The Student Affiliation Agreement is used to place students in a supervised clinical or other fieldwork experience or internship educational program.

If the terms or conditions change on the template agreement, please notify this office as the approval of the Office of the Attorney General is required for any contractual changes.

Please check the list of Student Affiliation Agreements currently available before initiating an agreement to determine if an agreement already exists.

Student Affiliation Agreement Resources

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Student Affiliation Agreements

• Student Affiliation Agreement (for clinical & ALL other fieldwork)  - revised  01/22/2016
• List of Student Affiliation Agreements currently available - updated 10/10/2023
• Student Affiliation Agreement Request Form - revised 01/22/2016

Non-Discrimination Certification for State Contracts

• Nondiscrimination Certification (external link)

For questions regarding Student Affiliation Agreements, please contact:
Cynthia Shea-Luzik at (203) 392-5490
Shawna Cleary at (203) 392-6703