Faculty Handbook 2020-2021

SUNY College of Optometry

Faculty Handbook 2020-21

In signing this agreement you agree to assume all the risks and responsibilities of participation in the College’s pre-clinical teaching laboratory and release the State of New York and the SUNY College of Optometry, their employees and students from any and all claims and any and all liability arising from or incurred as a result of your participation in this program.

I acknowledge that I have read this agreement, understand it, and sign it voluntarily, that no other arrangements or inducements, apart from this written agreement, have been made. I also understand that I may ask questions and I am free to withdraw from the program at any time.

____________________________________________ Printed Name of Subject

____________________________________________

________________

Signature of Subject

Date

For internal Use: Course(s) and dates in which this subject will be participating:

Signature and date of the responsible faculty supervisor(s):

This form must be returned to the Office of Academic Affairs with additional details provided to the subject. Copies must be filed in the relevant academic departments.

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