This agreement is made on the __________ day of ____________________, 20___, between the
Occupational Safety and Health Administration (OSHA), Washington, D.C. and
College / School of Nursing/ College / School of
Public Health, University of __________________________________________,
____________________________.
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:
- Location of Affiliation:
The intern will be located primarily at OSHA’s National Office, United States Department of Labor (DOL),
Washington, D.C. Some out-of-District travel may be required. (See section 5, Funding).
- 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 will be observed.
Sick leave is not compensated. However, periods of nonperformance due to illness,
injury or other circumstances should be coordinated by the intern as needed.
Withdrawal from the internship by the intern requires two weeks notice.
In such cases, the funding will be prorated according to hours completed.
- 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, religion, gender, sexual or
affectional preference, lawful political affiliation, marital status, age or disability. The
contracting university warrants 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.
- 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 all DOL
and OSHA rules and regulations during their rotation.
- Funding:
OSHA agrees to provide the __________________________________________for the internship hours
(University)
completed at the current GS-11, step-1 rate. These funds are provided to assist in defraying the student's
expenses while participating in this 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.
OSHA will pay the university approximately six weeks after being billed for services. Bills may be
submitted on a monthly basis or after the internship is
completed. The university should submit requests for reimbursement 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
- Performance Criteria:
Ethical and professional behavior is expected throughout the internship. The
intern must abide by all the rules and regulations that have been established for
United States Department of Labor (DOL) employees, including but not limited
to ethical behavior, information security, etc. Graduate nurse interns are expected
to complete specific program objectives, produce the assigned product by the end of
the internship, and assist in evaluation of the program.
- 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 as part
of the internship rotation.
- Insurance:
Interns are expected to maintain their own health and accident insurance.
- Benefits:
A Nurse Intern is not a Federal employee. Service is not credible
for leave accrual or any other Federal employee benefit.
- 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.
Approved by:
______________________ For University of _____________________________, _____________
(Signature) (Date)
______________________
(Printed Name)
______________________ Student
______________
(Signature)
(Date)
______________________
(Printed Name)
______________________ Director, Directorate of Technical Support ______________
(Signature) and Emergency Management (Date)
Occupational Safety and
Health Administration
______________________
(Printed Name)
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