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FRESH Hold Harmless Agreement - Cornell Career Services ...

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8. I acknowledge that the terms and conditions of this externship agreement and this release<br />

indemnification and hold harmless agreement are contractual in nature and not mere recital.<br />

**PRINT NAME:<br />

**SIGNATURE:<br />

DATE:<br />

**Home Address:<br />

**Home City, State Zip:<br />

**Home Phone: ( ) **Cell phone: ( )<br />

**March Address:<br />

**March City, State Zip:<br />

**March Phone: ( ) **Dates of March Address:<br />

**<strong>Cornell</strong> E-mail Address:<br />

**March E-mail Address:<br />

<strong>FRESH</strong> Organization:<br />

<strong>FRESH</strong> Sponsor Name:<br />

Externship Address:<br />

Externship City, State Zip:<br />

Phone: ( ) Fax: ( )<br />

WITNESS SIGNATURE:<br />

Witness Name (please print):<br />

DATE:<br />

Return form to: Rita Boratav, <strong>Cornell</strong> <strong>Career</strong> <strong>Services</strong>, 203 Barnes Hall, <strong>Cornell</strong> University, Ithaca,<br />

NY 14853

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