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Clinical Placement/Affiliation Agreements

Clinical Placement/Affiliation Agreements - an agreement in which a student of the University receives academic credit for obtaining practical learning and experience from participation in a program of an outside public or private agency, institution or business.

Forms Needed: None

Review and Approval Process:

  1. Faculty member contacts agency to see if EKU can utilize their facility for a student clinical/practicum.
  2. If agency agrees, the faculty member completes the Request for Clinical/Practical Education Agreement form and submits to their Department Chair for signature.
  3. The Department Office Assistant checks database to see if EKU has a current contract with facility.
  4. If an agreement needs to be established or renewed, the Chair signs agreement and sends to Dean's Office.
  5. The Dean's Administrative Assistant reviews the form and checks database to verify if the contract request is new, a renewal or if the contract is current.
  6. If contract is current, Administrative Assistant contacts department/faculty and tells them the contract is current and gives the effective dates of the contract.
  7. If contract request is new, Administrative Assistant assigns the agency a number and enters agency information in the database, prepares two original contracts, obtains Dean's signature and mails to agency for required signature.
  8. If contract needs to be renewed, Administrative Assistant updates agency information in database, prepares two original contracts, obtains Dean's signature and mails to agency for required signature.
  9. Agency signs one original contract and mails back to the Dean. The AA enters the received date in database and informs department/faculty that contract is back. They are given the effective dates of the contract.
  10. If agency will not sign the EKU contracts and sends their contracts, or an addendum, for signature, the Administrative Assistant sends the contracts/addendum (and any other correspondence sent with contracts) to University Counsel, for approval (contractreview@eku.edu).
  11. Upon University Counsel's instruction and approval, the Administrative Assistant obtains the Dean's signature and sends the original contracts/addendum back to the agency. Agency obtains required signature and sends one original contract/addendum back to the Dean and retains one original for their file.
  12. If University Counsel does not approve and recommend Dean's signature, the AA contacts the agency and the department telling them the Dean cannot sign the contract.
  13. If an agreement cannot be reached, the department contacts another agency for student clinical/practicum.
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