter School 11. American Cancer Society [Las Vegas, NV site only] 12. American Cruise Lines [Guilford, CT] 13. American Foundation for Suicide Prevention [New York, NY] 14. American Hydroponics 15. Anderson Bradley Krant P.C. [Ashland, OR] 16. Anderson, Lucas, Somerville & Borges, CPAs 17. Apple Wellness [Austin, TX; Cupertino, CA] 18. Applied EarthWorks, Inc. [Lompoc, CA] 19. Arcata Core Pilates 20. Arcata Economic Development Corporation 21. Arcata Fire Protection District 22. Arcata House Partnership 23. Arcata Playhouse 24. Arcata Sports Medicine 25. Arcata Veterans Hall 26. Area 1 Agency on Aging 27. Army Corps of Engineers [SSA received for Sacramento Office only] 28. Assembly Member District 2 - Eureka Office [710 E Street, Suite 150] 29. Backside Learning Center [Louisville, Kentucky] 30. Bay Area Packaging [Lafayette, CA] 31. Bear River Band of Rohnerville Rancheria / Bear River Casino 32. Bellamy Mansion [Wilmington, NC]

1 33. Beneficial Living Center and Garden Supplies 34. Big Brothers Big Sisters of the North Coast [inc. SSAs received for: Main Office - 428 C Street, Suite G… Bowl For Kids Sake - Harbor Lanes - 2136 Broadway, Eka… Big Chili Cookoff - Mad River Tap Room - 101 Taylor Way, Blue Lake] 35. Bird Ally X [inc. Humboldt Wildlife Care Center] 36. Blacksmith Shop and Gallery 37. Blue Lake Community Resource Center 38. Blue Lake Museum 39. Blue Lake Studio 40. Body Kinetics [Novato & Mill Valley Sites] 41. Body Logic and Westlake Sports Therapy [Westlake Village, CA] 42. Boeing Long Beach Fitness Center 43. Bold Earth [for internships conducted in continental U.S. only, based out of Golden, CO office] 44. Bonanza Ranch 45. Boujie Baking Company 46. Boys and Girls Club of the Redwoods [Main Office and Teen Court -939 Harris Avenue, Eureka… Club House: 3117 Prospect Ave, Eureka…. Teen Center: 3015 J Street, Eureka… McKinleyville Teen Center: 1705 Gwin Rd.] 47. Breast and GYN Health Project 48. BT Metals / Bay Tank and Boiler Works 49. Bureau of Land Management – Arcata Field Office [LSA expires 7/22/17] 50. C. Crane Company Inc. 51. California Academy of Sciences [San Francisco, CA] 52. California Conservation Corps [Fortuna site only; Watershed Stewards Project] [LSA expired 4/25/17] 53. California Highway Patrol, State of California - Humboldt Area Office 54. California Northstate University [Elk Grove, CA] 55. California State Senate, District 2 - Eureka Office 56. CalTrans [Eureka Office only - 1656 Union St.] 57. CalTrout 58. Camarillo Aquatics and Rehabilitation Services [Camarillo, CA] [Students serving at this agency must be in observation roles only: No hands-on activities.] 59. Camarillo Cougars Youth Football & Cheer [Camarillo, CA] 60. Camp Gold Arrow [Clovis, CA] 61. Camp Stevens [Julian, CA] 62. Camp Unalayee [Palo Alto, CA] 63. Cancer Resource Centers of Mendocino County [Ukiah, CA; Mendocino, CA] 64. Cardiovascular Associates of Marin [Larkspur, CA] 65. CarStations, Inc. [LSA expires 6/24/17] 66. Catholic Charities of the Diocese of Santa Rosa [inc. Betty Kwan Chinn Homeless Foundation; and Betty Chinn Day Center in Eureka] 67. CATZ Pasadena [Pasadena, CA] 68. Chabot College [Hayward, CA] 69. Changing Tides Family Services 70. Cher-Ae Heights Indian Community of the Trinidad Rancheria 71. Children of the Redwoods Infant & Toddler Center 72. City of Arcata [SSAs completed for: City Hall and Bayside Park Farm] [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. At the Arcata Marsh, "Interpretive/Marsh tours" work ONLY is covered by the City of Arcata LSA.] 73. City of Billings, Montana [inc. Environmental Affairs Division; Water Treatment Plant Lab; Planning Division] 74. City of Blue Lake [SSAs completed for City Hall; Department of Parks and Recreation] 75. City of Eureka [SSAs completed for Community Development Dept., 531 K St.; Eureka Police Dept.; Parks and Recreation Dept.] 76. City of Folsom: Parks & Recreation Department - Folsom Sports Complex 77. City of Fortuna [inc. Parks & Recreation; Planning Division; River Lodge Conference Center; Finance Dept.] 78. City of Novato: Parks, Recreation and Community Services 79. City of Roseville [inc. Parks and Recreation] 80. City of Spokane: Parks & Recreation 81. City of Trinidad 82. Clarke Museum [LSA expires 8/15/17] 83. Coastal Grove Charter School 84. College of the Redwoods [SSAs cover: Athletics Training Dept.; Men’s Soccer; Dept. of Institutional Research (Eureka campus- Tompkins Hill Rd)] LSA expires 12/18/2018 85. Conservation Strategy Fund 2 86. Companion Animal Foundation [Sunny Brae location] 87. CORA (Community Overcoming Relationship Abuse) [SSAs received for the following sites: Main Office- 643 Bair Island Road, Redwood City; Junior Gym- 811 South B St., San Mateo, CA; Community Health Awareness Council (CHAC)- 590 W. El Camino Real, Mountain View, CA.] 88. Cornerstone Physical Therapy [Cottonwood, CA] 89. County of Humboldt [SSAs received only for: CA Children's Services - Glen Paul Medical Therapy Unit; Planning & Building Dept.; WIC Program; Probation Dept.; Public Works – Fire Safe Council. All other County programs/departments are covered by the LSA, but need SSAs completed -- inc. Headwaters Fund, and Humboldt County Transition Age Youth Collaboration (HCTAYC).]

