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EXHIBIT
D Miscellaneous
MEMORANDUM
OF UNDERSTANDING CONCERNING AFFILIATION
OF STUDENTS FOR SOCIAL WORK PRACTICUM This
is a Memorandum of Understanding on the part of hereinafter referred to as
"Facility". and SAVANNAH STATE COLLEGE, hereinafter referred to as
"College". A.
PURPOSE (1)
The purpose of this Memorandum of Understanding is to guide and direct the parties
respecting their affiliation and working relationship, inclusive of anticipated future
arrangements and agreements in furtherance thereof, to provida high quality clinical
learning experiences for students in the College's Department of Social Work and
Sociology, while at the same time enhancing the resources available to the F acility for
the providing of social services to its clients. (2)
Neither party intends for this Memorandum to alter in any way their respective legal
rights or their legal obligations to one another, to the students and faculty assigned to
the Facility, or as to any third party. B.
GENERAL UNDERSTANDING (1)
The courses of instruction to be provided will be of such content, and cover such periods
of time as may from time to time be mutually agreed upon by the Department and the
Facility. The starting and ending date for each program shall be agreed upon at least one
month before the program commences. (2)
The number of students designated for participation in the practicum program will be
mutually determined by agreement of the parties. and may at any ti= be altered by mutual
agreement. All student participants must be mutually acceptable to both parties and either
party may withdraw any student from a program based upon perceived lack of competency on
the part of the student, the student's failure to comply with the rules and policies of
the Facility or the College, or, for any other reason where either party reasonably
believes that it is not in the best interest of the program for the student to continue. 1
(3)
There shall be no discrimination on
the
basis of race, national origin, religion, creed, sex, age or handicap in either the
selection of students for participation in the program, or as to any aspect of the
practicum provided however, that with respect to handicap, the handicap must not be such
as would, even with reasonable accommodation, in and of itself, preclude
the student's effective
participation in.the program. C.
FACILITY USPONSIBILITIES (1)
The Facility will retain responsibility for services to clients, and will maintain administrative
and professional supervision of students insofar as their presence and program
assignmentsaffect the operation of the Facility and its care, direct and indirect of
clients. (2)
The Facility will provide adequate facilities for participating stud-*in
accordance with practicum objectives developed through cooperative planning by the
College's Departmental faculty and the Facility's staff. (3)
The Facility will use its best efforts to make conference space and classrooms available
as may be necessary for teaching and planning activities in connection with
clinical trainin programs. (4)
Facility staff shall, upon request, assist the College in the evaluation of the learning
and performance of participating students. (5)
The Facility shall provide for the orientation of both College faculty and participating
students as to the facilities, philosophies, rules. regulations and policies of the
Facility. (6)
Subject to the Facility's overall supervisory responsibility for client care, it may
permit appropriately licensed faculty members to provide such client services at the
Facility as may be necessary for teaching purposes. (7)
All medical or health care (emergency or otherwise) that a student or College faculty
member receives at the Facility will
be at the expense of
the individual involved. 2
D.
COLLEGE RESPONSIBILITIES (1)
The College will use its best efforts to see that students selected for participation in
the practicum are prepared for effective participation in the experiential phase of their
overall education. The College will retain ultimate responsibility for the education of
its students. (2)
Prior to the commencement of a practicum, the College will. upon request, provide
responsible Facility officials with such student records as will adequately disclose the
prior education and related experiences of prospective student participants. (3)
The Department will use its best efforts to see that the practicum, training programs at
the Facility is conducted in such a manner as to enhance client systems. Only those
students who have satisfactorily completed the prerequisite didactic portion of their
curriculum will be selected for participation in the practicum. (4)
The College will require all participating students and faculty members to show proof of
liability insurance in amounts satisfactory to the Facility and to provide evidence of
such insurance upon request of the facility. (5)
The College will encourage student compliance with the Facility's rules, regulations and
procedures. and use its best efforts to keep students informed as to the same and any
changes therein. Specifically, the College will keep each participating student apprised
of his or her responsibility: (a)
To follow the administrative policies's standards and practices of the
Facility when the student is in the Facility. (b) To report to the Facility on time and to follow all
established regulations,during the regularly scheduled operating hours of the Facility. (c) To conform to the standards and practices established by
the College while at the Facility. (d) To
keep in confidence all information pertainin to clients. E.
MUTUAL RESPONSIBILITIES (1)
The parties will work together to maintain an environment for quality practicum
experiences and quality client care. At the instance of either party, a
meeting or conference will be promptly held between Savannah State College and 3
Facility
representatives to resolve any problems or develop any improvements in the operation of
the contemplated practicum. (2)
Unless sooner cancelled as provided below, the term of this affilia tion for practicum shall be three
years, commencing on 19 and
ending on
, 19
This working relationship and affili ation
may be renewed by mutual written consent of the parties. It may also be cancelled
at any time by either party upon not less than ninety (90) days writ ten
notice in advance of the next training experience. This
- day of
1
19
0 IN
WITNESS WHEREOF, THIS A;GREEMENT IS ENTERED INTO ON THE DATE FIRST ABOVE WRITTEN. BOARD
OF REGENTS OF THE UNIVERSITY
SYSTEK OF GEORGIA Name
of College BY: President Dean
of School of Humanities
and Social Sciences Name
of Facility BY: Agency
Director/Ad-inistrator Practicum.
Supervisor Chairperson,
Department of Social Work and Sociology Field
Coordinator 4
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