AFFILIATION AGREEMENT BETWEEN MARYVILLE UNIVERSITY OF ST. LOUIS AND MARICOPA COUNTY (FIN).PDF

MEMORANDUM OF UNDERSTANDING 
For 
CLINICAL PRECEPTORSHIP 
THIS AGREEMENT, made and entered into on this 4th 
day of MAY 
, 2022 
, 
by and between MARYVILLE UNIVERSITY OF ST. LOUIS 
, a non-profit corporation, hereafter referred to as 
“Maryville” and “ MARICOPA COUNTY 
” hereafter referred to as “Clinical Center,” 
WITNESSETH: 
WHEREAS, Maryville has a Nursing Program on its campus and is desirous of obtaining education 
experiences for students (at Nursing clinics or hospitals) enrolled in the Nursing Graduate Program and is desirous 
of cooperating with the Clinical Preceptorship in establishing a Clinical Educational Program (“Educational 
Program”’) for the benefit of Maryville students as well as for the benefit of the Clinical Center, and, 
WHEREAS, the Clinical Center is desirous of establishing a Clinical Preceptorship Program and of 
obtaining the educational and practical benefits to be derived from the carrying out of such a program and desires to 
cooperate with Maryville in this respect, 
NOW, THEREFORE, in consideration of the mutual benefits to be derived by Maryville and the Clinical 
Center, the parties do hereby agree as follows: 
MARYVILLE UNIVERSITY OF ST. LOUIS NURSING GRADUATE PROGRAM agrees that it will: 
1. Designate a fully qualified faculty member who will be charged with the responsibility of coordinating all 
activities between Maryville and the Clinical Center and shall render all necessary assistance to the Clinical Center 
with respect to any problems arising in the area of the Preceptorship Program. 
2. Designate students to participate in the Preceptorship Program at the Clinical Center for the period of time 
agreed upon by the Clinical Center and Maryville. 
3. Provide faculty oversight for the purposes of the Preceptorship Program who will be oriented to the health- 
related activities of the Clinical Center. 
4. Provide the Clinical Center staff participating in the Preceptorship Program with an orientation regarding 
evaluation procedures and forms utilized in rating student performance. 
5. Provide the Clinical Center staff, if determined by Maryville as having a legitimate educational interest in such 
information, with previous academic experiences of students for the purpose of planning and implementing the 
educational experiences for the students in the Preceptorship Program. 
6. Be responsible, through its faculty, for: 
A. Selection of student nursing experiences in cooperation with Maryville Faculty personnel. 
B. Guidance, supervision, and evaluation of the learning experience. 
C. Ensuring that students in the Preceptorship Program adhere to the Clinical Center’s specifications 
regarding attire.

7. Obtain and maintain the following categories of records on all students assigned to the Clinical Center: 
* completed physical examinations 
¢ immunity to Measles/Rubeola, Mumps, Rubella, and Tetanus/Diphtheria/Pertussis (Tdap), Polio, Varicella or 
Positive Varicella Titer and Hepatitis B (a Hepatitis B declination statement is acceptable in lieu of immunization) 
¢ TB-Tuberculin PPD test (documented 2-step initially, then annual) 
° annual flu vaccine 
* CPR 
* criminal background checks and urine drug screening records 
* verification of health insurance to cover injuries that students may incur while engaged in the Preceptorship 
Program at the Clinical Center 
* Signed release of information forms to allow Criminal Record Background Check, Urine Drug Screen, health and 
other pertinent data to be provided to the Clinical Preceptorship Program and to the Clinical Center facilities where 
the student completes clinical experiences. 
8. Assure that all students have liability insurance in the amount of two million dollars ($2,000,000) per occurrence 
and four million dollars ($4,000,000) annual aggregate. Said coverage is to remain in full force and effect at all 
times, both present and future, relevant to the Agreement. Maryville shall furnish the Clinical Center with a 
certification with respect to said insurance, which certificate shall contain a statement of the extent and nature of 
the liability coverage. Such insurance will not be cancelled or materially altered unless the Clinical Center is 
notified in writing thirty days prior to such action. A decrease in the limits outlined above, unless approved by the 
Clinical Center, will require termination of this Agreement. 
9. In consultation with the appropriate Clinical Center staff, withdraw students from the Clinical Center when it is 
determined that the students’ performance or health is detrimental to the Clinical Center’s health care 
responsibilities. 
CLINICAL CENTER agrees that it will: 
1. Make facilities available for the Preceptorship Program that provide for the learning experiences of students, as 
determined by the facility in collaboration with the Clinical Center staff. 
2. Appoint qualified Clinical Center staff to supervise assigned students for the Preceptorship Program. The 
Clinical Center shall designate a qualified staff member who will be available for meetings with the faculty 
concerning the planning, implementation and evaluation of the student Preceptorship Program as shall be 
necessary. 
3. Ensure that the assigned students will participate in providing, under the direction of the participating Clinical 
Center staff, patient care and other services rendered at the Clinical Center as part of the students’ experiences. 
4, Conduct a complete orientation for students addressing the policies and procedures of the Clinical Center and the 
facilities of the Clinical Center, and will provide students with the necessary instructional material to be utilized 
during the Preceptorship Program. 
5. Maintain the confidentiality of personally identifiable student information as required by the Family Educational 
Rights and Privacy Act (“FERPA”). As such, the Clinical Center agrees that it will not publicly disclose, other than 
to those individuals with a legitimate educational interest, personally identifiable student information. If the 
Clinical Center has a question as to whether disclosure is permissible in a particular instance under FERPA, the 
Clinical Center should contact Maryville for guidance