90. County of Los Angeles [Agreement can be accessed by all 23 CSU campuses; needs Learning Site Self-Assessment completed for any HSU student placements. Please contact the Center for Community Based Learning for more information.] 91. Court Appointed Special Advocate of Humboldt (CASA) 92. Creative Mathematics 93. Crisp Catering [Sacramento, CA] 94. Cumulus Media San Francisco [San Francisco, CA; Includes KFOG 104.5, KNBR 680, 107.7 The Bone, KGO 810, KSFO 560] 95. Dandelion Herbal Center 96. DBS Analytics 97. Delaware North Company (DNC) – Wellness Center [Yosemite, CA; includes all areas, Community Wellness Center, Pool, etc.] 98. Dell'Arte International 99. Demello, McAuley, McReynolds & Holland, LLP 100. Department of Veteran's Affairs San Diego Medical Center [San Diego, CA 101. Diakadi Body [San Francisco] 102. Diane's Sweet Heat 103. Dick Taylor Craft Chocolate 104. Disabled Sports Eastern Sierra [Mammoth Lakes, CA] 105. DZC Archaeology & CRM [Fairhaven, CA] 106. Eagle Mount [Bozeman, MT] 107. East Bay Regional Park District [Oakland, CA] 108. Ebert Capital Management 109. Elite Sportz [San Diego, CA] 110. Emma Center 111. Emerald Magazine 112. Environmental Protection Information Center (EPIC) 113. ept Rehabilitation [Dean St., Eureka site only] [LSA expires 5/8/17] 114. Eureka Family Practice 115. Evoke Therapy Program [Bend, OR] 116. EXOS / Athletes' Performance Inc. [SSAs cover the following sites: Carlsbad, CA; Carson, CA; Phoenix, AZ; Raleigh, NC] 117. Feeding America San Diego 118. Ferndale Cottage Historic District 119. Financial Resource Center [formerly Consumer Credit Counseling Service of the North Coast] 120. Fire and Light 121. Fit Nor Cal 122. Food for People [Humboldt County Food Bank – SSAs received for Eureka Main Office/Warehouse and Arcata Pantry] 123. Ford Sports Performance [Bellevue, WA] 124. Fortuna Business Improvement District 125. Fortuna Chamber of Commerce 126. Fortuna Feed [SSAs received for 126 Dinsmore Dr., Fortuna; and 804 12th St., Fortuna] 127. Friends of the Dunes 128. Fuente Nueva Charter School [LSA expired 2/22/17; renewal In progress] 129. Fund for the Arts [Louisville, KY] 130. Gala Events and Weddings 131. Girl Scouts of Northern California 132. Good Samaritan Hospital/ Cardiac Rehabilitation [Los Angeles, CA] 133. Gracelyn Home Care [LSA expired 4/1/17] 134. Greater Eureka Chamber of Commerce 135. Green Diamond Resource Company 136. Greenway Partners 137. Growing Tree Family Child Care

