Career Services
Published on Career Services (http://www.cwu.edu/career)

Home > Affiliation Agreement Checklists

Affiliation Agreement Checklists

Specific requirements can be found by following the links below:

  • Community Health
  • EMS
  • Exercise Science:
    • Cardiac Rehab
    • PT / Other (physical therapy, occupational therapy, athletic development-human performance programs, athletic training, corporate fitness / wellness centers, private health clubs, and agencies that serve the public.
  • Food Service Management
  • Nutrition
  • Paramedic

If an individual facility has additional or different requirements, the checklist will be modified.

Immunization Checklists

Immunization Verifications: Print out the verification form as required by your specific major department. Make an appointment with the Student Health Center at 509-963-1881, or with your family doctor. The Student Health Center appointment is free and will last approximately 20 minutes. The purpose of the appointment is to verify your immunization records. After verification is obtained at the Student Health Center or your doctor's office, bring the signed form to Career Services along with copies of your immunization records. 

  • Community Health
  • EMS/Paramedic
  • Exercise Science: Cardiac Rehabilitation
  • Nutrition

Affiliation Agreement Forms

Account Initiation Form
Learning Agreement and Internship Release Form - Word
Student Medical Malpractice Insurance Form

Source URL: http://www.cwu.edu/career/affiliation-agreement-checklists