INTERNSHIP / WORK EXPERIENCE HOSTING AGREEMENT
(FOR STUDENTS ENROLLED IN AN AUSTRALIAN INSTITUTION)
1. UNIVERSITY OF ADELAIDE
HOSTING AREA
[insert Faculty / School / Centre]
ADDRESS
[insert address]
UNIVERSITY SUPERVISOR
2. HOME INSTITUTION
NAME
NAME
PHONE
E-MAIL
[insert name of Institution]
ADDRESS
CONTACT DETAILS
ATTENTION
PHONE
E-MAIL
3. STUDENT
NAME
DEGREE
HOME ADDRESS
EMERGENCY CONTACT PERSON
EMERGENCY CONTACT NUMBER
4. INTERNSHIP / WORK EXPERIENCE DETAILS
START DATE
END DATE
[insert specific days or “two days a week to be agreed between the Student
DAYS
and Host Organisation”]
EXPECTED HOURS OF W ORK
xx:xx to xx:xx with xx hours meal break
LOCATION
INTERNSHIP / W ORK EXPERIENCE
ACTIVITIES

5. INSURANCES REQUIRED

6. COMPLETION CERTIFICATION /
REPORTS
Home Institution must maintain public liability insurance to a limit of $20
million per any one event for an act or omission on the part of the
Student that results in injury, loss or damage
Home Institution must maintain personal accident insurance for Student
[Home Org / Student to specify if UA has to provide any reports / certification
that Student has undertaken the internship]
Version: November 2014
For the current version of this template, please refer to the Legal and Risk website (www.adelaide.edu.au/legalandrisk)
1.
2.
INTERNSHIP / WORK EXPERIENCE
1.1
The University of Adelaide agrees to host the Student to undertake the Internship /
Work Experience.
1.2
The Student and Home Institution warrant that the Internship / Work Experience is to
fulfil a mandatory requirement of the Student’s course of study and constitutes a
“vocational placement” as defined in the Fair Work Act 2009 (Cth).
1.3
The parties agree that there is no intention to create an employer/employee relationship
between the University of Adelaide and the Student under this Agreement.
1.4
The Student will not be entitled to remuneration or payment or similar benefit (of any
form) for the Internship / Work Experience.
UNIVERSITY OF ADELAIDE RESPONSIBILITIES
2.1
3.
4.
The University of Adelaide will:
2.1.1
make available the Supervisor or other suitably qualified and experienced
personnel to supervise the Student whilst undertaking the Internship / Work
Experience;
2.1.2
provide the Student with an orientation (including in relation to workplace
health and safety) prior to or at the start of the Internship / Work Experience;
2.1.3
provide the Student with all policies and procedures of the University of
Adelaide relevant to the undertaking of the Internship / Work Experience; and
2.1.4
provide the Completion Certification or Reports as agreed in the Schedule.
HOME INSTITUTION RESPONSIBILITIES
3.1
The Home Institution must maintain the insurances identified in the Schedule as the
Home Institution’s responsibility.
3.2
The Home Institution indemnifies the University of Adelaide from and against any
claims, liability, damages or expenses arising out of any injury, loss or damage caused
by the Student whilst undertaking the Internship / Work Experience. The Home
Institution’s liability to indemnify the University of Adelaide shall be reduced
proportionally to the extent that any negligent act or omission by the University of
Adelaide contributed to such injury, loss or damage.
STUDENT’S RESPONSIBILITIES
Whilst undertaking the Internship / Work Experience, the Student agrees:
4.1
to be punctual and attend the Internship venue on agreed Internship days and to
promptly notify the University of Adelaide supervisor if the Student is unable to attend;
4.2
to comply with the University of Adelaide’s policies and procedures and abide by all
reasonable instructions given by the University of Adelaide;
4.3
to behave responsibly, respectfully and ethically;
Version: November 2014
For the current version of this template, please refer to the Legal and Risk website (www.adelaide.edu.au/legalandrisk)
-3-
5.
6.
7.
4.4
not to do any act which gives rise to a conflict of interest or be detrimental to the best
interests of the University of Adelaide;
4.5
to promptly notify the University of Adelaide supervisor and the Home Institution of any
injury or accident sustained by the Student;
4.6
that it is the Student’s own responsibility to comply with the terms of the Student’s visa;
and
4.7
to maintain the insurances identified in the Schedule as the Student’s responsibility.
DISCIPLINARY MATTERS
5.1
If the Student fails to comply with the Student’s responsibilities under clause 4, the
University of Adelaide may notify the Home Institution and the parties will discuss a
course of action for dealing with the Student.
5.2
Notwithstanding clause 5.1, if in the reasonable opinion of the University of Adelaide,
the Student has acted in a manner that places the safety, security or reputation of the
University of Adelaide or any of its personnel or students at risk, the University of
Adelaide may:
5.2.1
restrict the Student’s access to specified premises or facilities;
5.2.2
remove the Student from the University of Adelaide premises; and/or
5.2.3
terminate this Agreement immediately upon giving notice to the Student and
the Home Institution.
CONFIDENTIALITY
6.1
The Student acknowledges that data; know-how; trade secrets; client patient or supplier
lists; personnel and student personal information; financial and business information of
the University of Adelaide; and any information designated by the University of
Adelaide as being “confidential”, is Confidential Information of the University of
Adelaide.
6.2
The Student must not disclose the Confidential Information to any third party and must
not use the Confidential Information in any way other than for the purposes of the
Internship / Work Experience. If the Student wishes to include Confidential Information
in any reports, presentations or other materials created to meet the assessment
requirements of the Student’s course of study, the Student must first obtain the
permission of the University of Adelaide.
INTELLECTUAL PROPERTY
7.1
Unless otherwise required by the University of Adelaide to enter into a Student Project
Participation Agreement, ownership of all Intellectual Property developed or created by
the Student in the course of the Internship / Work Experience (“Developed IP”) will vest
in the Student. The Student grants the University of Adelaide a non-exclusive, royaltyfree, perpetual licence to use the Developed IP for the University of Adelaide’s teaching
or research purposes.
7.2
For the purposes of this clause 7, “Intellectual Property” means any patent, copyright,
design, trade mark, eligible layout or similar whether at common law or conferred by
statute, rights to apply for registration under a statute in respect of those or like rights
and rights to protect trade secrets, know-how, good will and confidential information.
Version: November 2014
For the current version of this template, please refer to the Legal and Risk website (www.adelaide.edu.au/legalandrisk)
-48.
GENERAL
8.1
This Agreement records the entire agreement between the parties with respect to the
Internship. It supersedes all prior contracts, obligations, representations, conduct and
understandings.
8.2
This Agreement may be amended only by written agreement of all parties.
8.3
The laws of South Australia govern this Agreement and each party irrevocably submits
to the non-exclusive jurisdiction of the courts of South Australia.
EXECUTED as an agreement
Signed for and on behalf of The University of
Adelaide:
Name:
………………………………………………………….
Position:
Date:
Signed for and on behalf of the Home Institution:
Name:
………………………………………………………….
Position:
Date:
Signed by the Student:
Name:
………………………………………………………….
Date:
Version: November 2014
For the current version of this template, please refer to the Legal and Risk website (www.adelaide.edu.au/legalandrisk)