Standard Affiliation Agreement template Updated April 8 2020 Preview on Page 1

Standard Affiliation Agreement template Updated April 8 2020-2026

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How to use or fill out Standard Affiliation Agreement template Updated April 8 2020

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  1. Click ‘Get Form’ to open the Standard Affiliation Agreement template in our editor.
  2. Begin by filling in the Department/School name at Radford University and the Facility/Organization name in the designated fields.
  3. Specify the date of the agreement in the appropriate section, ensuring accuracy for legal purposes.
  4. In Section I, outline mutual responsibilities by detailing how many students will be assigned and confirming non-discrimination policies.
  5. Complete Section II by listing the University’s responsibilities, including coordination details and evaluation processes for students.
  6. Fill out Section III with the Facility/Organization's responsibilities, ensuring clarity on care provision and student evaluations.
  7. In Section IV, acknowledge student responsibilities regarding professional behavior and confidentiality.
  8. Finalize by completing Sections V through XIII, including term duration, notice details, and signatures from both parties.

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Related links

UH PPIS - EP 8.200

Appendix 4 contains eleven (11) affiliation agreement templates: Four (4) Outbound Affiliation Agreement (Healthcare Facilities) templates.

Learn more
Clinical Affiliation Agreements Workgroup

Nov 15, 2014 These agreements allow students who are participating in clinical or nursing educational programs to get practical experience in their field.Read more

Learn more
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