Sample Memorandum of Agreement for U.S. Coast Guard Student Externship Program

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Forms/Reports (Cont) - CI_6400_1A0004

Sample Memorandum of Agreement for U.S. Coast Guard Student Externship Program (cont) - CI_6400_1A0006

Student Externship Programs (SEP) - index
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ENCL. (1) TO COMDTINST 6400.1A

MEMORANDUM OF AGREEMENT

This Agreement, entered into this ____ day of _________, 19 __ is by and between

_________________________________ (hereinafter referred to as the Academic Institution (AI)),

and the U.S. Coast Guard (hereinafter referred to as the USCG).

WHEREAS the USCG is interested in participating in research and education to supplement its

patient care programs and believes this will be enhanced by affiliation with the AI; and WHEREAS

the AI is responsible for the educational program of students of ____________________ in

specialty, graduate studies and resideholes and for the maintenance of research and patient care

programs planned to enhance the educational and research programs, and believes it can

complement its own facilities and foster its educational program through affiliation with the USCG.

NOW THEREFORE, the USCG and the AI agree to the following provisions:

Be responsible for the educational program of students assigned to the USCG, and for

selection and assignment of students to be assigned to the USCG, in accord with agreed-

to schedules and work assignments.

Keep in full force and effect during the term of this Agreement, at the expense of the AI

or the individual extern, commercial general liability insurance or an equivalent funded

program of self-insurance providing minimum coverage of ______________ dollars per

each occurrence and ______________ dollars per annum. The AI shall notify the USCG

thirty (30) days in advance, in writing, of cancellation or any modification in the noticed

insurance policy.

3.

Send only such students who would benefit from the assignment and to withdraw from

the assignment any student when, in the AI's Judgement, the field experience does not

meet the needs of the student.

4.

The AI shall defend, indemnify, and hold the United States, its officers, employees, and

agents harmless from and against any and all liability, loss, expense, or claims for injury

or damages arising out of the performance of this Agreement by the AI, its officers,

employees, or agents, or the student interns under the AI's supervision, but not to the

extent that such liability, loss, expense, or claim for injury or damage is caused by the

negligent or intentional acts or omissions of the USCG, its officers, employees, or agents.

Western Governors University

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