July 7, 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
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: Environmental Affairs Division; Water Treatment Plant Lab; Planning Division
31. City of Eureka
32. City of Fortuna [inc. Parks & Recreation; Planning Division; Riverlodge 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. Cumulus Media San Francisco [San Francisco, CA; Includes KFOG 104.5, KNBR 680, 107.7 The Bone, KGO 810, KSFO 560]
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. Dell'Arte International
44. Dick Taylor Craft Chocolate
45. Discovery Museum [inc. Discovery Camp]
46. Dominique Lascaud Production [France]
47. East Bay Regional Park District [Oakland, CA]
48. Emma Center
49. Environmental Protection Information Center (EPIC)
50. EPT Rehabilitation for HSU Kinesiology Dept. Academic Interns
51. Fire and Light
52. Fit Nor Cal
53. Food for People [Humboldt County Food Bank]
54. Friends of the Dunes
55. Fuente Nueva Charter School
56. Gala Events and Weddings
57. Girl Scouts of Northern California
58. Gracelyn Home Care
59. Green Diamond Resource Company
60. Greenway Partners
61. Growing Tree Family Child Care for HSU Child Development Dept. placements
62. Headlands Center for the Arts
63. HealthSPORT for HSU Kinesiology Dept. Academic Interns
64. Holly Yashi
65. Hoopa Tribal Civilian Community Corps/AmeriCorps on Native Lands
66. HSU Bookstore
67. Humboldt Area Foundation [inc. Redwood Coast Rural Action, Humboldt Made]
68. Humboldt Arts Council [inc. Morris Graves Museum]
69. Humboldt Bay Harbor District
70. Humboldt Bay Municipal Water District
71. Humboldt Baykeeper
72. Humboldt Center for Constitutional Rights
73. Humboldt Community Access and Resource Center (HCAR) [inc. The Studio and Cheri Blackerby Gallery]
74. Humboldt Community Breast Health Project
75. Humboldt County Central Democratic Committee
76. Humboldt County Historical Society
77. Humboldt County Office of Education: Programs [SSAs Received: Court & Community Schools—Student Assistance Center.]
78. 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]
79. Humboldt County Resource Conservation District
80. Humboldt Crossfit
81. Humboldt Domestic Violence Services
82. Humboldt Folklife Society
83. Humboldt Hotsauce
84. Humboldt Light Opera Company
85. Humboldt Mediation Services
86. Humboldt Patient Resource Center
87. Humboldt Physical Therapy, Inc. for HSU Kinesiology Dept. Academic Interns
88. Humboldt Regeneration
89. Humboldt Senior Resource Center [Arcata Senior Lunch Site]
90. Humboldt Trails Council [inc. Volunteer Trail Stewards]
91. Hydesville Elementary School District
92. Ink People Center for the Arts [inc. all sponsored programs]
93. Isportsweb.com, LLC [Internet based business]
94. Jacoby Creek Land Trust
95. Jessicurl
96. Kayak Zak's [inc. Big Lagoon Park Rd.; 115336 Hwy 101, Trinidad; Indian Beach, Trinidad]
97. Kokatat
98. KRCR - TV Channel 7 [Redding, CA]
99. LatinoNet
100. Lima’s Pharmacy
101. Little Learners Preschool for HSU Child Development Dept. placements
102. Little Redwoods Preschool for HSU Child Development Dept. placements
103. Los Angeles Valley College [Valley Glen, CA]
104. Los Bagels
105. Lost Coast Brewery & Café
106. Lost Coast Communications, Inc. [inc. KHUM, KSLG, KWPT, KXGO, LOCO-Lost Coast Outpost]
107. Mad River Alliance [for OFF site (HSU self-directed) work only; expires 4/17/15]
108. Mad River Brewing Company
109. Mad River Montessori Preschool
110. Mad River Radio [expires 10/2/14]
111. Manila Community Services District [inc. Manila Community Resource Center]
112. Marimba One
113. Martial Athletics for HSU Kinesiology Dept. Academic Interns
114. Mattole Unified School District [inc. North Coast Learning Academy, Mattole Valley Charter School, etc.]
115. McKeever Energy and Electric, Inc.
116. McKinleyville Community Services District [inc. First Five Playgroup hosted by MCSD Parks & Rec]
117. Medical Staffing Network
118. Miranda’s Rescue
119. National Center for Youth Law [Oakland, CA]
120. National Park Service: Redwood National Park
121. Natural Decadence
122. NBC Universal Bravo Network [Burbank, CA]
123. 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.]