3 138. Hawaii Optimal Performance [Waipahu, HI] 139. Headlands Center for the Arts 140. Healing Hearts Ranch [Olympia, WA] 141. Health Fitness Corporation [SSAs received for: The Getty Fitness Center, Los Angeles, CA… Bill Coors Wellness Center, Golden, CO] 142. HealthSPORT [SSA received for Arcata site only] 143. Heart Works Cardiac Rehab Center [Santa Rosa, CA] 144. Hilfiker Pipe Company, Inc. [SSAs received for: 1902 Hilfiker Lane; and 3800 Broadway, Eureka] 145. Holly Yashi 146. Hoopa High School 147. Hoopa Tribal Civilian Community Corps/AmeriCorps on Native Lands 148. Hospice of Humboldt 149. HSU Bookstore [LSA expired 4/25/17] 150. Humboldt Area Center for Harm Reduction 151. Humboldt Area Foundation [SSAs received for: Northern CA Association of Nonprofits- NorCAN; Redwood Coast Rural Action; True North Organizing Network] 152. Humboldt Arts Council [inc. Morris Graves Museum] 153. Humboldt B52s Baseball [SSAs received for 3750 Harris St, Eureka, (Bomber Field- Redwood Acres Fairgrounds)- for students serving at the Ball Field; and B52s home office sites - for students serving from campus/own computers only] 154. Humboldt Bay Harbor District 155. Humboldt Bay Municipal Water District 156. Humboldt Bay Tourism Center 157. Humboldt Botanical Garden [SSAs cover the Garden at College of the Redwoods, 7351 Tompkins Hill Rd., Eureka; and Office at 402 E. St. Eureka] 158. Humboldt Center for Constitutional Rights 159. Humboldt Chocolate 160. Humboldt Community Access and Resource Center (HCAR) [inc. 2-1-1 Humboldt; The Studio; Cheri Blackerby Gallery; and Comprehensive Career Services] 161. Humboldt County Central Democratic Committee [LSA expires 8/21/17] 162. Humboldt County Historical Society 163. Humboldt County Office of Education: Afterschool Consortium [SSAS received: Blue Lake Union School, Bridgeville School, Cuddeback School, Peninsula School, Redway School, Scotia School, So. Fortuna Elem, Toddy Thomas, Trinidad Union School] 164. Humboldt County Office of Education: Programs [SSAs Received: Court & Community Schools—Student Assistance Center; Communications & Marketing Dept.] 165. Humboldt County Resource Conservation District 166. Humboldt Crabs Baseball 167. Humboldt Crossfit 168. Humboldt Distillery 169. Humboldt Domestic Violence Services [LSA expired 3/4/2017; renewal In progress] 170. Humboldt Folklife Society 171. Humboldt Hotsauce 172. Humboldt Made 173. Humboldt Mediation Services 174. Humboldt Medical Cannabis Union 175. Humboldt Merchant Services 176. Humboldt Patient Resource Center 177. Humboldt Pet Supply 178. Humboldt Physical Therapy, Inc [LSA expires 5/8/17] 179. Humboldt Redwood Company [Windsor, CA] 180. Humboldt Regeneration 181. Humboldt Senior Resource Center [SSA completed for Main Office and Arcata Senior Lunch Site] 182. Humboldt Spay Neuter Network 183. Humboldt Trails Council [inc. Volunteer Trail Stewards] 184. Humboldt Youth Soccer League 185. Iconic Innovations, Inc. [Studio City, CA] 186. iHeart Media [Burbank, CA] 187. Ink People Center for the Arts [includes MARZ Project] 188. Island Recreation Center [Hilton Head Island, SC] 189. Isportsweb.com, LLC 190. Jacoby Creek Land Trust 191. Jill B. Nimble/Nimble Training [Santa Rosa, CA]

