SIGNED FINAL_ 4-27-2022 School of Medicine and Public Health Non-Clinical Affiliation Agreement & Honorary Appointment 2022

Affiliation Agreement

University of Wisconsin

School of Medicine and Public Health

This affiliation agreement (“Agreement”) is entered into by                                                          , ("Facility") located at  _____________________________________ , and the Board of Regents of the University of Wisconsin System, operating as the University of Wisconsin, School of Medicine and Public Health (“University”) to provide non-clinical, practical learning experiences for the University’s students (“Students”) at the Facility (“Program”).

This Agreement shall become effective on the date last signed below and shall automatically renew on an annual basis unless terminated as provided by this Agreement. 

I. General

1. The beginning and ending dates for the placement of each Student (“Placement”) in the Program will be mutually agreed upon in writing by the Facility and the University.

1. The number of Students eligible to participate in the Program will be mutually agreed upon by the Facility and the University and may be altered by mutual agreement.

1. The University will place with the Facility only those Students who have satisfactorily completed the prerequisite academic portion of the University’s curriculum.