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

• View Kim Sblendorio’s Profile

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

November 4, 2025

     LEADER SIGN-UP:

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

     GENERAL STUDENT SIGN-UP:

1. SNACK - Andrew Kemper
2. JUICE - Hannah Muir
3. CRACKERS - Abby Staubs
4. CRACKERS - Connie Gorski
5. FRUIT - Brooklyn Davis
6. JUICE - Lauren Haraske
7. ITEM OF YOUR CHOICE - Logan Peck
8. ITEM OF YOUR CHOICE - Kristen Determan (TISSUES)
9. ITEM OF YOUR CHOICE - Jocelyn Foltz - (DEODORANT)
10. ITEM OF YOUR CHOICE - Mauro Maminta - (SOCKS)
11. ITEM OF YOUR CHOICE- Emmaleigh Perine

    OT/PHARM STUDENT SIGN-UP:

1. SNACK - 
2. JUICE - 
3. CRACKERS - Alexander Cramer
4. CRACKERS - Sarah Taylor
5. FRUIT -
6. ITEM OF YOUR CHOICE - Serena Saleh (hand sanitizers and hand warmers)
7. ITEM OF YOUR CHOICE - Brooke Thomas
8. ITEM OF YOUR CHOICE - Jaden Davis
9. ITEM OF YOUR CHOICE - Lindsey Bittner
10. ITEM OF YOUR CHOICE - Emma Palmer
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 -