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Family Medicine Interest Group
MUSHROOM
(Multidisciplinary UnSheltered Homeless Relief Outreach Of Morgantown)
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 three slots. Eash slot has an item listed. Please bring the item listed next to your name. The four items are PBJs (peanut butter and jelly sandwiches; approx. a loaf/dozen sandwiches), 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) and crackers (approx. a dozen or what can be carried in your backpack (individually wrapped packs of crackers)).

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 Thursdays the group will meet in the lower level of the Pleasant Street Parking Garage (click here for directions and details ) at 6:45pm. If you must cancel or need more info. or directions, please email turnerhol@rcbhsc.wvu.edu.


To sign up please take the following steps:
  • Scroll down and find a free timeslot that is still available.
  • At the bottom of the page, fill out and submit the form.


2009


Thursday, November 5th
NAME
EMAIL
PHONE
ITEM TO BRING
Janice Ahn
jahn@mix.wvu.edu 513-289-9209 PBJs
      Water
Daniel Crowder dcrowde1@mix.wvu.edu 304-942-6783 Juice
Eric Lopez elopez@mix.wvu.edu 304-677-6472  
       
James Kingsbury II jkingsbu@mix.wvu.edu 304-282-6515 Crackers
       


Thursday, November 19th
NAME
EMAIL
PHONE
ITEM TO BRING
    PBJs
      Water
      Juice
       
       
      Crackers
       


Thursday, December 3rd
NAME
EMAIL
PHONE
ITEM TO BRING
    PBJs
      Water
      Juice
       
       
John Bennion bennion.john@gmail.com 831-240-3499 Crackers
       


Thursday, December 17th
NAME
EMAIL
PHONE
ITEM TO BRING
    PBJs
      Water
      Juice
       
       
      Crackers
       


Thursday, December 31st
NAME
EMAIL
PHONE
ITEM TO BRING
    PBJs
      Water
      Juice
       
       
      Crackers
       

Form-to-Email:

Name:
Email:
Phone:
Date Available:
Item to Bring: