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”.
Washington State University Student Affiliation Agreement Contract No. ________Student 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 AgreementStudent Affiliation Agreement • December 7th, 2022
Contract Type FiledDecember 7th, 2022, (hereinafter referred to as School) and Southern Ohio Medical Center, Portsmouth, Ohio, (hereinafter referred to as Medical Center)
STUDENT AFFILIAITON AGREEMENTStudent Affiliation Agreement • November 22nd, 2013
Contract Type FiledNovember 22nd, 2013This 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:
RE: Student Affiliation Agreement with [INSERT NAME] Dear :Student Affiliation Agreement • March 8th, 2021 • Minnesota
Contract Type FiledMarch 8th, 2021 JurisdictionAs we have discussed, [INSERT NAME OF MBO] is willing to serve as a host location for your school's students for certain clinical educational experiences. As part of this process, [INSERT NAME OF MBO] needs to execute a student affiliation agreement with your school to govern this relationship. Since your school is a member of MnSCU, I have enclosed a copy of our MnSCU Student Affiliation Agreement customized for your school and other MnSCU colleges and universities. The template for this agreement was approved by a staff member of the MnSCU Office of General Counsel in April 2015. So no changes should be needed to the agreement. If you would like verification of this approval, you may contact the MnSCU General Counsel’s Office directly (specifically Mary Al Balber, Assistant General Counsel, at 651-201-1752 or maryal.balber@so.mnscu.edu.)
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 • February 7th, 2019 • Minnesota
Contract Type FiledFebruary 7th, 2019 JurisdictionThis Agreement sets forth the understanding between Avera Health, a South Dakota nonprofit corporation located at 3900 West Avera Drive, Sioux Falls, South Dakota 57108, acting on behalf of its sponsored hospitals and other affiliated companies (including but not limited to Avera McKennan, Avera St. Luke’s, Avera Queen of Peace, Sacred Heart Health Services, d/b/a Avera Sacred Heart Hospital, Avera St. Mary’s, Avera Marshall, Avera St. Benedict Health Center, Avera St. Anthony’s, Avera Holy Family, Avera@Home, and Avera Health Plans, Inc.) (hereafter collectively “Avera”), and the State of Minnesota, acting through its Board of Trustees of the Minnesota State Colleges and Universities, on behalf of [Insert College/University name] located at [insert full address including city], Minnesota [Insert zip code] (hereafter “EDUCATIONAL INSTITUTION”).
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 • September 16th, 2021
Contract Type FiledSeptember 16th, 2021This Agreement sets forth the understanding between Sanford, a North Dakota nonprofit corporation located at 801 Broadway N, Fargo, North Dakota 58122, on behalf of itself and its affiliates (hereafter collectively “SANFORD”), and 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] located at [INSERT FULL ADDRESS OF COLLEGE/ UNIVERSITY] (hereafter “EDUCATIONAL INSTITUTION”).
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.
AMENDMENT TO IN/OUT-OF-STATE STUDENT AFFILIATION AGREEMENT BY AND BETWEEN THE UNIVERSITY OF CONNECTICUT ________ (School/Dept.)__________ ANDStudent Affiliation Agreement • November 8th, 2020
Contract Type FiledNovember 8th, 2020The 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:
S T U D E N T A F F I L I A T I O N A G R E E M E N TStudent Affiliation Agreement • February 25th, 2016
Contract Type FiledFebruary 25th, 2016THIS AGREEMENT, made and entered into on DATE, and between Washington University, on behalf of its School of Medicine, Program in Physical Therapy, hereinafter referred to as The "SCHOOL" and FACILITY NAME, hereinafter referred to as the "FACILITY".
ContractStudent Affiliation Agreement • October 19th, 2021
Contract Type FiledOctober 19th, 2021To: Committee of the Whole Agenda Section: Division: Department: Human ServicesHealth and Emergency ServicesPerformance, Quality and Development and Long-Term Care & Senior Services Item Number: CCW - 2021-349 Meeting Date: October 26, 2021 Subject: Health and Emergency Services Student Affiliation Agreement
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 Affiliaton AgreementStudent Affiliation Agreement • April 17th, 2009
Contract Type FiledApril 17th, 2009Before you apply for an internship at Levine Children's Hospital, it is imperative that you make sure your school has received and entered into the CHS Student Affiliation Agreement with our hospital system. This agreement states that you school agrees to all items set forth in the agreement. Your school must agree to the terms and sign the contract before you can be considered as an interview candidate for our internship program.
