Department of
Family Medicine

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 Wednesdays 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:



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

March 26, 2025

     LEADER SIGN-UP:

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

     GENERAL STUDENT SIGN-UP:

  1. SNACK - Kaitlyn Hayes
  2. JUICE - Walter Sulbach
  3. CRACKERS - 
  4. CRACKERS - 
  5. FRUIT -
  6. ITEM OF YOUR CHOICE - Grace Maley
  7. ITEM OF YOUR CHOICE - Julia Seraly
  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 - Zoe Pagliaro
  4. CRACKERS - 
  5. FRUIT - Leah Weimer
  6. ITEM OF YOUR CHOICE - Alyssa Lester
  7. ITEM OF YOUR CHOICE - Kelsey Alt
  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 -

April 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 - 
  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 -

April 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 - 
  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 -

May 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 - 
  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 -

May 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 - 
  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 -

June 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 - 
  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 -

June 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 - 
  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 -

July 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. 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 -

July 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 -

July 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 -

August 13, 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 -

August 27, 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 -

September 10, 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 -

September 24, 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 -
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