Many University schools or departments require or encourage their students to complete internships or clinical placements with outside facilities as part of their degree requirements. Most of these placements require a contract or an affiliation agreement between the facility and the University as a condition of accepting our students as interns or trainees.
A good starting point in finalizing an acceptable agreement is to present one of our standard affiliation agreement templates for facility review.
If the facility accepts one of our standard affiliation agreements without edits, please send the clean template to the facility for their signature. These agreements with the facility signature should be submitted as a PDF document through the Affiliation Agreements form.
If the facility edits one of our standard templates or insists on using their own template, please submit in Microsoft Word format through the Affiliation Agreements form.
The Affiliation Agreements form is only for internships or clinical placements.
You can contact Jennifer Pack regarding affiliation agreement questions.
Master Affiliation Agreement Templates
- Master Affiliation Agreement Template for Facilities in Indiana only (eSignature version)
- Master Affiliation Agreement Template for FAcilites in Indiana only
- Master Affiliation Agreement Template for Facilities outside Indiana only (eSignature version)
- Master Affiliation Agreement Template for Facilities outside Indiana only
- Master Affiliation Agreement Template for Facilities with Multi-State Locations (eSignature version)
- Master Affiliation Agreement Template for Facilities with Multi-State Locations
Program-Specific Affiliation Agreement Templates
- Program-Specific Affiliation Agreement Template for Facilities in Indiana (eSignature version)
- Program-Specific Affiliation Agreement Template for Facilities in Indiana
- Program-Specific Affiliation Agreement Template for Facilities outside Indiana only (eSignature version)
- Program-Specific Affiliation Agreement Template for Facilities outside Indiana only
- Program-Specific Affiliation Agreement Template for Facilities with Multi-State Locations (eSignature version)
- Program-Specific Affiliation Agreement Template for Facilities with Multi-State Locations
Student Teaching Affiliation Agreement Templates
- Student Teaching Affiliation Agreement Template (CAEP Accreditation) (eSignature version)
- Student Teaching Affiliation Agreement Template (CAEP Accreditation)
- Student Teaching Affiliation Agreement Template (eSignature version)
- Student Teaching Affiliation Agreement Template
Non-IU Students Doing Rotations at IU Affiliation Agreement Template