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Fellowship Agreement Form

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FELLOWSHIP AGREEMENT

This Fellowship Agreement (the Agreement) is entered into between the parties set forth below for the purpose of establishing the terms and conditions under which the fellowship is granted, including duties, duration, stipend and institutional obligations.

Parties and Fellow Information

Date of Birth:    Student ID:    Program / Department:

Institution / Sponsor

Term and Place of Fellowship

Fellowship Period Commencement Date:    Fellowship Period End Date:

Fellow Duties and Obligations

The Fellow shall perform professional duties described below in a manner consistent with institutional policies and the reasonable direction of the supervising faculty or program director. Duties shall include, but are not limited to:

Stipend, Benefits and Tuition

Payment Frequency:

Tuition Remission or Fee Support Provided: Amount / Terms:

Taxes, Benefits and Insurance

The Fellow understands that stipend payments may be subject to applicable taxes and that the Institution makes no guarantee of employment benefits unless expressly stated. The Fellow is responsible for tax reporting and for obtaining personal insurance where required. The Institution will provide benefits only as explicitly stated in this Agreement or accompanying policies.

Intellectual Property and Publications

Confidentiality and Data Security

Termination and Suspension

This Agreement may be terminated by the Institution for cause immediately upon written notice for breach, misconduct, or failure to perform duties. The Institution may terminate without cause upon days written notice. The Fellow may resign upon providing days written notice and must comply with any transition obligations specified by the Institution.

Compliance and Policies

The Fellow agrees to comply with institutional policies, applicable laws, and any research compliance requirements. The Fellow acknowledges that violation of policies may result in disciplinary action, including termination of the fellowship.

Reporting and Evaluation

Evaluation frequency and reporting requirements:

Notices

All notices under this Agreement shall be in writing and delivered to the addresses set forth below or to such other address as either party may designate in writing.

Representations, Warranties and Indemnification

Each party represents and warrants that it has full authority to enter into this Agreement. The Fellow agrees to indemnify and hold the Institution harmless from third-party claims arising from the Fellow’s negligent acts or omissions in performance of duties, except to the extent caused by the Institution’s gross negligence or willful misconduct.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the state in which the Institution's primary campus is located, without regard to choice-of-law rules.

Acknowledgment

By signing below, the Fellow and the Institution acknowledge that they have read, understand, and agree to be bound by the terms of this Agreement, including institutional policies referenced herein.

Fellow:

Print Name:

By (Signature):

Date:

Institution Representative:

Print Name:

By (Signature):

Date:

Enter text✕

What the Fellowship Agreement Form Is and Covers

The Fellowship Agreement Form documents the terms governing a fellowship placement between a sponsoring organization and an individual fellow. It sets start and end dates, duties and responsibilities, compensation or stipend, intellectual property and publication rights, confidentiality obligations, termination conditions, and dispute resolution. The form may also reference institutional policies, benefits, and required certifications or training. In electronic workflows the form supports e-signature compliance under the ESIGN Act and applicable state UETA laws, secure storage, and audit trails to demonstrate execution and retention.

Why a Clear Fellowship Agreement Matters

Use the Fellowship Agreement Form to establish clear expectations, protect institutional and fellow rights, and document compensation and compliance requirements. A complete form reduces disputes, supports regulatory recordkeeping, and provides an enforceable written agreement suitable for electronic execution under ESIGN and UETA.

Why a Clear Fellowship Agreement Matters

Who Typically Completes or Signs This Form

Typical signers include academic institutions, hospitals, research centers, and the individual fellow taking the appointment.

  • Academic departments formalizing clinical or research training positions and administrating grant-funded fellowships.
  • Hospitals and health systems onboarding clinical fellows under institutional credentialing and supervision policies.
  • Nonprofit research centers and government labs defining scope, reporting, and indemnity provisions.

Choose the signer list that matches the fellowship type and institutional structure to ensure proper authority and recordkeeping.

Essential Sections to Include in the Fellowship Agreement Form

Core sections every Fellowship Agreement Form should include to protect parties, define obligations, and meet institutional and legal requirements and reporting duties.

Term

Specify start and end dates, renewal options, probationary periods, and conditions for extension or early termination. Clear term language prevents disputes over appointment length and benefits eligibility.

Duties

Describe fellow responsibilities, expected deliverables, supervision arrangements, reporting lines, teaching or clinical duties, and performance review criteria. Use measurable milestones where possible and include a timeline for assessments annually.

Compensation

State stipend amount or salary, payment schedule, benefits eligibility, reimbursements, and conditions for modifications. Include tax treatment and any relocation allowances and funding source or grant identifier when applicable.

