UB Non-Hospital / Non-Clinical Affiliation AgreementStudent Affiliation Agreement • June 8th, 2020
Contract Type FiledJune 8th, 2020Thank you for taking the time to process the following Affiliation Agreement. An agreement should be in place prior to the start of field for the MSW Student.
Washington State University Student Affiliation AgreementStudent Affiliation Agreement • July 25th, 2019
Contract Type FiledJuly 25th, 2019This Agreement made and entered into by and between " " hereinafter called the "Training Site", and WASHINGTON STATE UNIVERSITY, through its College of , hereinafter called "WSU”.
STUDENT AFFILIATION AGREEMENT FACE SHEETStudent Affiliation Agreement • August 26th, 2020
Contract Type FiledAugust 26th, 2020The attached Standard Terms and Conditions are incorporated into this Student Affiliation Agreement (“Agreement”). The following Addenda are also attached hereto and incorporated herein as part of this Agreement by this reference:
Contracts and Procurement DepartmentStudent Affiliation Agreement • December 12th, 2018
Contract Type FiledDecember 12th, 2018This agreement (“Agreement”) is between the Trustees of the California State University on behalf of California State University, Dominguez Hills (“University”) and (“Learning Site”). In consideration of the mutual promises set forth below, the University and Learning Site (“parties”) agree as follows:
STUDENT AFFILIATION AGREEMENTStudent Affiliation Agreement • December 1st, 2023 • New York
Contract Type FiledDecember 1st, 2023 JurisdictionThis Student Affiliation Agreement (“Agreement”) between Franklin Township Public Schools (“Participating Site”) , and Teachers College, Columbia University, a New York State not-for-profit institution of higher education with its principal office located at 525 West 120th Street, New York, NY 10027 (“College”) is effective as of September 1, 2023 (“Effective Date”). Participating Site and College is each a “Party” and collectively, the “Parties.”
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY AND MINNESOTA STATE COLLEGES AND UNIVERSITIES [INSERT NAME OF COLLEGE OR UNIVERSITY] STUDENT AFFILIATION AGREEMENTStudent Affiliation Agreement • September 1st, 2022 • Minnesota
Contract Type FiledSeptember 1st, 2022 JurisdictionThis Agreement is entered into between the State of Minnesota, acting through its Board of Trustees of the Minnesota State Colleges and Universities, on behalf of [INSERT NAME OF COLLEGE OR UNIVERSITY] (hereinafter “College/University”), and The Evangelical Lutheran Good Samaritan Society on behalf of itself and its affiliates (hereafter collectively “Facility”).
STUDENT AFFILIATION AGREEMENT – ADDENDUM 4 STUDENT SUBSTANCE POLICY CONSENT FORMStudent Affiliation Agreement • April 7th, 2016
Contract Type FiledApril 7th, 2016Facility policy prohibits Students (as well as applicants, employees and contractors) from using “Substances” including, but not limited to, illegal drugs and legal prescription drugs without a current, legal and valid prescription. Alcohol may not be used in a manner that will cause Student to be impaired while at the Facility. Students shall be tested for Substances as directed by the School or the Facility.
STUDENT AFFILIATION AGREEMENTStudent Affiliation Agreement • December 15th, 2020 • Washington
Contract Type FiledDecember 15th, 2020 JurisdictionThis Agreement is made and entered into between Western Washington University (“School”) and Proliance Surgeons. Inc., P.S. (“Training Site”), located at various care centers in the Seattle, Washington and surrounding area The purpose of this Agreement is for Training Site, which is committed to training health care professionals, to provide desirable clinical learning experiences and facilities for School’s students who are enrolled in its Audiology program (the "education program"). In consideration of the mutual covenants and agreements contained herein, School and Training Site agree as follows:
STUDENT AFFILIATION AGREEMENT – ADDENDUM 4 STUDENT SUBSTANCE POLICY CONSENT FORMStudent Affiliation Agreement • July 22nd, 2014
Contract Type FiledJuly 22nd, 2014Facility policy prohibits Students (as well as applicants, employees and contractors) from using “Substances” including, but not limited to, illegal drugs and legal prescription drugs without a current, legal and valid prescription. Alcohol may not be used in a manner that will cause Student to be impaired while at the Facility. Students shall be tested for Substances as directed by the School or the Facility.
STUDENT AFFILIATION AGREEMENTStudent Affiliation Agreement • December 12th, 2022 • Ohio
Contract Type FiledDecember 12th, 2022 JurisdictionThis Student Affiliation Agreement (“Agreement”) is effective as of , by and between BEACON ORTHOPAEDIC PARTNERS, MSO DBA ORTHO ALLIANCE AND/OR BEACON ORTHOPAEDICS AND SPORTS MEDICINE, LTD AND/OR BEACON
Student Affiliation Agreement Contract No. ______Student Affiliation Agreement • July 25th, 2019
Contract Type FiledJuly 25th, 2019THIS AGREEMENT is made and entered into by and between , hereinafter referred to as “Training Site”, and WASHINGTON STATE UNIVERSITY (WSU), through its Program in Health Sciences, hereinafter referred to sometimes as “Party” or “Parties”.
