THE CATHOLIC UNIVERSITY OF AMERICA
Washington, D.C. 20064
AFFILIATION AGREEMENT
This affiliation agreement is hereby made and entered into between The Catholic
University of America, Washington D.C., on behalf of the School of
(hereinafter “the University”) and
____________________________________________________ (hereinafter “the Site”)
on this ______ day of ____________________, 20_____.
Whereas, the University is an educational institution providing a degree program in
; and
Whereas, students of that degree program are (circle one) required/authorized to obtain
experience in the area of (hereinafter “internships”); and
Whereas, the Site possesses the facilities and professional expertise to provide experience to students enrolled in the University’s degree program,
Now,Therefore, the following are the complete terms and conditions that the parties intend to be legally bound:
I. Duties and Responsibilities of the University
A. Administration of Program: The University shall assume responsibility for the administration of the internship, including, but not limited to, curriculum development, grading, requirements for matriculation, credits, scheduling, and clinical hours.
B. Policies of the Site: The University shall inform all students and faculty of their responsibilities under this agreement including their obligation to abide by the rules and regulations of the Site.
C. Number of Students: The University shall provide the Site with the number of students to be mutually agreed upon for the days and hours mutually agreed upon.
D. Health Status: The University shall require students participating in the internship to meet the health requirements of the Site and/or state regulatory agency. Proof of compliance must be made before participation in the program.
E. Liability Insurance: The University shall provide and maintain bodily injury, property damage, and professional liability insurance with a minimum limit of $1,000,000 per claim and an aggregate of $3,000,000 per occurrence. The faculty and students of the University may be required to carry professional liability insurance in a stated amount. In the event of student/faculty negligence, the University’s insurance coverage shall preempt insurance held by the Site. Any insurance held by the Site shall not contribute to the student/faculty insurance nor benefit the University in any way.
F. Indemnification: The University shall indemnify and hold harmless the Site and, if applicable, the City/State, its departments, agencies, officials, employees, agents and servants against claims of liability or expense arising from any direct or indirect, willful or negligent action or omission of the University or its agents participating in this program.
G. Transportation: Students shall be responsible for their own transportation to and from placement sites.
H. Notification: The University shall notify the Site of any changes in faculty, curriculum, and policy that may affect the internship program.
II. Duties and Responsibilities of the Site
A. Structure of the Internship: The Site shall provide facilities and practice appropriate for successful completion of an internship. In addition, the Site agrees to provide learning experiences that are compatible with the missions of the University.
B. Liaison/Field Coordinator: The Site shall appoint an employee to serve as liaison/field coordinator between the Site and the University.
C. Orientation: The Site shall orient the faculty and students to the rules, regulations, and practices of the facility.
D. Patient Care Responsibility: The Site shall retain full responsibility for the supervision and care of all clients.
E. Reservation of Rights: The Site may reserve the right to discipline any student or faculty member who fails to comply with facility policies and procedures. Discipline may result from conduct, work, or health status that interferes with the Site’s ability to care for patients or impairs the student from benefiting from the internship. The Site shall notify the University’s faculty member responsible for the student practice or the appropriate Assistant Dean or Dean.
F. Student Progress Reports: The Site shall provide the University with all information requested concerning a student’s internship performance.
G. Student Records: Pursuant to the Family Educational Rights and Privacy Act (FERPA), the Site shall protect the confidentiality of the student’s records and shall not release any information without written consent from the student unless required to do so by law or under the terms of this agreement.
H. Liability: The Site shall maintain in force during the term of this agreement, self-insurance to cover claims of bodily injury, property damage and professional liability, with coverage of at least $1,000,000 per claim and an aggregate of $3,000,000 per occurrence, insuring itself and its agents and employees for their acts, failures to act, or negligence, rising out of, or caused by, the activity which is the subject of the agreement.
I. Indemnification:
a. Liability of the Site shall be limited to the provisions and limits of the Local Government Tort Act for the District of Columbia or the Federal Employees Liability Reform and Tort Compensation Act, 28 U.S.C. 2679(b)-(d) (whichever is applicable).
III. Mutual Terms and Conditions
A. Duration of Agreement: This agreement shall commence with the beginning of the next academic year or at another mutually agreeable date, and shall be considered renewed from academic year to academic year unless either party seeks to terminate this agreement.
B. Termination of Agreement: The University and/or the Site may terminate this agreement, for any reason, by giving the other party written notice thirty (30) days prior to the effective date thereof.
C. Modification of Agreement: both parties must approve all modifications, waivers, or alterations to this agreement in writing.
D. Interpretation of the Agreement: the laws of the District of Columbia shall govern this agreement.
E. Relationship of Parties: The University and the Site shall be considered independent contractors to one another. This agreement shall not create a partnership, joint venture, or association between the University, any of its students, and the Site.
F. Nondiscrimination: Neither party to this agreement shall discriminate pursuant to Title VI of the Civil Rights Act of 1964 with respect to race, age, sex, color, creed, or national origin; Title IX of the Educational Amendments of 1972; and relevant provisions of the Americans with Disabilities Act.
G. Objections of Conscience: The parties agree that no student or faculty of the University will be required to participate in any procedure which is contrary to his or her religion or conscience.
H. Reservation of Rights: Both parties reserve the right to withhold placement of Social Work students depending upon the availability of adequate facilities and personnel to provide satisfactory social work.
I. Liability: Neither the University nor the Site shall assume liability to each other, except as stated in this agreement. By entering into this agreement, the parties do not waive defense of claims for damage, injuries or death to persons, or damages to property.
J. Entire Agreement: This agreement represents the complete understanding between the University and the Site. It shall be in place of prior oral or written understandings and promises relating to this subject matter and is effective on the dates indicated above.
IV. Authorization
