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 Hazel's House of Hope (the former Ramada Inn) 20 Scott Avenue, Morgantown at 5:15pm. If you must cancel or need more info. or directions, please contact:

A photo of Holly Maroon.
Holly Maroon
Position
Supervisor Student Programs, Family Medicine
Phone
304-581-1642



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

June 7, 2023

     LEADER SIGN-UP:

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

     GENERAL STUDENT SIGN-UP:

  1. WATER - 
  2. JUICE - 
  3. CRACKERS - 
  4. CRACKERS - 
  5. FRUIT -
  6. ITEM OF YOUR CHOICE - Jacob Boice
  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. WATER - 
  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 21, 2023

     LEADER SIGN-UP:

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

     GENERAL STUDENT SIGN-UP:

  1. WATER - 
  2. JUICE - 
  3. CRACKERS - 
  4. CRACKERS - 
  5. FRUIT -
  6. ITEM OF YOUR CHOICE - Jacob Boice
  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. WATER - 
  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 5, 2023

     LEADER SIGN-UP:

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

     GENERAL STUDENT SIGN-UP:

  1. WATER - 
  2. JUICE - 
  3. CRACKERS - 
  4. CRACKERS - 
  5. FRUIT -
  6. ITEM OF YOUR CHOICE - Jacob Boice
  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. WATER - 
  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 19, 2023

     LEADER SIGN-UP:

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

     GENERAL STUDENT SIGN-UP:

  1. WATER - 
  2. JUICE - 
  3. CRACKERS - 
  4. CRACKERS - 
  5. FRUIT -
  6. ITEM OF YOUR CHOICE - Jacob Boice
  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. WATER - 
  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 2, 2023

     LEADER SIGN-UP:

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

     GENERAL STUDENT SIGN-UP:

  1. WATER - 
  2. JUICE - 
  3. CRACKERS - 
  4. CRACKERS - 
  5. FRUIT -
  6. ITEM OF YOUR CHOICE - Jacob Boice
  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. WATER - 
  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 16, 2023

     LEADER SIGN-UP:

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

     GENERAL STUDENT SIGN-UP:

  1. WATER - 
  2. JUICE - 
  3. CRACKERS - 
  4. CRACKERS - 
  5. FRUIT -
  6. ITEM OF YOUR CHOICE - Jacob Boice
  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. WATER - 
  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 30, 2023

     LEADER SIGN-UP:

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

     GENERAL STUDENT SIGN-UP:

  1. WATER - 
  2. JUICE - 
  3. CRACKERS - 
  4. CRACKERS - 
  5. FRUIT -
  6. ITEM OF YOUR CHOICE - Jacob Boice
  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. WATER - 
  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 13, 2023

     LEADER SIGN-UP:

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

     GENERAL STUDENT SIGN-UP:

  1. WATER - 
  2. JUICE - 
  3. CRACKERS - 
  4. CRACKERS - 
  5. FRUIT -
  6. ITEM OF YOUR CHOICE - Jacob Boice
  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. WATER - 
  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 27, 2023

     LEADER SIGN-UP:

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

     GENERAL STUDENT SIGN-UP:

  1. WATER - 
  2. JUICE - 
  3. CRACKERS - 
  4. CRACKERS - 
  5. FRUIT -
  6. ITEM OF YOUR CHOICE - Jacob Boice
  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. WATER - 
  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 -

October 11, 2023

     LEADER SIGN-UP:

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

     GENERAL STUDENT SIGN-UP:

  1. WATER - 
  2. JUICE - 
  3. CRACKERS - 
  4. CRACKERS - 
  5. FRUIT -
  6. ITEM OF YOUR CHOICE - Jacob Boice
  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. WATER - 
  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 -

October 25, 2023

     LEADER SIGN-UP:

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

     GENERAL STUDENT SIGN-UP:

  1. WATER - 
  2. JUICE - 
  3. CRACKERS - 
  4. CRACKERS - 
  5. FRUIT -
  6. ITEM OF YOUR CHOICE - Jacob Boice
  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. WATER - 
  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 -

November 8, 2023

     LEADER SIGN-UP:

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

     GENERAL STUDENT SIGN-UP:

  1. WATER - 
  2. JUICE - 
  3. CRACKERS - 
  4. CRACKERS - 
  5. FRUIT -
  6. ITEM OF YOUR CHOICE - Jacob Boice
  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. WATER - 
  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 -

November 22, 2023

     LEADER SIGN-UP:

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

     GENERAL STUDENT SIGN-UP:

  1. WATER - 
  2. JUICE - 
  3. CRACKERS - 
  4. CRACKERS - 
  5. FRUIT -
  6. ITEM OF YOUR CHOICE - Jacob Boice
  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. WATER - 
  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 6, 2023

     LEADER SIGN-UP:

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

     GENERAL STUDENT SIGN-UP:

  1. WATER - 
  2. JUICE - 
  3. CRACKERS - 
  4. CRACKERS - 
  5. FRUIT -
  6. ITEM OF YOUR CHOICE - Jacob Boice
  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. WATER - 
  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 20, 2023

     LEADER SIGN-UP:

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

     GENERAL STUDENT SIGN-UP:

  1. WATER - 
  2. JUICE - 
  3. CRACKERS - 
  4. CRACKERS - 
  5. FRUIT -
  6. ITEM OF YOUR CHOICE - Jacob Boice
  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. WATER - 
  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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