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ly:Arial'>Name
of Student:<span style=3D'mso-spacerun:yes'>&nbsp; </span>_________________=
<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Email Address: ________________<o:=
p></o:p></span></b></p>

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4'><b><span style=3D'font-family:Arial'>Cell Phone</span></b><b><span
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______________<span
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11.0pt;
line-height:150%;font-family:Arial'> ________________________<o:p></o:p></s=
pan></p>

<p class=3DMsoNormal style=3D'line-height:150%'><b><span style=3D'font-fami=
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Date: _________________<span style=3D'mso-spacerun:yes'>&nbsp; </span>Ending
Date:<span style=3D'mso-spacerun:yes'>&nbsp; </span>_______________________=
__<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'line-height:150%'><b><span style=3D'font-fami=
ly:Arial'>Days
of the week/hours available:_______________________________________<o:p></o=
:p></span></b></p>

<p class=3DMsoNormal style=3D'line-height:150%'><b><span style=3D'font-fami=
ly:Arial'>Number
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Institution: _________________________________________________<o:p></o:p></=
span></b></p>

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aceName><st1:PlaceType
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ceType></st1:place><b><span
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___<o:p></o:p></span></b></p>

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Contact Person/Supervisor:__________________________________<o:p></o:p></sp=
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Department Assignment: ____________________________________________<o:p></o=
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.0pt;
line-height:150%;font-family:Arial'>Please check the appropriate boxes: <o:=
p></o:p></span></p>

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:11.0pt;
line-height:150%;font-family:Symbol;mso-ascii-font-family:Arial;mso-hansi-f=
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span
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tion
&#8211; Patient Contact<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </spa=
n></span><b><span
style=3D'font-size:11.0pt;line-height:150%;font-family:Symbol;mso-ascii-fon=
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Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:
symbol;mso-symbol-font-family:Symbol'><span style=3D'mso-char-type:symbol;
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style=3D'font-size:11.0pt;line-height:150%;font-family:Arial'> </span></b><=
span
style=3D'font-size:11.0pt;line-height:150%;font-family:Arial'>Non-Clinical<=
span
style=3D'mso-spacerun:yes'>&nbsp; </span>Rotation<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:150%'><b><span style=3D'font-size=
:11.0pt;
line-height:150%;font-family:Symbol;mso-ascii-font-family:Arial;mso-hansi-f=
ont-family:
Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-famil=
y:
Symbol'><span style=3D'mso-char-type:symbol;mso-symbol-font-family:Symbol'>=
&#144;</span></span></b><b><span
style=3D'font-size:11.0pt;line-height:150%;font-family:Arial'> </span></b><=
span
style=3D'font-size:11.0pt;line-height:150%;font-family:Arial'>Direct one-on=
-one
supervision<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp; </span=
></span><b><span
style=3D'font-size:11.0pt;line-height:150%;font-family:Symbol;mso-ascii-fon=
t-family:
Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:
symbol;mso-symbol-font-family:Symbol'><span style=3D'mso-char-type:symbol;
mso-symbol-font-family:Symbol'>&#144;</span></span></b><b><span
style=3D'font-size:11.0pt;line-height:150%;font-family:Arial'> </span></b><=
span
style=3D'font-size:11.0pt;line-height:150%;font-family:Arial'>Non-direct su=
pervision,<b>
</b>independent decision making<o:p></o:p></span></p>

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:11.0pt;
line-height:150%;font-family:Symbol;mso-ascii-font-family:Arial;mso-hansi-f=
ont-family:
Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-famil=
y:
Symbol'><span style=3D'mso-char-type:symbol;mso-symbol-font-family:Symbol'>=
&#144;</span></span></b><b><span
style=3D'font-size:11.0pt;line-height:150%;font-family:Arial'> </span></b><=
span
style=3D'font-size:11.0pt;line-height:150%;font-family:Arial'>Criminal Check
completed (If working independently in home health, hospice, child/day care,
unlicensed pharmacy workers, and mental health or if otherwise required.)<o=
:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:150%'><b><span style=3D'font-size=
:11.0pt;
line-height:150%;font-family:Symbol;mso-ascii-font-family:Arial;mso-hansi-f=
ont-family:
Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-famil=
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Symbol'><span style=3D'mso-char-type:symbol;mso-symbol-font-family:Symbol'>=
&#144;</span></span></b><b><span
style=3D'font-size:11.0pt;line-height:150%;font-family:Arial'> </span></b><=
span
style=3D'font-size:11.0pt;line-height:150%;font-family:Arial;mso-bidi-font-=
weight:
bold'>Shadowing<b> </b></span><span style=3D'font-size:11.0pt;line-height:1=
50%;
font-family:Arial'>Agreement signed<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:150%'><b><span style=3D'font-size=
:11.0pt;
line-height:150%;font-family:Symbol;mso-ascii-font-family:Arial;mso-hansi-f=
ont-family:
Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-famil=
y:
Symbol'><span style=3D'mso-char-type:symbol;mso-symbol-font-family:Symbol'>=
&#144;</span></span></b><b><span
style=3D'font-size:11.0pt;line-height:150%;font-family:Arial'> </span></b><=
span
style=3D'font-size:11.0pt;line-height:150%;font-family:Arial'>Statement of
Understanding, Confidentiality, and Compliance signed<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:150%'><b><span style=3D'font-size=
:11.0pt;
line-height:150%;font-family:Symbol;mso-ascii-font-family:Arial;mso-hansi-f=
ont-family:
Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-famil=
y:
Symbol'><span style=3D'mso-char-type:symbol;mso-symbol-font-family:Symbol'>=
&#144;</span></span></b><span
style=3D'font-size:11.0pt;line-height:150%;font-family:Arial'> Xpress Shado=
wing
Orientation read and understood<b><o:p></o:p></b></span></p>

<p class=3DMsoNormal style=3D'line-height:150%'><span style=3D'font-size:11=
.0pt;
line-height:150%;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;page-break-after:avoid;mso-o=
utline-level:
2'><b><span style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>S=
end to
Rebecca Wong, Human Resources Development, Wine Price, Rockingham Memorial
Hospital, 235 Cantrell Avenue, Harrisonburg, Virginia 22801 Please call
540-433-4229 with any questions. <o:p></o:p></span></b></p>

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------=_NextPart_01C8FD4F.8FA26F10--