6. Provide access to emergency health services to students during the hours of their clinical assignment. The student 
assumes responsibility for any expenses incurred. 
7. Notify Maryville’s teaching faculty immediately if a student’s performance or health is unsatisfactory or 
detrimental to the Clinical Center’s health care responsibilities. 
8. Complete evaluations of students’ performance at such times as called for by Maryville\. 
9. Provide assigned students with the opportunity to discuss their evaluations with the Clinical Center staff or 
designee. 
THE PARTIES SHALL MUTUALLY AGREE: 
1. To determine the number of students to be assigned to the Clinical Center as part of the Preceptorship Program. 
2. Not discriminate against any student in assignments to the Preceptorship Program based on race, color, gender, 
age, marital status, sexual orientation, religion, national origin, disability, Vietnam or disabled veteran status or any 
other characteristics protected by law. 
3. evaluate the experience offered, formulate plans and suggest changes for the succeeding year. 
4. have, no exercise or control over the means, manner or method by which the other performs its obligations 
under this Agreement. Nothing in this Agreement is intended or shall be construed to create an agency 
relationship, employment relationship or joint venture between the parties. Furthermore, neither party intends 
for this Agreement to alter in any way their respective rights or their legal obligations 
unless otherwise impacted by 
the Agreement’to one another, the students assigned to the Clinical Center or to any third party. 
5. Maryville will be responsible for instruction and administration of the students’ academic education program. 
School will have the final responsibility for grading students. 
That the terms of this Agreement shall begin on the date first above specified and shall continue until such time as 
either party hereto terminates or modifies this Agreement by mutual written consent. Either party may terminate 
this Agreement for any reason by providing the nonterminating party with written notice at least ninety days prior 
to the desired termination date, or at any time mutually agreed upon by the parties. Notwithstanding the notice 
requirement, either party may terminate this Agreement or remove a student from the Clinical Center at any time if 
the terminating or removing party determines that the Clinical Preceptor Program is jeopardizing student safety or 
patient care. 
This Agreement is subject to cancelation pursuant to A.R.S. § 38-511. 
This Agreement shall be interpreted pursuant to the law of the State of Arizona. Venue for any legal action 
pursuant to this Agreement shall be in Maricopa County, Arizona.

IN WITNESS WHEREOBF, the Parties hereto and the Dean of the College of Health Professions at Maryville and 
the authorized party at the Clinical Center have caused this Agreement to be executed on the day and year first 
above written. 
MARYVILLE UNIVERSITY OF ST. LOUIS 
By : 
Liab 
Qnbier? 
Name: Michelle Jenkins PT, 
     
Title: Dean 
, 
Walker College of Health Professions 
Date: 
uh IZ 
ZO022. 
By:   
Name: Karla S. Larson Ph.D, MSN RN 
Title 
: Assistant Dean for Nursing 
Date 
: 
MARICOPA COUNTY 
By:   
Name:   
Title: Chairman, Board of Supervisors 
Date: 
ATTESTED TO: 
By:   
Name:   
Title: Clerk of the Board 
Date: 
“LZ 
AS TO FORM: 
By: 
Name: Wayne J. Peck 
  
Title: Deputy County Attorney 
Date: 
April 12, 2021
4/12/2022