IP

Define ownership of inventions, patents, copyrights, and data created during the fellowship. Specify assignment, publication rights, obligations to disclose inventions to the sponsor, and procedures for commercialization.

Confidentiality

Describe nondisclosure obligations, duration of confidentiality, permitted disclosures, and data protection requirements. Address patient privacy and HIPAA requirements, including required authorizations and recordkeeping.

Governing Law

Identify the chosen governing state law, dispute resolution method, arbitration or court venue, and any venue-specific provisions. Clarify choice for contract interpretation and enforcement and limitations on remedies.

Step-by-Step Checklist to Complete and Execute the Agreement

This step-by-step checklist helps complete the Fellowship Agreement Form accurately and prepare it for secure execution and filing.

  • 01
    Collect Info: Gather names, dates, addresses, stipend, and sponsor details.
  • 02
    Draft Terms: Insert duties, IP, confidentiality, and governing law.
  • 03
    Review: Obtain institutional legal and HR review before finalizing.
  • 04
    Execute: Collect signatures, dates, and any required witness or notary acknowledgements.

How to Configure an Online Workflow for the Form

Configure an online workflow to route, authenticate, and store the Fellowship Agreement Form for audit and compliance.

Field Configuration
Signer authentication and verification method Email link plus SMS OTP or KBA
Routing order and parallel approvals Sequential routing with institutional approver roles
Required attachments and exhibits Resume, certifications, sponsor letter, and training plan
Document retention and audit trail Enable audit trail, store signed PDF and metadata

Distribution Options and Technical Considerations

Digital distribution options for the Fellowship Agreement Form and considerations for security, accessibility, and recipient experience.

  • Email: Secure encrypted delivery with audit trail.
  • Signing Link: Time-limited link with optional password.
  • In-person Kiosk: Tablet or terminal signing.

Timing Considerations and Typical Deadlines

Key timing obligations for completing and retaining the Fellowship Agreement Form during onboarding and program administration.

Submit signed form to HR:

Before start date for payroll setup.

Provide to Credentialing Office:

At least two weeks before clinical duties.

File with Grant Administrator:

Per sponsor schedule and budget terms.

Notarization or witness:

If required, complete during execution.

Record retention start date:

Retention begins on execution date.

Common Mistakes to Avoid When Preparing the Form

  • Leaving compensation vague or undefined (for example, 'reasonable stipend') leads to disputes, payroll errors, and difficulties enforcing payment obligations under grant terms.
  • Failing to identify intellectual property ownership creates conflicts over data, patents, and publications; include explicit assignment clauses and procedures for disclosure and commercialization.
  • Omitting required institutional approvals, supervisor signatures, or credentialing verifications delays start date, may suspend clinical privileges, and can breach sponsor conditions.
  • Using inconsistent names, dates, or addresses across related HR and payroll forms triggers TIN mismatches, benefits errors, and possible backup withholding.

Key Risks and Potential Penalties from Errors

Tax Withholding: Missing/incorrect TIN can cause 24% withholding.
HIPAA Exposure: Improper disclosures risk HIPAA penalties.
Grant Noncompliance: May require repayment or funding suspension.
Visa/Immigration: Incorrect terms can affect immigration status.
Notarization Errors: Missing notarization can void execution.
Litigation Risk: Ambiguities increase litigation and defense costs.

eSignature Pricing and Feature Comparison for Executing the Form

Comparison of common e-signature plans and key features to support selection of a platform for electronic execution of fellowship agreements.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo billed annually (Business) $15/user/mo billed annually $14/user/mo billed annually $19/user/mo billed annually $15/user/mo billed annually
Free Trial 7-day free trial, no credit card required Trial terms vary by plan and vendor Trial terms vary by plan and vendor Trial terms vary by plan and vendor Trial terms vary by plan and vendor
Bulk Send Bulk send available on higher tiers Bulk send offered on paid tiers Bulk send offered on paid tiers Bulk send offered on paid tiers Bulk send availability varies by plan
Audit Trail Full audit trail and certificate of completion Full audit trail and certificate included Full audit trail and certificate included Full audit trail and certificate included Full audit trail and certificate included
HIPAA Compliant HIPAA available with BAA HIPAA available with BAA HIPAA available with BAA HIPAA not advertised broadly HIPAA not advertised broadly
Envelope Cap No envelope cap; usage-based Site License available Limits to 100 envelopes/user/year on some plans Limits depend on plan Limits depend on plan Limits depend on plan

Frequently Asked Questions About the Fellowship Agreement Form

Answers to common questions about completing, signing, and validating a Fellowship Agreement Form, including electronic execution and compliance considerations.


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