Community Shadowing Sign Up Form

MUSHROOM does count as a Community Shadowing Experience for PDCI 1 but this must be prescheduled and assigned by the PDCI office. Community Shadowing hours cannot be applied toward the School of Medicine service hour requirement. All other participation in MUSHROOM qualifies for service hour credit.

Please choose a date and sign up next to one of the slots. Each slot has an item listed. Please bring the item listed next to your name. The items are water bottles (approx. a dozen or what can be carried in your backpack comfortably), juice boxes (approx. a dozen or what can be carried in your backpack comfortably), crackers (approx. a dozen or what can be carried in your backpack (individually wrapped packs of crackers) and fresh fruit (oranges, bananas (soft fruit that can be easily peeled).

Please wear comfortable clothing (jeans and sneakers) and carry a backpack. If you have a flashlight, stethoscope, and/or blood pressure cuff - please bring them with you. 

On Tuesdays the group will meet at St. John University Parish parking lot (enter through Beechurst Ave) Morgantown WV at 5:30 pm. . If you must cancel or need more info. or directions, please contact:

Kim Sblendorio

West Virginia University

Position

Coordinator Student Programs, Family Medicine

Phone

304-598-4000

• View Kim Sblendorio’s Profile
• Send Kim Sblendorio an Email

To sign up please take the following steps:

• Scroll down and find a time slot that is still available.
• Fill out the form that is located below to submit your time slot

PLEASE NOTE: ROUNDS HAVE BEEN CHANGED TO TUESDAYS INSTEAD OF WEDNESDAYS

September 9, 2025

     LEADER SIGN-UP:

1. LEADER #1 (PICK UP SUPPLIES) -
2. LEADER #2 - 

     GENERAL STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - 
3. CRACKERS - 
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - Anthony Colangelo
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE -

    OT/PHARM STUDENT SIGN-UP:

1. SNACK - Kylie Skorvan
2. JUICE - Halley Snyder
3. CRACKERS - Madison Rose
4. CRACKERS - Haley Meade
5. ITEM OF YOUR CHOICE - Riley Patrick (crackers)
6. ITEM OF YOUR CHOICE - Gracie Wright (crackers)
7. ITEM OF YOUR CHOICE - Emma Miller (crackers)
8. ITEM OF YOUR CHOICE - Lily Markowski (juice)
9. ITEM OF YOUR CHOICE - Mitchell Cushy (juice)
10. ITEM OF YOUR CHOICE - Jesse Gordon (water)
11. ITEM OF YOUR CHOICE - Kody Weidman (juice)
12. ITEM OF YOUR CHOICE - Lily Markowski (juice)
13. ITEM OF YOUR CHOICE - Zoe Tsikouris (crackers)
14. ITEM OF YOUR CHOICE – Jacklyn Power (water)

September 23, 2025

     LEADER SIGN-UP:

1. LEADER #1 (PICK UP SUPPLIES) -
2. LEADER #2 - 

     GENERAL STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - 
3. CRACKERS - 
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - Mary Elizabeth Ritchie
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE -

    OT/PHARM STUDENT SIGN-UP:

1. SNACK - Abby Retassie (Granola Bars)
2. JUICE - Chase Wilcox
3. CRACKERS - McKenna Popish
4. CRACKERS - Marissa Davis
5. FRUIT -
6. ITEM OF YOUR CHOICE - Brooklyn Grant (juice boxes)
7. ITEM OF YOUR CHOICE - Halianna Holliday (water bottles)
8. ITEM OF YOUR CHOICE - Hailey Gray (water bottles)
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE - 
11. ITEM OF YOUR CHOICE -
12. ITEM OF YOUR CHOICE -

October 7, 2025

     LEADER SIGN-UP:

1. LEADER #1 (PICK UP SUPPLIES) -
2. LEADER #2 - 

     GENERAL STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - 
3. CRACKERS - 
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - Kathleen Harrison
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE -

    OT/PHARM STUDENT SIGN-UP:

1. SNACK - Alyssa Schepis
2. JUICE - Halley Snyder
3. CRACKERS - Jared Balewski
4. CRACKERS - Zoe Tsikouris
5. FRUIT - 
6. ITEM OF YOUR CHOICE - 
7. ITEM OF YOUR CHOICE - Inez Behrens (juice boxes)
8. ITEM OF YOUR CHOICE - Claire VanGilder (water bottles)
9. ITEM OF YOUR CHOICE -  Kayley Demarest
10. ITEM OF YOUR CHOICE - 
11. ITEM OF YOUR CHOICE -
12. ITEM OF YOUR CHOICE -

October 21, 2025

     LEADER SIGN-UP:

1. LEADER #1 (PICK UP SUPPLIES) -
2. LEADER #2 - 

     GENERAL STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - 
3. CRACKERS - 
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - Cecelia Bechtel
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE -

    OT/PHARM STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - Bethany Tanner
3. CRACKERS - Madison Trippett
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - Evan Anderson (water bottles)
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE - 
11. ITEM OF YOUR CHOICE -
12. ITEM OF YOUR CHOICE -

November 4, 2025

     LEADER SIGN-UP:

1. LEADER #1 (PICK UP SUPPLIES) -
2. LEADER #2 - 

     GENERAL STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - 
3. CRACKERS - 
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - 
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE -

    OT/PHARM STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - 
3. CRACKERS -
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - Serena Saleh (hand sanitizers and hand warmers)
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE - 
11. ITEM OF YOUR CHOICE -
12. ITEM OF YOUR CHOICE -

November 18, 2025

     LEADER SIGN-UP:

1. LEADER #1 (PICK UP SUPPLIES) -
2. LEADER #2 - 

     GENERAL STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - 
3. CRACKERS - 
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - 
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE -

    OT/PHARM STUDENT SIGN-UP:

1. SNACK - Abby Retassie (Granola Bars)
2. JUICE - Ryan Virgili
3. CRACKERS -
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - 
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE - 
11. ITEM OF YOUR CHOICE -
12. ITEM OF YOUR CHOICE -

December 2, 2025

     LEADER SIGN-UP:

1. LEADER #1 (PICK UP SUPPLIES) -
2. LEADER #2 - 

     GENERAL STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - 
3. CRACKERS - 
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - 
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE -

    OT/PHARM STUDENT SIGN-UP:

1. SNACK - 
2. FRUIT - Blake Hendricks
3. CRACKERS - Emma Miller
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - Gavin Legg (water)
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE - 
11. ITEM OF YOUR CHOICE -
12. ITEM OF YOUR CHOICE -

December 16, 2025

     LEADER SIGN-UP:

1. LEADER #1 (PICK UP SUPPLIES) -
2. LEADER #2 - 

     GENERAL STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - 
3. CRACKERS - 
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - 
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE -

    OT/PHARM STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - 
3. CRACKERS -
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - 
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE - 
11. ITEM OF YOUR CHOICE -
12. ITEM OF YOUR CHOICE -

December 30, 2025

     LEADER SIGN-UP:

1. LEADER #1 (PICK UP SUPPLIES) -
2. LEADER #2 - 

     GENERAL STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - 
3. CRACKERS - 
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - 
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE -

    OT/PHARM STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - 
3. CRACKERS -
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - 
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE - 
11. ITEM OF YOUR CHOICE -
12. ITEM OF YOUR CHOICE -

January 13, 2026

     LEADER SIGN-UP:

1. LEADER #1 (PICK UP SUPPLIES) -
2. LEADER #2 - 

     GENERAL STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - 
3. CRACKERS - 
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - 
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE -

    OT/PHARM STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - 
3. CRACKERS -
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - 
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE - 
11. ITEM OF YOUR CHOICE -
12. ITEM OF YOUR CHOICE -

January 27, 2026

     LEADER SIGN-UP:

1. LEADER #1 (PICK UP SUPPLIES) -
2. LEADER #2 - 

     GENERAL STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - 
3. CRACKERS - 
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - 
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE -

    OT/PHARM STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - 
3. CRACKERS -
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - 
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE - 
11. ITEM OF YOUR CHOICE -
12. ITEM OF YOUR CHOICE -

February 10, 2026

     LEADER SIGN-UP:

1. LEADER #1 (PICK UP SUPPLIES) -
2. LEADER #2 - 

     GENERAL STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - 
3. CRACKERS - 
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - 
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE -

    OT/PHARM STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - 
3. CRACKERS -
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - 
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE - 
11. ITEM OF YOUR CHOICE -
12. ITEM OF YOUR CHOICE -

February 24, 2026

     LEADER SIGN-UP:

1. LEADER #1 (PICK UP SUPPLIES) -
2. LEADER #2 - 

     GENERAL STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - 
3. CRACKERS - 
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - 
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE -

    OT/PHARM STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - 
3. CRACKERS -
4. CRACKERS - 
5. FRUIT -
6. ITEM OF YOUR CHOICE - 
7. ITEM OF YOUR CHOICE - 
8. ITEM OF YOUR CHOICE - 
9. ITEM OF YOUR CHOICE - 
10. ITEM OF YOUR CHOICE - 
11. ITEM OF YOUR CHOICE -
12. ITEM OF YOUR CHOICE -