Volunteer Details

Thank you for your willingness to participate in Penn Nursing class N215 - Women Across the Lifespan - as a patient volunteer. We are seeking women who are 55 and older. Volunteers will speak with two students per session, answering a list of questions prepared by the student, as well as participating in a physical exam and medication reconciliation. 

There are 6 separate dates with various time slots assigned. 

Volunteers will be asked for their personal health history, including a sexual history, and to participate in a physical examination (see question with details).  

The sessions will be videotaped for student reflection only.

Please fill in your contact information.

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* 1. Please fill in your contact information.

Please note your affiliation to Penn Nursing. Check all that apply.

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* 2. Please note your affiliation to Penn Nursing. Check all that apply.

If you are a Penn graduate, please list your degree(s) and year(s) of graduation.

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* 3. If you are a Penn graduate, please list your degree(s) and year(s) of graduation.

During which sessions are you able to participate? Be sure to only check those that you plan to attend.

Note: Participating in multiple sessions is encouraged but not required.

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* 4. During which sessions are you able to participate? Be sure to only check those that you plan to attend.

Note: Participating in multiple sessions is encouraged but not required.

Complimentary parking on campus will be available. Are you interested in receiving campus parking during your volunteer experience? Details will be provided in follow up communications.

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* 5. Complimentary parking on campus will be available. Are you interested in receiving campus parking during your volunteer experience? Details will be provided in follow up communications.

Our students need to practice their physical exam skills.  Are you willing to participate in a general physical exam (no private parts, but you will be asked to be in a gown with just your undergarments on) during your scheduled volunteer session(s)?

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* 6. Our students need to practice their physical exam skills.  Are you willing to participate in a general physical exam (no private parts, but you will be asked to be in a gown with just your undergarments on) during your scheduled volunteer session(s)?

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