4 192. John Madsen Performance [Sandy, UT] 193. Kaiser Permanente School of Allied Health Sciences [Richmond, CA] 194. Kayak Zak's [inc. Big Lagoon Park Rd.; 115336 Hwy 101, Trinidad; Indian Beach, Trinidad] 195. KBAE FM Radio 196. Kern County Public Health Services Department [Bakersfield, CA] 197. Kinetic Universe [including Kinetic Museum Eureka] 198. Kokatat 199. KRCR - TV Channel 7 [Redding, CA] 200. Kreations Auto Body 201. LatinoNet 202. Lewis and Clark College [Portland, OR] 203. Lima’s Pharmacy 204. Little Redwoods Preschool 205. Little's Boutique 206. Live2Dive Scuba Company 207. Los Angeles Valley College [Valley Glen, CA] 208. Los Bagels 209. Lost Boys Jiu Jitsu & MMA/Hard Fought Productions 210. Lost Coast Brewery & Café 211. Lost Coast Camp 212. Lost Coast Communications, Inc. [inc. KHUM, KSLG, KWPT, KXGO, LOCO-Lost Coast Outpost] 213. Mad River Alliance [for OFF site / HSU self-directed work only] 214. Mad River Brewing Company 215. Mad River Montessori Preschool [LSA expires 5/15/17] 216. Mad River Radio 217. Malibu Divers [SSAs received for: 21231 Pacific Coast HWY, Malibu, CA; Camp Emerald Bay - 1 Cove Road, Avalon, CA] 218. Malibu Wine Safari 219. Manila Community Services District [inc. Manila Community Resource Center] 220. Martial Athletics [Arcata, CA] 221. McKeever Energy and Electric, Inc. 222. McKinleyville Community Services District [inc. Department of Parks & Recreation] 223. Medical Staffing Network 224. MedX of Estes [Estes Park, CO] 225. Mendocino College [Ukiah, CA] 226. Metroflex Gym Long Beach 227. Mid Klamath Watershed Council [Orleans, CA] 228. Mira Costa College [Oceanside, CA] 229. Miranda’s Rescue 230. National Center for Youth Law [Oakland, CA] 231. National Outdoor Leadership School [Conway, WA] 232. National Park Service - Point Reyes National Seashore [Point Reyes, CA] 233. National Park Service: Redwood National Park [SSA received for office at 121200 U.S. Hwy 101, Orick, CA] 234. Natural Decadence 235. NBC Universal Bravo Network [Burbank, CA] 236. Nerak Incorporated [Westlake Village, CA] 237. Nevada Irrigation District [Grass Valley, CA] 238. North Coast Co-op 239. North Coast Journal 240. North Coast Laboratories 241. North Coast Rape Crisis Team 242. North Coast Veterans Resource Center 243. North Coast Veterinary Hospital [Arcata, Fortuna] 244. North Tahoe Adventures 245. Northcoast Aikido 246. Northcoast Children’s Services [SSAs received for: Alice Birney Head Start Preschool; Blue Lake State Preschool; Children of the Redwoods Arcata Head Start Preschool; Children of the Redwoods Infant Toddler Center (Arcata); Crescent City Head Start Preschool; Fortuna Head Start / Early Head Start and State Preschool; Infant/Toddler Center (Crescent City); Jefferson Early Head Start Preschool; Jefferson Head Start Preschool; Loleta State Preschool; McKinleyville Head Start/Early Head Start and State Preschool; Morris State Preschool;Pine Grove Head Start Preschool; Redway Head Start Preschool; Rio Dell Head Start Preschool; Salmonberry State Preschool; Sonoma Street Head Start Preschool; Toddy Thomas Head Start Preschool; Willow Creek Head Start; Worthington Head Start & State Preschool] 5 247. Northcoast Environmental Center [inc. Humboldt Baykeeper] 248. Northern California Indian Development Council 249. Northern California Small Business Development Network/Office for Economic, Community & Business Development 250. Northern Redwood Federal Credit Union 251. Northtown Coffee 252. NYU Hospital for Joint Diseases [inc. Harkness Center for Dance Injuries] 253. Oakland Zoo 254. Ocean Beach Surf and Skate [San Diego, CA] 255. Office of Student Data, Analysis, and Evaluation, Indiana University - Purdue University Indianapolis 256. Ohana Organics 257. Ohlone College [Fremont, CA] 258. Open Door Community Health Centers [SSAs received for: Arcata Administrative Office - 670 9th St.; and Community Health and Wellness Gardens in Arcata, Fortuna and Willow Creek] 259. Outlet [Redwood City, CA] 260. Outward Bound California [HSU students may or may not be employed by this agency for their HSU course experience, however ONLY those HSU student employed by this agency may assist with driving activities, AFTER passing a Driver's Training course required by the agency's insurance provider.] 261. Pacific Lutheran University 262. Pacific Outfitters 263. Pacific Sociological Association 264. Performance Fitness & MMA [Albany, CA] 265. Philippi Sports Institute [Las Vegas, NV] 266. Planned Parenthood Northern CA [LSA expired 1/4/2017; renewal In progress] 267. Planwest Partners 268. Plus One Holdings, Inc. [inc. San Jose CA Cisco Systems] 269. Point Reyes Outdoors [Point Reyes Station, CA] 270. POM Wonderful Fitness Center [Del Rey, CA] 271. Portland Parks and Recreation [Portland, OR] 272. Praxis Fitness, LLC 273. Profectus Financial [Los Angeles, CA] 274. Professional Climbers International Ops [Portland, OR] 275. Progressive Sports Conditioning [Fresno, CA] 276. PT Works [Los Altos, CA] 277. Q Center [Portland, OR] 278. Rancho Santiago Community College District on behalf of Santa Ana Community College [Santa Ana, CA] 279. Rawmana Fitness [San Diego, CA] 280. Reach Institute for School Leadership [Oakland, CA] 281. Red-headed Blackbelt 282. Redwood Acres – 9th District Agricultural Association 283. Redwood Adventures 284. Redwood Alliance [inc. Hope Coalition, & Zero Waste Humboldt] 285. Redwood Coast Energy Authority 286. Redwood Coast Montessori 287. Redwood Community Action Agency [SSAs received: Multiple Assistance Center (MAC); YSB Shelter; YSB RAVEN Project; Community Bike Kitchen at Jefferson Community Center; Main Office-904 G St. Eka; Energy and Environmental Services Division-539 T St. Eka] 288. Redwood Community Radio – KMUD 289. Redwood Discovery Museum 290. Redwood Empire Public Television, Inc. –KEET TV 291. Redwood Fortuna Riverwalk Hotel 292. Redwood Region Economic Development Commission 293. Redwoods and Rivers [Big Bar, CA] 294. Redwoods Rural Health Center 295. Regents of the University of California, on behalf of University of California Cooperative Extension Humboldt-Del Norte Counties [inc. 4-H Youth Programs] 296. Rehabilitation and Wellness Centers (LP) [inc. Granada, Seaview, Eureka, Fortuna sites] 297. Remote Control Productions [Santa Monica, CA] 298. Resolution Care 299. Rocky Mountain Outdoor Center [Salida, CO] 300. Royal Gold Organic Potting Soil 301. Sacramento Fire Department [McClellan, CA] 6 302. Saint Mary's College of California [Moraga, CA] 303. Sainte Partners II, L.P. [for KVIQ-Channel 6, Eureka, CA] 304. Salvation Army: Silvercrest Residences 305. Samoa Peninsula Fire District 306. Sanctuary Forest 307. San Mateo County District Attorney's Office [Redwood City, CA] 308. Santa Cruz Museum of Art and History [Santa Cruz, CA] 309. Santa Clara County Public Health Department [San Jose, CA] [Clinical Agreement for Anthropology Dept. – needs approval for other academic department students] 310. School Community Reuse Action Project (SCRAP) Humboldt 311. SCOR Physical Therapy [San Clemente, CA] 312. Scribe America 313. Scripps Research Institute [La Jolla, CA] 314. Sequoia Humane Society 315. Seventh Generation Fund for Indigenous Peoples, Inc. 316. Shasta Family YMCA [Redding, CA] 317. Six Rivers Brewery 318. Six Rivers Montessori 319. SkyCrest Lake, LLC [Burnt Ranch, CA] 320. Smokey Mountain Outdoors [Hartford, TN] 321. South Bay BMW [Torrance, CA] 322. Southern California Municipal Athletic Federation [SSA covers Main Office in South El Monte, CA; and their 10 Southern CA locations] 323. Southern Humboldt Community Healthcare District [Garberville, CA] 324. Southern Humboldt Community Park 325. Southern Humboldt Family Resource Center [Redway, CA] 326. Sporting San Diego [Spring Valley, CA] 327. Sports Reaction Center [Bellevue, WA] 328. Spring Valley Teen Center [Spring Valley, CA] 329. St. Bernard’s Catholic School 330. St. Ignatius College Preparatory [San Francisco, CA] 331. St. Joseph Hospital System [This is a “Clinical and non-clinical training Affiliation Agreement” for Kinesiology Dept. -- needs approval for other academic department students. 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. SSAs cover 2700 Dolbeer St. -Physical Therapy Dept. and Cardiac Rehabilitation Dept.] The St. Joseph Hospital system requires the student to provide a background check that meets contractual obligations (Criminal history, social security trace, Nationwide or OIG/GSA search, etc.). [Expires 5/2/17] 332. Standish-Hickey State Park (Mendocino Area Parks Association) 333. Stepping Stones Preschool [LSA expires 7/16/17] 334. StreamGuys, Inc. 335. Streamline Planning Consultants 336. Sun Valley Group [this agency may require HSU Intellectual Property Addendum, depending on internship work] 337. Surfrider Foundation - Humboldt Chapter 338. Sweet Evergreen 339. Tahoe City Public Utility District [SSAs cover the following sites: 2945 Polaris Rd. Tahoe City, CA; 740 Timberland Rd, Tahoe City, CA; 90 Aspen St. Tahoe City, CA; 400 North Lake Rd., Tahoe City, CA] 340. Tahoe Whitewater Tours [Truckee, CA] 341. Texas Prosthetic Center [San Antonio, TX] 342. The Local Government Commission [Including CivicSpark] 343. The Living Room [Santa Rosa, CA] 344. The Mill Yard 345. The Oaks at Ojai [Ojai, CA] 346. The Parlour 347. The Watershed Center [inc. Indian Valley Summer Camp] 348. The Wildlands Conservancy [SSA covers Office & Eel River Estuary Preserve at 770 Russ Lane, Ferndale, CA] 349. The Woodrose Café LLC 350. Total Fitness Colorado [Highlands Ranch, CO] 351. Town of Scotia Company, LLC 352. Tri Lakes Youth Lacrosse [Lake Placid, NY] 353. Tri-County Independent Living [LSA expires 8/21/17] 354. Trikone [San Francisco, CA]

