In consideration for and as a prerequisite of my participation in a student internship or experiential learning activity during my admission at FSC, hereinafter referred to as “The Activity”, I hereby knowingly and fully enter into this STUDENT INTERNSHIP INSURANCE COVERAGE, PERSONAL CONDUCT, ASSUMPTION OF RISK, WAIVER OF LIABILITY, COVENANT NOT TO SUE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT.
I acknowledge that FSC itself does not control the way in which the activity and activity site is structured and operates. In granting credit for this activity FSC affirms that, to the best of its judgment, the experience is an appropriate curricular or co-curricular option for students in a liberal arts program of study and worthy of FSC credit but makes no other assurances, representations, expressed or implied, about any travel and living arrangements the student has made.
FSC does not knowingly approve activities that pose undue risks to their participants. However, any activity or travel carries with it potential hazards which are beyond the control of FSC its agents and employees.
1. INSURANCE COVERAGE
I have sufficient health, accident, disability, and hospitalization insurance to cover me during the activity; I further understand that I am responsible for the costs of such insurance and for the expenses not covered by this insurance, and I recognize that FSC does not have an obligation to provide me with such insurance.
I assume full responsibility for any undisclosed physical or emotional problems that might impair my ability to complete the activity.
I understand that if I use my personal vehicle for the benefit of or during the activity, FSC, as further stated herein, has no liability for personal injury or property damage which may result from that use. I agree to rely solely on my personal vehicle insurance coverage and on any insurance coverage provided by the activity agency.
I understand that I will not be entitled to unemployment compensation benefits
upon completion of the activity.
As stated further herein, I understand that FSC assumes no liability from any
personal injury that I may suffer in the course of the activity and that I have released FSC from any liability, and I agree that it is my responsibility to ascertain whether the activity agency provides workers compensation coverage for me.
2. PERSONAL CONDUCT
I understand that the responsibilities and circumstances of an off-campus
activity may require a standard of professional decorum. Therefore, I indicate my willingness to understand and conform to the professional standards of the activity site.
I further understand that it is important to the success of the present activity and continuance of further activities that students observe standards of conduct that would not compromise FSC in the eyes of individuals and organizations with which it has dealings.
I acknowledge that the activity site Liaison and/or FSC Career Center personnel has the responsibility for setting rules and interpreting conduct for this purpose. I acknowledge that other than the above, FSC, does not have the right to control the daily activities of the student internship. I agree that should the activity site Liaison and/or the FSC Career Center personnel decide that I must be terminated from my activity because of conduct that might bring the program into disrepute, or the internship into jeopardy, that decision will be final and may result in loss of credit.
3. ASSUMPTION OF RISK
I understand that there are certain risks involved in the participation in a student activity. I am aware of a number of potential risks to my personal safety, all of which are beyond FSC's control. These risks include, but are not limited to, travel, the absence of telephones or other means of prompt communication in the community where I may travel, long distances that may separate me from emergency and law enforcement services, sub-standard conditions, exposure to detrimental health conditions, including exposures to illness resulting in death. I acknowledge that it is my responsibility to educate myself of the risks involved with my student internship that I may be exposed to while in service and I acknowledge that these risks exist and assume responsibility for such risks during my participation in the activity. I have made my own investigation of the stated and unstated risks, understand these risks, and assume them knowingly, willingly and voluntarily.
4. WAIVER OF LIABILITY AND COVENANT NOT TO SUE
I hereby RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE
FSC, its board, officers, administrators, servants, agents, coaches, and/or employees (hereafter collectively referred to as RELEASEES) from any and all liability, claims, demands, actions, and causes of action, whatsoever arising out of or related in any way to any loss, damage, sickness, injury, including but not limited to death, that may be sustained by me or to my property belonging to me WHETHER CAUSED BY ANY NEGLIGENCE, SIMPLE OR GROSS, OF THE RELEASEES, or otherwise, while participating in all aspects of the activity.
5. INDEMNITY AND HOLD HARMLESS
I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS THE
RELEASEES from any loss, liability, damage, or cost, including court costs and attorney's fees that may be incurred due to my participation in the student internship activity, WHETHER CAUSED BY THE NEGLIGENCE, SIMPLE AND/OR GROSS, OF THE RELEASEES, or otherwise. This agreement to indemnify and hold harmless includes claims made by me, my parent or others arising out of injury to me and/or others arising from in any way my participation in the student internship.
I further expressly agree that this Waiver and Assumption of Risk Agreement (the Agreement”) is intended to be as broad and inclusive as is permitted by the laws of the State of Florida and that if any portion of the Agreement is held to be invalid, that the balance shall, notwithstanding, continue in full legal force and effect.
7. KNOWING AND VOLUNTARY EXECUTION
It is my intent that this Assumption of Risk, Waiver of Liability and Covenant Not to Sue, Indemnification, and/or Hold Harmless Agreement shall bind the members of my family and spouse, if I am alive, and my heirs, assigns, and personal representatives, if I am deceased, and shall be deemed as a complete assumption of risk, release, waiver of liability, covenant not to sue, indemnification, hold harmless agreement, and covenant not to sue the above-named RELEASEES as set forth herein. I hereby further agree that this Student Internship Insurance Coverage, Personal Conduct, Assumption of Risk, Waiver of Liability, Covenant Not To Sue, Indemnification, and Hold Harmless
Agreement shall be construed in accordance with the laws of the State of Florida.
In signing this Student Internship Insurance Coverage, Personal Conduct
Assumption of Risk, Waiver of Liability, Covenant Not To Sue, Indemnification and Hold Harmless Agreement, I acknowledge and represent that: I have read this form in its entirety, understand it, and sign it voluntarily as my own free act and deed; no oral representations have been made to me different than what is contained in this document; I am at least eighteen (18) years of age and fully competent; I execute this Student Internship, Insurance Coverage, Personal Conduct, Assumption of Risk, Waiver of Liability, Covenant Not To Sue, Indemnification and Hold Harmless Agreement for full, adequate and complete consideration, fully intending to be bound by the same.