ContractStudent Affiliation Agreement • June 2nd, 2009
Contract Type FiledJune 2nd, 200909UNM/02.0008 Cordova - Pediatrics Outreach Clinics: Asthma/Davies; Nephrology/Brandt; Endocrine/Greger; Metabolic/Heidenreich; 5/8 Dept. to work with regional clinic coordinator for Genetic/Heidenreich; term runs through 6/30/12 FY10 clinic schedules 09UNM/02.0012 Morrison - Neurology - Pediatric Neurological Outreach Clinics; term runs through 6/30/12 5/8 Dept. to work with regional clinic coordinator for FY10 clinic schedules FY09 Student Affiliation Agreement for Turquoise Lodge 5/21 Alfred Sena plans to renew 06.665.0007.3080 & A1 CDD - Medically Fragile Case Management Provider Agreement - Mcclain. CDD submitted application. 09UNM.007.0018 MOA (DOH/PED/UNM) McClain - CDD ECEP - FY09 pending DOH & PED signatures; FY10 will process later in the year MOA #7768 Zumwalt - OMI - Utilities (DOH Sci. Lab/UNM/NMSU Veterinary) 5/7 Andrew Parkes plans to renew but it will be late June before they have the $ amounts since they must figure in
Student Affiliation AgreementsStudent Affiliation Agreement • April 25th, 2024
Contract Type FiledApril 25th, 2024Active Health Institute Northeastern University Advent Health University, Inc. dba AdventHealth University Northwest Florida State College Alabama College of Osteopathic Medicine Nova Southeastern University, Inc. American National University Oklahoma State University American Public University System, Inc. Pensacola Christian College Andrews Research & Education Foundation, Inc. Pensacola School of Massage Therapy Belmont University Pensacola State College f/k/a Pensacola Junior College Bethel University Philadelphia College of Osteopathic Medicine Board of Supervisors of Louisiana State University A&M College Polk State College Chamberlain College of Nursing, LLC. Radiological Technologies University Clarkson University Sacred Heart Hospital Coastal Alabama Community College Samford University Drexel University Santa Rosa County School Board Duke University School Board of Escambia County, Florida Duquesne University School Board of Santa Rosa County, Florida Edward via College of
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”.
RE: Student Affiliation Agreement with Fairview Health Services Dear :Student Affiliation Agreement • March 12th, 2018 • Minnesota
Contract Type FiledMarch 12th, 2018 JurisdictionAs we have discussed, Fairview Health Services is willing to serve as a host location for your school's students for certain clinical educational experiences. As part of this process, Fairview needs to execute a student affiliation agreement with your school to govern this relationship. Since your school is a member of Minnesota State, I have enclosed a copy of our Minnesota State Student Affiliation Agreement customized for your school. The template for this agreement was approved by the legal office of Minnesota State in January of 2018, so no changes should be needed to the agreement. If you would like verification of this approval, you may contact the MN State legal office directly (specifically Mary Al Balber, Assistant General Counsel, at 651-201-1752 or maryal.balber@minnstate.edu ). Your current agreement expires on
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.”
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.
NON EXCLUSIVE STUDENT AFFILIATION AGREEMENT (“AGREEMENT”) FACE SHEETStudent Affiliation Agreement • July 1st, 2019
Contract Type FiledJuly 1st, 2019Applicable Licenses, Certifications, etc: Medical Assistant, Nursing Assistant, Nursing Student, Paramedic/Emergency Medical Technician, Phlebotomy Student, Physical Therapist Assistant, Radiology Tech
S TUDENT AFFILIATION AGREEMENTStudent Affiliation Agreement • January 7th, 2015 • Georgia
Contract Type FiledJanuary 7th, 2015 JurisdictionTHIS STUDENT AFFILIATION AGREEMENT (the “Agreement”) is executed this <Insert Numerical Day> day of <Insert Month>, <Insert Year> by and between the Georgia Department of Public Health (hereinafter referred to as the "DPH"), and <Insert Name of University or College> (hereinafter referred to, collectively, as "School"), with offices located at <Insert Address of University or College>.
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 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 FACE SHEETStudent Affiliation Agreement • August 11th, 2023
Contract Type FiledAugust 11th, 2023Designated Contract Person to act as liaison between Facility and School: Dr. Julie Senita, Nursing Program Director, Kent State University at Ashtabula.
ContractStudent Affiliation Agreement • April 28th, 2023
Contract Type FiledApril 28th, 2023WakeMed currently has student affiliation agreements in place for nursing and allied health programs with the following schools:
St. Mary’s Student Affiliation Agreement Contractual RequirementsStudent Affiliation Agreement • January 10th, 2014
Contract Type FiledJanuary 10th, 2014Thank you for your interest in St. Mary’s Health Care System, Inc.® as a potential clinical site for your students. To begin the student placement process at St. Mary’s a Student Affiliation Agreement will be required between St. Mary’s and the educational institution. To establish a Student Affiliation Agreement, please contact the Clinical Education Department at 706-389-2150. A request to establish a Student Affiliation Agreement will be submitted to our legal counsel, who will then contact you regarding the Student Affiliation Agreement. While revisions to the Student Affiliation Agreement are not generally accepted, St. Mary’s legal counsel and Clinical Education Department will consider all proposed revisions submitted by your institution. The contract process at St. Mary’s should be initiated at least three months prior to the anticipated clinical start date for students. St.
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 _____________.