7 355. Trillium Physical Therapy 356. Trinidad Coastal Land Trust 357. Trinidad Museum 358. Trumpet Behavioral Health 359. Tulip Perfume 360. U.S. Coast Guard [Marine Safety Detachment Unit - Humboldt Bay] 361. U.S. Environmental Protection Agency Region 9 (EPA) [Agreement covers all 23 CSU campuses; needs Learning Site Self-Assessment completed for any HSU student placements, in addition to EPA Consent to Release Info, and Release of Liability forms. Please contact the Center for Community Based Learning for more information.] 362. U.S. Fish and Wildlife – Humboldt Bay National Wildlife Refuge 363. U.S.D.A. Six Rivers National Forest - Supervisor's Office [SSA for Bayshore Way Office] 364. Union Street Charter School 365. United Cerebral Palsy of the North Bay (BOOST Conductive Education) [Petaluma, CA] 366. United Indian Health Services [Potawot Community Health Garden] 367. United States Servas 368. University of California, Office of the President [Oakland, CA] 369. University of Colorado at Boulder 370. University of the Pacific – Stockton 371. University of Southern California - Recreational Sports 372. University of West Los Angeles 373. UPLIFT San Diego [San Diego, CA; covers multiple sites under this agency] 374. Vector Rehabilitation [LSA expires 5/7/17] 375. Ventura County Fire Department 376. Villa de Valle Homeowners Association 377. Vixen Kitchen 378. Westhaven Center for the Arts 379. Westside Community Improvement Association [inc. Jefferson Community Center] 380. Wilderness Inquiry [Minneapolis, MN] 381. Williamson Financial Group 382. Winner Circle Athletics Club [Corona, CA] 383. Wooster Engineering Specialties 384. Wiyot Tribe [LSA expired 1/23/2017; renewal In progress] 385. Wool Tree Mill 386. Wrangell Institute for Science and Environment [Copper Center, AK] 387. YouthAbility [including Angels of Hope Thrift Store] 388. Yurok Tribal Head Start 389. Yurok Tribe: All Programs except Head Start

