Va Form 10-0094g - Associated Health Education Affiliation Agreement
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4ASSOCIATED HEALTH EDUCATION AFFILIATION AGREEMENT
BETWEEN THE DEPARTMENT OF VETERANS AFFAIRS (VA)
AND AN EDUCATIONAL PROGRAM
Use when trainees are enrolled in an educational program approved by an accrediting body recognized
by the U.S. Department of Education or by the Council for Higher Education Accreditation (CHEA)
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VA NETWORK
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VA MEDICAL CARE FACILITY (including city and state)
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NAME OF EDUCATIONAL INSTITUTION (including city and state)
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PROGRAM/DISCIPLINE AND DEGREE(S)
This agreement, when duly executed and approved by the Department of Veterans Affairs (VA), establishes
an affiliation between VA, its Veterans Integrated Service Networks, the listed VA facility or facilities, and the
listed educational program for the academic purposes of enhanced patient care, education, and research. VA and
the affiliated educational institution have a shared responsibility for the academic enterprise. Ultimate
responsibility for the control and operation of VA facilities and programs rests with VA. Ultimate responsibility
for academic education rests with the affiliated institution. Additional responsibilities are delineated below.
TERMS OF AGREEMENT
Ultimate responsibility for the control and operation of VA facilities and programs rests with VA. Ultimate
responsibility for academic education rests with the participating institutions. Through this agreement, a
partnership is created to enable enhanced patient care, education, and research.
The participating institutions and VA comply with Title VI of the Civil Rights Act of 1964, section 504 of the
Rehabilitation Act of 1973, Title IX of the Education Amendments of 1972, Public Law 104-91, and the Age
Discrimination Act of 1975, and all related regulations, and assures that they do not, and will not, discriminate
against any person on the basis of race, color, sex, disability, or age under any program or activity receiving
federal financial assistance.
Nothing in this agreement is intended to be contrary to state or federal laws. In the event of conflict between
terms of this agreement and any applicable state or federal law, that state or federal law will supersede the terms
of this agreement. In the event of conflict between state and federal law, federal law will govern.
VA FORM 10-0094g
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