Western Washington University 5/10/2021

DocuSign Envelope ID:80D4EDCC-7DF5-447D-83EA-5A1F6FDOD168 WESTERN 51 i',11 1 y c r u N I I:`,i I 5 An Equal Opportunity Unwersi'y Western Washington University— Internship Affiliation Agreement B. Students 1. The University shall propose students who are enrolled in the Program and who have the requisite maturity and academic requirements for participation in the internship conducted hereunder; acceptance of the students is subject to the approval of the Host Site. 2. The number of University students assigned to the Host Site shall be subject to agreement between the University Representative and the Host Site Representative. 3. The Host Site shall have the right to terminate the participation of any student assigned to the Host Site for failure to abide by the rules and regulations or for any reason deemed reasonable by the Host Site. However,the Host Site must first discuss the matter with the student and prior to dismissal, notify the University Representative. 4. The selection and assignment of learning experiences are to be determined by mutual agreement between the University and the Host Site. C. Personnel Responsibilities: The entry of University officers, agents, employees,students or other personnel and any and all activity therein,shall be subject to the scheduling, control, and direction of the Host Site and, all the University officers, agents, employees, students, or other personnel shall be subject to such rules, regulations, and policies pertaining to activities hereunder as determined by the Host Site. 3. Insurance: Each Party shall maintain during the term of this Agreement general liability and professional liability insurance coverage for itself, its officers, employees,volunteers, and agents. Evidence of liability insurance shall be provided upon request by either Party. The City of Everett's self-insurance program satisfies this provision. 4. Workers'Compensation: The University students shall not be considered employees of the Host Site. To the extent permitted under the provisions of Title 51 RCW,the Host Site does not assume,and shall not assume,any liability relating to Workers' Compensation for any act of any student performing, receiving training, or traveling pursuant to this agreement. The University students shall not be entitled to any monetary remuneration for services performed by them in the specific course of training, nor shall the Host Site otherwise have any monetary obligation to the University faculty or anyone else by virtue of this agreement. 5. Health Insurance Portability and Accountability Act(HIPAA): University is not a covered entity, but voluntarily provides students with training on the general requirements of the Health Insurance Portability and Accountability Act (HIPAA) as part of their education. Host Site will Page 2 of 5 9739 ATF-16053 5/12/20