8 Schools/Districts: Please note: as of 8/23/16 these agreements are under review regarding appropriate coverage; please contact the Center for Community Based Learning for more information. Covered by Teacher Education Agreements Grey highlights: Agreements PENDING or as yet incomplete (8/12/16). The Teacher Education Agreements current to each academic year have been approved by the HSU Risk Manager as sufficient to cover both Service Learning and Academic Internship placements. 1. Arcata School District 2. Bridgeville School District 3. Cutten Elementary School District 4. Del Norte County School District 5. Eureka City Schools (including Winzler Children’s Center) 6. Ferndale Unified School District 7. Fieldbrook School District 8. Fontana Unified School District 9. Fortuna Elementary School District 10. Fortuna Union High School District 11. Fremont Unified School District 12. Freshwater School District 13. Garfield School District 14. Humboldt County Office of Education 15. Jacoby Creek School 16. Klamath Trinity Joint Unified School District 17. Lincoln Unified School District 18. McKinleyville Union School District 19. Northern Humboldt Union High School District 20. Pacific Union School District 21. Peninsula Union School District 22. Ramona Unified School District 23. Rio Dell Elementary School District 24. San Jose Unified School District 25. San Leandro Unified School District 26. Santa Monica-Malibu Unified School District 27. Scotia Union School District 28. South Bay Union School District 29. Trinidad Union School District 30. Trinity Alps Unified School District 31. Trinity County of Education 32. Val Verde Unified School District

