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Affiliation Agreement Form

What is an Affiliation Agreement?

An Affiliation Agreement is a formal contract between SUNY and an external organization (such as a hospital, clinic, nonprofit, or business) that allows SUNY students to participate in internships, clinical placements, or other experiential learning activities at that site.

These agreements ensure that:

  • The responsibilities of both SUNY Fredonia and the host organization are clearly defined.
  • Student rights, safety, and liability protections are in place.
  • The arrangement complies with SUNY and State of New York contract requirements.

When is an Affiliation Agreement Required?

An Affiliation Agreement is required whenever:

  • A student will be placed at an external organization for academic credit.
  • The placement involves clinical, fieldwork, internship, or practicum activities.
  • The host site requires a signed agreement before accepting SUNY students.

How to Request an Agreement

  1. Submit a Request
  2. Provide Information
    • Name and contact of the host organization.
    • Student program/placement details (clinical, teaching, internship, etc.).
    • Start and end date of the agreement.
  3. Review and Approval
    • The Office of Contracts (or Office of General Counsel, depending on the agreement) will review the draft.
    • Agreements must follow SUNY contract language requirements and cannot be signed by faculty or departments directly.

Processing Timeline

  • Standard review: 2–4 weeks (depending on complexity).
  • Agreements requiring negotiation with the host site’s legal office may take longer.
  • Please submit requests well in advance of student placements.

Important Notes

  • Only authorized signatories for SUNY Fredonia can execute agreements.
  • If the external site provides its own template, it must be reviewed and revised to comply with SUNY legal requirements.
  • No student may begin a placement until the agreement is fully executed.
  • Agreements with other NYS Agencies require an MOU, not an Affiliation Agreement. Internship Agreements are used for paid placements.
  • A COI can be provided for Affiliation Agreements, but not for Student Teaching for private schools. 

Contact

For questions about Affiliation Agreements, please contact univserv@fredonia.edu

 

University Services

  • 405 Maytum Hall State University of New York at Fredonia Fredonia, NY 14063