This agreement is made on the ________ day of _____________________, 20_______, between the Occupational Safety and Health Administration (OSHA), Washington, D.C. and School of Nursing/School of Public Health, _____________________________ (School or University), ___________________ (City).

Whereas, the parties desire to cooperate in the training of nursing students at the graduate level in occupational health, to facilitate a professional relationship between the student and OSHA representatives through research opportunities and educational experiences in the field of worker safety and health, and to promote the integration of occupational health theory with professional practice.

Therefore, the parties agree as follows:

1. Location of Affiliation
   The intern will be located primarily at OSHA’s National Office, Department of Labor, Washington, D.C. Some out-of-state travel may be required. (See section on Funding).
   


2. Duration of Internship
   The duration of individual internships will be eight (8) weeks. While at OSHA, the intern is expected to work 40 hours per week. Individual schedules will be coordinated with the OSHA preceptor. Federal holidays are observed. Sick leave is not compensated, but can be arranged if needed. Withdrawal by the intern requires two weeks notice. In such cases, the funding will be prorated according to hours completed.
   


3. Selection of Intern
   Interns will be selected by OSHA representatives based upon their application and possibly a telephone interview. Selection, advancement and retention of students and supervisors will be without discrimination on the basis of race, color, ethnic or national origin, sexual orientation, lawful political affiliation, marital status, age or disability. UNIVERSITY and SCHOOL warrant that they are in compliance with all applicable Federal, state and local nondiscrimination laws, including, if appropriate, sections 503 and 504 of the Rehabilitation Act of 1973.
   


4. Supervision of Interns
   Interns will be supervised and guided by the preceptors of the Office of Occupational Health Nursing, who will provide a written evaluation on each intern at the completion of the rotation. Each intern is to be assigned a faculty advisor from the school who will provide academic and theoretic guidance. Interns will comply with the rules and regulations of OSHA during their rotation.
   


5. Funding/Stipend
   As agency funding permits, OSHA agrees to provide to _________________________ (School or University) funding^* at a maximum amount equal to the current GS-9, step 1 hourly rate (GS Locality Pay Area of Washington – Baltimore – Northern Virginia) for the internship hours completed. These funds are provided to assist in defraying the student’s expenses while participating in the internship. All travel, lodging and subsistence expenses will be the responsibility of the student. However, when the student is required to travel to locations outside the Washington, D.C. metropolitan area for purposes of performing OSHA-related assignments, OSHA will pay normal government travel and per-diem rates for travel in excess of 12 hours in duration. Such travel will be authorized in advance by OSHA. ^*Please note thatin light of the current budget situation in the Federal government, there is no guarantee that there will be any money available to fund interns. If funding is not available at the stated level, a reduced funding level may be possible.
   

OSHA will pay the university six weeks after being billed for services. Bills may be submitted on a monthly basis or after the internship is completed. Bills are to be submitted to:

U.S. Department of Labor - OSHA
Office of Financial Management
200 Constitution Avenue, NW
Room N-3419
Washington, DC 20210
Attention: Financial Management Specialist


6. Performance Criteria
   Ethical and professional behavior is expected throughout the internship. The intern must abide by the regulations that have been established for employees and documented in the publication How to Keep Out of Trouble: A Summary of Ethics Rules for DOL Employees which refers to Standards of Ethical Conduct for Employees of the Executive Branch (Part I of executive Order 12674 and 5 CFR part 2635 regulation).
   
   Students will be expected to complete specific objectives, produce a product by the end of the internship, and assist in evaluation of the program.
   
7. Clinical Practice
   Because of licensing requirements and lack of professional liability for malpractice coverage, the interns are not permitted to practice clinical nursing or provide direct patient care during the internship rotation.
   


8. Insurance
   Interns are expected to maintain their own health and accident insurance.
   


9. Benefits
   A Nurse Intern is not a Federal employee. Service is not credible for leave accrual or any other Federal employee benefit.
   


10. Modification Amendment or Termination of Agreement
    This agreement may be altered, revised or amended from time to time by written agreement of the parties. This agreement will remain in effect until terminated at the request of either party with prior written notice of at least 14 calendar days.