9 HSU Programs

Direct HSU Programs/Departments (No LSA required) In general, the Learning Site Agreement (LSA) is NOT required for direct HSU programs; please contact the CSLAI if you have any questions. The Learning Plan, Participation Guidelines, Student Time Log, and Release of Liability forms are recommended for HSU students serving with ON CAMPUS HSU programs for academic credit (see examples below). Please note: students serving in HSU Programs for course credit MUST be supervised by professional (non-student) staff.

Examples: 1. HSU: Academic Departments [all] 2. HSU: Advancement Foundation 3. HSU: Associated Students 4. HSU: CA Center for Rural Policy 5. HSU: Center Activities [inc., Student Recreation Center and the Humboldt Bay Aquatic Center] 6. HSU: Center for International Programs 7. HSU: Children’s Center [reserved for Child Dev. Classes] 8. HSU: Centers for Academic Excellence 9. HSU: Indian Tribal Education & Personnel Program (ITEPP) 10. HSU: KHSU 11. HSU: Kinetic Performance Lab 12. HSU: Library Special Collections 13. HSU: Marine Lab 14. HSU: Marketing and Communications (Marcom) 15. HSU: MultiCultural Center 16. HSU: Natural History Museum 17. HSU: Observatory (Fickle Hill Rd.) 18. HSU: Osher Lifelong Learning Institute (OLLI) 19. HSU: Schatz Energy Research Center 20. HSU: Sponsored Programs Foundation [inc. TRiO Upward Bound] 21. HSU: Student Health Center 22. HSU: Sustainability Office 23. HSU: The Studio School 24. HSU: Third Street Gallery 25. HSU: University Center 26. HSU: WRAPP 27. HSU: Y.E.S. Programs [Y.E.S. has their own set of risk management paperwork]

The following HSU programs are NOT available as Learning Sites, due to no professional (non-student) staff available for supervision: 1. Campus Center Appropriate Technology 2. Eric Rofes Queer Resource Center 3. Student Access Gallery 4. Women's Resource Center

HSU “OTHER OUTSIDE” Programs (LSA required): The LSA is required for the following programs, as they are businesses separate from HSU. 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: 1. HSU Bookstore [LSA in place] 2. Northern California Small Business Development Network/ Office for Economic, Community, & Business Development: [LSA in place]

