Questions?

509.372.7297
Fax 509.372.7377
Anna Mitson

Washington State University Tri-Cities

Career Services
2710 University Drive
Richland , WA 99354

Student Duties

What opportunities exist for student learning?

Preferred Skills/Experience/Academic Program:

What should student participants know prior to engaging in this activity?

Day(s) &/or time(s) for this position: Minimum time commitment (e.g. hours, weeks, semester etc.)

How many positions/students can you accommodate?

Position is available in (check all that apply):

Fall (August) ¨
Spring (January
Summer (May)

Required Orientation/Training?

Yes No

Time commitment for training?

Please include any orientation and/or set-up time in the project duration

Special instructions for students (e.g. appropriate clothing)

In consideration of the opportunity to participate in the Washington State University Tri-Cities Civic Engagement program, and on behalf of the agency/organization listed above, I agree to :

•  Provide the WSU Tri-Cities Student Affairs-Career Services with descriptions
of service opportunities for students.

•  Provide students with orientation and training specific to organizational purpose,
policies, and activity in which they will be engaged.

•  Provide supervision, mentoring, and support for students to achieve academic
learning objectives while meeting community needs.

•  Maintain communication with the Career Services re: student performance,
project status, agency needs.

•  Explicitly state risks related to a particular activity so that students can
knowledgeably agree to participate.

•  Carry adequate liability and medical insurance coverage attendant to the
risk involved in the agency activity.

•  Not expose students to any unusual hazards.

•  Allow WSU to obtain a criminal history background check of agency
member working with students under RCW 43.43.830-842.

•  Meet all state and federal safety and health requirements.

•  Comply with all applicable state and federal laws, regulations, and policies.

•  Indemnify and hold WSU harmless for the acts of the agency and of the student
while engaging in an agency activity.

•  Sign and verify student participation on the Monthly Record of Service Hours sheet.

My submission of this form acknowledges the terms of the agreement outlined above. Further, I understand that there is a non-refundable application fee of $10.00 and WSU Tri-Cities cannot guarantee the availability and referral of student participants for this activity .

If you have any additional comments or questions, please feel free to contact us at (509) 372-7297. We look forward to continuing our partnership with you!