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DocuSign Envelope ID:9C771219-CEEB-46F8-B1D1-540A276BB81A <br /> 4. INDEPENDENT CONTRACTOR. The parties acknowledge the independence and <br /> autonomy of each as independent contractors. Neither party's agents, employees, <br /> representatives, or students shall be considered as agents, employees, <br /> representatives, or students of the other party. This agreement shall not be <br /> construed as establishing a partnership, joint venture or similar relationship <br /> between the parties. <br /> 5. CONFIDENTIALITY. FTCC agrees that information made available to its students <br /> under this agreement may be confidential, and FTCC agrees to advise its students, <br /> agents, faculty, representatives and employees of the necessity to observe such <br /> confidentiality. Any unauthorized disclosure of confidential information shall be a <br /> material breach of this agreement entitling the Agency to cancel the same upon <br /> ten (10) days' notice to FTCC, provided that any non-offending student shall be <br /> allowed to complete the Program if not more than six (6) months is required to do <br /> so. <br /> 6. RESPONSIBILITIES OF AGENCY. The Agency shall: <br /> a. Accept FTCC students for clinical education without regard to race, color, <br /> national origin, religion, sex, age, disability or political affiliation. <br /> b. Notify FTCC of any requirements Agency may have requiring Students to <br /> present to Agency evidence of a criminal background check and any other <br /> evidence that he/she has not currently been excluded, suspended, debarred or <br /> otherwise ineligible to participate in federal health care programs. Any such <br /> evidence obtained by Agency from Student shall not be shared with FTCC. <br /> Agency or Students shall bear the burden of the expense of any background <br /> checks required by Agency. Records checks shall be conducted by such <br /> agency or company that is agreeable to both College and Facility. If Agency <br /> refuses to allow any Student to participate in a clinical rotation because of a <br /> background check that results in information deemed unacceptable by the <br /> Agency, Agency shall afford the student an opportunity to appeal any such <br /> decision. Any appeal granted pursuant to this section may be informal, but at a <br /> minimum shall allow the Student to present oral or documentary evidence <br /> related to the information obtained by the Agency. <br /> c. Make available the clinical areas pertinent for FTCC student learning <br /> experiences, including the necessary equipment and supplies. <br /> d. Provide responsible supervision for FTCC students assigned to the Agency. <br /> e. Have sole responsibility for patient care involved in the education process. <br /> f. Provide space for FTCC student conferences as necessary. <br /> FTCC Affiliation Agreement Page 2 of 6 <br /> Format revised:11/2015 <br />