10 NEW LSAs in Progress – NOT yet “Approved”

1. Bear River Band of Rohnerville Rancheria / Bear River Casino [SSA for Tish Non Community Center only, in progress] 2. Body Tuner 3. California Department of Fish & Wildlife [Govt. agency renewed pursuit- 1/24/17. This Interagency Agreement may not be completed until August 2017.] 4. California State Parks - North Coast Redwoods District [includes the following State Parks: Patrick’s Point, Humboldt Redwoods, Richardson Grove, Prairie Creek and Jedediah Smith] [3/27/17: LSA completed; waiting on SSAs] 5. City of Las Vegas: Department of Parks and Recreation 6. City of Petaluma Recreation Services 7. Contra Costa Office of the Public Defender [Martinez, CA] 8. Eel River Brewing Company 9. Golden Gate National Recreation Area [Marin Headlands, Nike Missile Site Visitor Center; San Francisco, CA] 10. Hand Therapy Center [Observational only] 11. Heartwood Institute [Garberville, CA] 12. Mad River Alliance [SSAs for Mad River Boat Launch and schools outreach in progress] 13. North Coast Stand Down 14. Northern Humboldt Union School District: Arcata High School (Athletic department) [SSA in progress; Arcata High School is approved under the HSU Teacher Education Agreement with Northern Humboldt Unified School District] 15. Northstar [Truckee, CA] 16. Open Door Community Health Centers [SSAs received for: Arcata Administrative Office - 670 9th St.; and Community Health and Wellness Gardens in Arcata, Fortuna and Willow Creek] [SSAs for additional “observational only” clinic sites in progress] 17. Paul Gallegos, Attorney 18. Portland General Electric [Estacada, OR] 19. Satori Movement 20. Six Rivers Solar 21. Sonoma County Parks 22. Strawberry Rock Gallery 23. The Good Collective [To replace Baroni Designs and Toucan, Inc.] 24. The Marin Humane Society [Novato, CA] 25. Washtenaw Literacy [Ypsilanti, MI]

LSA RENEWALS in Progress Past expiration date noted in brackets; coverage may continue through the month following expiration date.

1. 2nd Congressional District - Eureka Office [LSA – special One Year Term expired 1/3/2017] 2. Fuente Nueva Charter School [LSA expired 2/22/17] 3. Humboldt Domestic Violence Services [LSA expired 3/4/2017] 4. Planned Parenthood Northern California [2/9/17: LSA completed, waiting on SSA] 5. Wiyot Tribe [LSA expired 1/23/2017] 6. Trillium Charter School [LSA expired 2/12/2017]

Government Agencies – Not Approved

Please contact Stacy Becker (x4963 [email protected]) if you have any questions or are overseeing a clearly identified student wishing to serve at the following agencies. 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. Meanwhile, the CSU Chancellor’s Office may be working on CSU wide Agreements with some of these agencies as of Spring 2015.

1. Bureau of Land Management [The BLM Arcata office is approved; however the Ukiah Office pursuit began and ended mid August 2016 due to staff turnover; larger umbrella BLM LSA requested with state or even federal to cover all sites, if possible] 2. California Department of Fish & Wildlife [renewed pursuit- 1/24/17. This Interagency Agreement may not be completed until August 2017.] 3. California State Parks: North Coast Redwoods District [including Patrick's Point State Park (Trinidad); Humboldt Redwoods State Park (Weott); and other regional parks below the Lagoons- to be identified] 4. Prairie Creek National and State Park [This park may need new approach if not covered by CASP LSA in progress 1/31/17(see number 3) due to being both State and National…]

11 5. National Park Service [national level- beyond Redwood Natl. Parks; this more likely will need to be established park by park.] 6. Sonoma County Water Agency [Santa Rosa, CA] 7. State of California - Superior Court of California [Eureka, CA] [Hold: Unable to conduct Intern program Fall 2014] 8. U.S. Fish & Wildlife Service: Arcata Office 9. U.S. Navy Marine Mammal Program [San Diego, CA] [Hold: this entity will not consider the LSA paperwork until an HSU student is clearly identified and accepted into their Internship program.] 10. U.S.D.A. Forest Service [national]…. [We do have an approved LSA with U.S.D.A. Six Rivers National Forest - Supervisor's Office at Bayshore Way]

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