STUDENT AFFILIATION AGREEMENT BETWEENStudent Affiliation Agreement • June 2nd, 2017 • Minnesota
Contract Type FiledJune 2nd, 2017 JurisdictionThis Agreement is entered into between the State of Minnesota acting through its Board of Trustees of the Minnesota State Colleges and Universities on behalf of [Insert name of College/University ] (hereinafter “College/University”), and UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER, INC. (hereinafter “UMH-CSC”).
AMENDMENT TO IN/OUT-OF-STATE STUDENT AFFILIATION AGREEMENT BY AND BETWEEN THE UNIVERSITY OF CONNECTICUT ________ (School/Dept.)__________ ANDStudent Affiliation Agreement • July 10th, 2015
Contract Type FiledJuly 10th, 2015The Student Affiliation Agreement (“Agreement”) between _______________________ (“Facility”) and the University of Connecticut (“University”), having an effective date of ______ and last executed by the parties on _____________is hereby amended as follows:
ADDENDUM TO STUDENT AFFILIATION AGREEMENT ADDENDUM A – SCHOOL OF [program or department]Student Affiliation Agreement • February 16th, 2022
Contract Type FiledFebruary 16th, 2022This Addendum is entered into by THE BOARD OF TRUSTEES OF WESTERN MICHIGAN UNIVERSITY ON BEHALF OF COLLEGE OF ARTS AND SCIENCES, hereinafter referred to as “College,” and [name of host], hereinafter referred to as the “Facility.”
TO: District Board of Trustees FROM: William D. Law, Jr., President SUBJECT: Affiliation Agreement – Health FacilitiesStudent Affiliation Agreement • June 10th, 2009
Contract Type FiledJune 10th, 2009This item requests that the Board authorize the President to enter into a new agreement with Select Specialty Hospital.
STUDENT AFFILIATION AGREEMENT – ADDENDUM 5 STUDENT BACKGROUND CONSENT FORMStudent Affiliation Agreement • July 25th, 2017
Contract Type FiledJuly 25th, 2017Facility policy requires Students (as well as applicants, employees and contractors) to pass background checks before being allowed to access the Facility.
STUDENT AFFILIATION AGREEMENT BETWEENStudent Affiliation Agreement • May 16th, 2017 • Minnesota
Contract Type FiledMay 16th, 2017 JurisdictionThis Agreement is entered into between the State of Minnesota acting through its Board of Trustees of the Minnesota State Colleges and Universities on behalf of [Insert name of College/University ] (hereinafter “College/University”), and UNIVERSITY OF MINNESOTA PHYSICIANS. (hereinafter “UMP”).
Student Affiliation Agreement FormStudent Affiliation Agreement • January 22nd, 2016
Contract Type FiledJanuary 22nd, 2016Please complete this form to request that a Student Educational Affiliation Agreement be initiated with the facility listed below. Please e-mail the completed form to Shawna Cleary at clearys4@southernct.edu or Cynthia Shea-Luzik at shealuzikc1@southernct.edu.
STUDENT AFFILIATION AGREEMENTStudent Affiliation Agreement • July 25th, 2019
Contract Type FiledJuly 25th, 2019THIS AGREEMENT is made and entered into between Washington State University (“WSU”), located at Pullman, Washington, and (“Training Site”), located at , (hereinafter referred to sometimes as “Party” or “Parties.”)
STUDENT AFFILIATION AGREEMENT BETWEEN ROWAN UNIVERSITY AND ___________________Student Affiliation Agreement • January 18th, 2019 • New Jersey
Contract Type FiledJanuary 18th, 2019 JurisdictionThis Student Affiliation Agreement (“Agreement”) is entered into as of this _____ day of _____ _____________, 2019 (the “Effective Date”) by and between Rowan University (hereinafter, “SCHOOL”) a public research institute located at 201 Mullica Hill Road, Glassboro, NJ 08028 and _________________________ (hereinafter, “AFFILIATE”) located at _____________.
STUDENT AFFILIATION AGREEMENT BETWEEN ROWAN UNIVERSITY AND ___________________Student Affiliation Agreement • January 18th, 2019 • New Jersey
Contract Type FiledJanuary 18th, 2019 JurisdictionThis Student Affiliation Agreement (“Agreement”) is entered into as of this _____ day of _____ _____________, 2019 (the “Effective Date”) by and between Rowan University (hereinafter, “SCHOOL”) a public research institute located at 201 Mullica Hill Road, Glassboro, NJ 08028 and _________________________ (hereinafter, “AFFILIATE”) located at _____________.