124. North Coast Co-op
125. North Coast Rape Crisis Team
126. North Coast Veterans Resource Center
127. North Coast Veterinary Hospital [Arcata, Fortuna]
128. Northcoast Environmental Center
129. Northern California Indian Development Council
130. Northern California Small Business Development Network/Office for Economic, Community & Business Development
131. Northern Redwood Federal Credit Union
132. Northtown Coffee
133. Office of Assemblyman Wesley Chesbro
134. Ohana Organics
135. Ohlone College [Fremont, CA]
136. Open Door Community Health Centers
137. Planwest Partners
138. Praxis Fitness, LLC for HSU Kinesiology Dept. Academic Interns
139. Professional Climbers International Ops [Portland, OR]
140. Q Center [Portland, OR]
141. Rancho Santiago Community College District on behalf of Santa Ana Community College [1530 W. 17th St. Santa Ana, CA]
142. Redwood Acres – 9th District Agricultural Association
143. Redwood Alliance [inc. Zero Waste Humboldt; Hope Coalition]
144. Redwood Capitol Bank
145. Redwood Coast Energy Authority
146. Redwood Coast Montessori
147. Redwood Community Action Agency (RCAA) [inc. Youth Services Bureau- RAVEN Project; Family Services Division-Multiple Assistance Center (MAC); Natural Resources Division; etc.]
148. Redwood Community Radio – KMUD
149. Redwood Empire Public Television, Inc. –KEET TV
150. Redwood Region Economic Development Commission
151. Redwoods and Rivers [Big Bar, CA]
152. Redwoods Rural Health Center
153. 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
154. Rehabilitation and Wellness Centers (LP) [inc. Granada, Seaview, Pacific, Eureka, Fortuna sites]
155. Remote Control Productions [Santa Monica, CA]
156. Rohnerville School District
157. Sainte Partners II, L.P. [for KVIQ-Channel 6, Eureka, CA]
158. Salvation Army: Silvercrest Residences
159. Samoa Peninsula Fire District
160. Sanctuary Forest
161. Santa Cruz Museum of Art and History [Santa Cruz, CA]
162. Scribe America for HSU Kinesiology Dept. Academic Interns
163. Scripps Research Institute [La Jolla, CA]
164. Sewell Gallery
165. Seventh Generation Fund for Indian Development
166. Six Rivers Planned Parenthood
167. South Bay BMW [Torrance, CA]
168. Southern Humboldt Community Park
169. St. Bernard’s Catholic School
170. 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
171. State of California - California Department of Corrections and Rehabilitation - Division of Adult Parole Operations [expires 1/15/15]
172. StreamGuys, Inc.
173. Streamline Planning Consultants
174. Sun Valley Group [this agency may require HSU Intellectual Property Addendum, depending on internship work]
175. The Mill Yard
176. The Watershed Center [inc. Indian Valley Summer Camp]
177. Timber Ridge [McKinleyville & Eureka sites]
178. Tri-County Independent Living
179. Trikone [San Francisco, CA]
180. Trillium Charter School
181. Trinidad Museum
182. Trumpet Behavioral Health
183. UPLIFT San Diego [San Diego, CA; covers multiple sites under this agency]
184. U.S. Coast Guard [Marine Safety Detachment Unit - Humboldt Bay]
185. U.S. Fish and Wildlife – Humboldt Bay National Wildlife Refuge
186. U.S.D.A. Six Rivers National Forest - Supervisor's Office [SSA for Bayshore Way Office]
187. Union Street Charter School
188. United Indian Health Services [inc. Potawot Community Health Garden]
189. United Way of the Wine Country – Humboldt/Del Norte Region
190. United States Servas
191. University of California, Office of the President [Oakland, CA]
192. Vector Rehabilitation for HSU Kinesiology Dept. Academic Interns
193. Vixen Kitchen
194. Westside Community Improvement Association [Jefferson Community Center]
195. Williamson Financial Group
196. Wing Inflatables
197. Wiyot Tribe
198. Wool Tree Mill
199. Yurok Tribe: All Programs except Head Start
200. 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)
1. Arcata School District
2. Blue Lake Union School District
3. Bridgeville School
4. Columbia Elementary School District
5. Cotati-Rohnert Park Unified S.D. of Sonoma Co.
6. Cuddeback Union School District
7. Cupertino Union School District
8. Cutten Elementary School District
9. Del Norte County School District
10. Eureka Unified School District
11. Evergreen Union S.D. of Shasta Co.
12. Ferndale Unified School District
13. Fieldbrook School District
14. Fortuna Union Elem School District
15. Fortuna Union High School District
16. Freshwater School District
17. Garfield School District
18. Gateway Unified School District
19. Green Point School District
20. Humboldt County Office of Education
21. Jacoby Creek Charter School District
22. Junction Elementary School District
23. Klamath-Trinity Joint Unified School District
24. Kneeland Elementary School
25. Lake Elsinore Unified School District
26. Lakeport Unified School District
27. Los Angeles Unified School District
28. Los Gatos – Saratoga UHSD
29. McKinleyville Union School District
30. Mendocino Unified School District
31. Newport-Mesa Unified School District
32. Northern Humboldt Union High School District
33. Orick School District
34. Pacheco Union SD
35. Pacific Union School District [inc. Pacific Union Adult School]
36. Peninsula Union School District
37. Rio Dell School District
38. Rohnerville School District
39. San Lorenzo Valley Unified School District
40. Santa Cruz City Schools District
41. Scotia School District
42. Sonoma County Office of Education
43. South Bay Union School District
44. Sweetwater Union High School District
45. Temecula Valley Unified SD
46. Trinidad Union School District
47. Trinity Alps Unified School District
48. 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.