HU HealthWorks Co-op Program: Student Statement of Understanding Student Name: ____________________________________ Hofstra ID #: _______________________________________ Semester Term:____________________________________ Employer Placement Site:__________________________ As a participant in Hofstra University School of Health Sciences’ HealthWorks Co-op Program, I understand and agree to the following expectations and responsibilities: Professional Engagement and Commitment: I agree to fully participate in all HUHW Co-op activities before, during and after the program. I will meet all responsibilities and complete the full duration of the program, provided my performance remains satisfactory. I understand that academic credit may be awarded for certain components of the overall experience (e.g., before, during, or after the Co-op). I will ensure my performance meets the standards required to complete the Co-op successfully. Learning Objectives: I will work with my employer mentor/supervisor to establish measurable and meaningful learning goals and objectives before my Co-op placement begins. I will participate and complete all requited evaluations and assignments from the University and my assigned employer mentor/supervisor. Professional Conduct: I will report to and communicate regularly with my assigned employer mentor/supervisor and maintain professionalism in all actions and interactions. I will actively communicate with and respond to all inquiries and requests from HUHW Co-op sta¯ and related faculty. Compliance with Workplace Policies: I will adhere to all federal, state, and local laws, as well as University rules and policies as detailed in the Hofstra University Handbook and Bulletin. I will complete all requirements and comply with all policies and procedures specified by my employer/placement organization as detailed in the a¯iliation agreement between Hofstra University and my employer/placement organization, including, pre-placement health and other requirements of my employer/placement organization. Equity and Respect: I will contribute to a respectful, inclusive, and harassment-free environment, and comply with Hofstra University’s and the employer’s nondiscrimination and harassment policies. Compensation and Tax Documentation: I understand that I have been selected for a compensated Co-op position, which may be paid through wages or a stipend. I am required to complete all necessary payroll documentation, including tax forms such as the W-4 and I-9. I acknowledge that I am responsible for tracking my earnings and meeting any applicable tax obligations. International Student Enrollment (if applicable): I understand that I must meet with Hofstra University’s International Student Enrollment team to 1) obtain permission to complete my Co-op; 2) complete all documentation required; and 3) comply will all applicable policies and procedures outlined by International Student Enrollment. By signing below, I a¯irm that I have read and understand my responsibilities as a participant in the HU HealthWorks Coop Program.
______________________________ Student Name (Printed)
____________________________ Student Signature
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