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mso-outline-level:2;mso-layout-grid-align:none;text-autospace:none'><b><span
style=3D'font-size:24.0pt;mso-font-kerning:18.0pt'>Instructions for forms<o=
:p></o:p></span></b></p>

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om:5.0pt;
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align:
none;text-autospace:none'><b><span style=3D'font-size:24.0pt;mso-font-kerni=
ng:
18.0pt'>Please print out and complete the following forms:<o:p></o:p></span=
></b></p>

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st-language:
EN-US;mso-bidi-language:AR-SA'><br clear=3Dall style=3D'page-break-before:a=
uto;
mso-break-type:section-break'>
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<div class=3DSection2>

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<p class=3DMsoNormal style=3D'margin-top:5.0pt;margin-right:0in;margin-bott=
om:5.0pt;
margin-left:0in;tab-stops:57.0pt;mso-layout-grid-align:none;text-autospace:
none'><o:p>&nbsp;</o:p></p>

</div>

<span style=3D'font-size:12.0pt;font-family:"Times New Roman";mso-fareast-f=
ont-family:
"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language:EN-US;
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mso-break-type:section-break'>
</span>

<div class=3DSection3>

<p class=3DMsoNormal style=3D'margin-top:5.0pt;margin-right:0in;margin-bott=
om:5.0pt;
margin-left:0in;tab-stops:57.0pt;mso-layout-grid-align:none;text-autospace:
none'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'margin-top:5.0pt;margin-right:0in;margin-bott=
om:5.0pt;
margin-left:.5in;text-indent:-.5in;page-break-after:avoid;mso-outline-level:
2;mso-layout-grid-align:none;text-autospace:none'><span style=3D'font-size:=
16.0pt'>1.
Statement of Confidentiality and Compliance<b><span style=3D'mso-font-kerni=
ng:
18.0pt'><o:p></o:p></span></b></span></p>

<p class=3DMsoNormal style=3D'margin-top:5.0pt;margin-right:0in;margin-bott=
om:5.0pt;
margin-left:0in;mso-layout-grid-align:none;text-autospace:none'><span
style=3D'font-size:16.0pt'>2. Individual Information and Checklist<o:p></o:=
p></span></p>

<p class=3DMsoNormal style=3D'margin-top:5.0pt;margin-right:0in;margin-bott=
om:5.0pt;
margin-left:0in;mso-layout-grid-align:none;text-autospace:none'><span
style=3D'font-size:16.0pt'>3. Shadowing Agreement<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-top:5.0pt;margin-right:0in;margin-bott=
om:5.0pt;
margin-left:0in;tab-stops:57.0pt;mso-layout-grid-align:none;text-autospace:
none'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'margin-top:5.0pt;margin-right:0in;margin-bott=
om:5.0pt;
margin-left:0in;mso-layout-grid-align:none;text-autospace:none'>Also, read =
and
ask any questions you may have about the orientation information found at <a
href=3D"http://www.rmhepicnet.com/">www.rmhepicnet.com</a> under &#8220;Sha=
dowing
Orientation&#8221; (or in your packet if you&#8217;re completing the paper
version).</p>

<p class=3DMsoNormal style=3D'margin-top:5.0pt;margin-right:0in;margin-bott=
om:5.0pt;
margin-left:0in;mso-layout-grid-align:none;text-autospace:none'>When all of=
 the
forms are completed, please forward them to Rebecca Wong, Human Resources
Development, <st1:PlaceName w:st=3D"on">Rockingham</st1:PlaceName> <st1:Pla=
ceName
w:st=3D"on">Memorial</st1:PlaceName> <st1:PlaceType w:st=3D"on">Hospital</s=
t1:PlaceType>,
<st1:place w:st=3D"on"><st1:PlaceName w:st=3D"on">Wine</st1:PlaceName> <st1=
:PlaceName
 w:st=3D"on">Price</st1:PlaceName> <st1:PlaceType w:st=3D"on">Building</st1=
:PlaceType></st1:place>,
<st1:address w:st=3D"on"><st1:Street w:st=3D"on"><span class=3DGramE>235</s=
pan>
  Cantrell Avenue</st1:Street>, <st1:City w:st=3D"on">Harrisonburg</st1:Cit=
y>, <st1:State
 w:st=3D"on">VA</st1:State> <st1:PostalCode w:st=3D"on">22801</st1:PostalCo=
de></st1:address>.</p>

<p class=3DMsoNormal style=3D'margin-top:5.0pt;margin-right:0in;margin-bott=
om:5.0pt;
margin-left:0in;mso-layout-grid-align:none;text-autospace:none'>If you have=
 any
questions about the forms or your shadowing experience, please contact Rebe=
cca
at 540-433-4229 or rwong@rhcc.com.</p>

<p class=3DMsoNormal style=3D'margin-top:5.0pt;margin-right:0in;margin-bott=
om:5.0pt;
margin-left:0in;mso-layout-grid-align:none;text-autospace:none'>Once the fo=
rms
have been received, the department will be notified that you can start your
placement. Please note that you will not be able to shadow until these forms
have been received.</p>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

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