AFFILIATION AGREEMENT

BETWEEN

STATE UNIVERSITY OF NEW YORK

COLLEGE AT CORTLAND

AND

_______________________

AMENDMENT

Dated: __________

This AMENDMENT is hereby included in and made part of the affiliation agreement whether or not attached thereto. All requirements of the original affiliation agreement shall remain in force except as noted.

THE PURPOSE OF THIS AMENDMENT IS TO:

include the Community Health discipline.

amend Exhibit B to include the Health Department Requirements and Objectives for the Field Work Experience.

All other agreement terms and conditions remain the same.

Agreed and Accepted:	STATE UNIVERSITY OF NEW YORK COLLEGE AT CORTLAND

By ___________________________ Date ________________

Melissa A. Fox

Director of Purchasing and Accounts Payable

SUNY Cortland

Agreed and Accepted:	_______________________

By ___________________________ Date _________________

Name:

Title: