EXPERENTIAL LEARNING SITE AGREEMENT

Directions: This Agreement is to verify for the University and the Facility the expectations of the Experiential Learning experience and to document that all parties have agreed to take part in this experience. The Facility, the University and the student should receive a copy of the completed Agreement for their records. This Agreement MUST be completed and signed by all appropriate parties, and submitted to the Office of Experiential Learning and Civic Engagement (OEECE), preferably no later than four (4) weeks prior to the beginning of the experience.

This agreement between Kent State University (herein “University”) and

______

(herein “Facility”) is for the purpose of identifying responsibilities assumed in the provision of appropriate supervision and experiential learning experience for a Kent State University student while he/she is enrolled in a University course for credit provided by the University and/or in furtherance of the student’s educational pursuits. The parties agree as follows:

1. Scope and purpose. The central purpose of this Agreement is the professional education of students in preparation for future work experiences. To successfully complete XXXXXXX, students must complete a minimum of XXX hours (varies with credit hours of course) and be exposed to basic concepts and face-to- face experiences related to the program. Specific responsibilities are provided for further in this agreement.

2. Term. This agreement shall remain in effect for the duration of the student’s experience at the site specified above during ______(semester) ______(year).

3. Facility Responsibilities:

a. Designate one staff person as site supervisor. This person will be an employee (part-time, full-time, or contracted with the Facility) of the Facility where the internship will be conducted.

b. Develop work assignments and tasks for the student commensurate with the program objectives, in consultation with the Faculty Advisor.

c. Provide appropriate working conditions and physical arrangements for the student.

d. Provide the student field-based supervision. As a part of the supervision, monitor student performance and report to the Faculty Advisor if difficulties in performance, ethics or other internship related activities arise.

e. Complete the student evaluation materials in a timely fashion.

f. Maintain communication with the University in relation to internship activities through available means such as communication with the field supervisor via telephone or email and on-site visits by the Faculty Advisor.

Revised 01/15. Version approved for use by the Office of General Counsel without changes. Any changes to these terms must be submitted1 to OGC for further review as to form and legal sufficiency before execution. g. Be responsible for providing safe working conditions for the student and Faculty Advisor at all times during the course of the experience. Any safety concerns should be immediately brought to the attention of the Faculty Advisor and students.

4. University Responsibilities:

a. Assume full responsibility for the administrative duties associated with the academic requirements of the learning experience, including site approval, student assignment and grading if applicable.

b. Provide information regarding the experience and curriculum in order that the Facility may properly plan and execute task assignments and supervision.

c. Designate one University employee who will be the Faculty Advisor for the student and will communicate directly with the site supervisor. The Faculty Advisor will be available for consultation with the site supervisor and students throughout the duration of the experience.

d. Continue to follow and abide by all applicable University rules, policies and procedures while at the Facility.

5. Right to remove. The Facility may remove any student who fails to cooperate with Facility personnel or conducts himself/herself in an inappropriate manner, or whose performance is unsatisfactory, or is a detriment to the operation of the Facility.

6. Equal Opportunity. There shall be no unlawful discrimination against any intern because of race, color, religion, gender, sexual orientation, national origin, ancestry, disability, genetic information, age, military status, or identity as a disabled veteran or veteran of the Vietnam era, recently separated veteran, or other protected veteran.

7. Liability. To the extent permitted by law, each party agrees only to be liable for the acts and omission of its own officers, employees and agents engaged in the scope of their employment arising under this Agreement, and each party hereby agrees to be responsible for any and all liability arising from a claim with respect to that party’s role in connection with this Agreement. The parties agree that nothing in this provision shall be construed as a waiver of the sovereign immunity of University and/or the State of Ohio beyond the waiver provided in Ohio Revised Code Section 2743.02. It is specifically understood that neither party will indemnify the other. Both parties agree to carry and maintain throughout the term of this Agreement adequate levels of insurance to cover their acts or omissions which may impact this Agreement.

8. No agency. Nothing herein shall be construed to create an agency relationship between the University and Facility, or any employment relationship between Facility and any staff member provided by KSU to perform the services under this Agreement. Facility will not represent to be or hold itself out as an agent of the University at any time during the term of this Agreement. The Agreement is solely for the educational benefit of the student in fulfilling a degree requirement.

9. Renewal and Termination. The agreement may be extended for additional terms upon mutual agreements of the parties, but in no event shall any subsequent term exceed one year. The Agreement may be terminated by either party upon written notice to the other at least ninety (90) days in advance, except that in cases where a party has committed a material breach in which case such termination may have immediate effect. Any students currently participating at the time of termination will be permitted to complete the placement period.

Revised 01/15. Version approved for use by the Office of General Counsel without changes. Any changes to these terms must be submitted2 to OGC for further review as to form and legal sufficiency before execution. 10. This Agreement shall be interpreted and construed in accordance with the laws of the State of Ohio. The headings in this Agreement have been inserted for convenient reference only and shall not be considered in any questions of interpretation or construction of this Agreement. This Agreement may not be assigned by either party without the prior written permission of the non-assigning party.

11. This Agreement shall constitute the entire agreement between the parties and fully supersedes any and all prior agreements or understandings, written or oral, between the parties pertaining to the matters set forth herein. This Agreement shall not be amended, modified, or changed unless agreed to by an amendment that is (i) in writing; (ii) refers to this Agreement; and (iii) executed by an authorized representative of each party.

Both parties hereby agree to the terms, are authorized to sign on the party’s behalf, and hereby execute this Agreement.

FACILITY KENT STATE UNIVERSITY By______By______Date ______Date______Print Name: ______Print Name: ______Title: ______Title: ______

Revised 01/15. Version approved for use by the Office of General Counsel without changes. Any changes to these terms must be submitted3 to OGC for further review as to form and legal sufficiency before execution.