{\rtf1\adeflang1025\ansi\ansicpg1252\uc1\adeff45\deff0\stshfdbch31505\stshfloch31506\stshfhich31506\stshfbi31507\deflang1033\deflangfe2052\themelang1033\themelangfe0\themelangcs0{\fonttbl{\f0\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\f2\fbidi \fmodern\fcharset0\fprq1{\*\panose 02070309020205020404}Courier New;}{\f3\fbidi \froman\fcharset2\fprq2{\*\panose 05050102010706020507}Symbol;}{\f10\fbidi \fnil\fcharset2\fprq2{\*\panose 05000000000000000000}Wingdings{\*\falt Symbol};}
{\f13\fbidi \fnil\fcharset134\fprq2{\*\panose 02010600030101010101}SimSun{\*\falt \'cb\'ce\'cc\'e5};}{\f34\fbidi \froman\fcharset0\fprq2{\*\panose 02040503050406030204}Cambria Math;}
{\f38\fbidi \fswiss\fcharset0\fprq2{\*\panose 020b0604030504040204}Tahoma;}{\f45\fbidi \froman\fcharset0\fprq2{\*\panose 00000000000000000000}Times{\*\falt Times New Roman};}{\f189\fbidi \fnil\fcharset134\fprq2{\*\panose 02010600030101010101}@SimSun;}
{\f294\fbidi \fnil\fcharset0\fprq2{\*\panose 00020b05030304040402}Geneva;}{\flomajor\f31500\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\fdbmajor\f31501\fbidi \fnil\fcharset134\fprq2{\*\panose 02010600030101010101}SimSun{\*\falt \'cb\'ce\'cc\'e5};}{\fhimajor\f31502\fbidi \froman\fcharset0\fprq2{\*\panose 02040503050406030204}Cambria;}
{\fbimajor\f31503\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\flominor\f31504\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\fdbminor\f31505\fbidi \fnil\fcharset134\fprq2{\*\panose 02010600030101010101}SimSun{\*\falt \'cb\'ce\'cc\'e5};}{\fhiminor\f31506\fbidi \fswiss\fcharset0\fprq2{\*\panose 020f0502020204030204}Calibri;}
{\fbiminor\f31507\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\f296\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\f297\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\f299\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\f300\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\f301\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\f302\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\f303\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\f304\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\f316\fbidi \fmodern\fcharset238\fprq1 Courier New CE;}{\f317\fbidi \fmodern\fcharset204\fprq1 Courier New Cyr;}
{\f319\fbidi \fmodern\fcharset161\fprq1 Courier New Greek;}{\f320\fbidi \fmodern\fcharset162\fprq1 Courier New Tur;}{\f321\fbidi \fmodern\fcharset177\fprq1 Courier New (Hebrew);}{\f322\fbidi \fmodern\fcharset178\fprq1 Courier New (Arabic);}
{\f323\fbidi \fmodern\fcharset186\fprq1 Courier New Baltic;}{\f324\fbidi \fmodern\fcharset163\fprq1 Courier New (Vietnamese);}{\f428\fbidi \fnil\fcharset0\fprq2 SimSun Western{\*\falt \'cb\'ce\'cc\'e5};}
{\f636\fbidi \froman\fcharset238\fprq2 Cambria Math CE;}{\f637\fbidi \froman\fcharset204\fprq2 Cambria Math Cyr;}{\f639\fbidi \froman\fcharset161\fprq2 Cambria Math Greek;}{\f640\fbidi \froman\fcharset162\fprq2 Cambria Math Tur;}
{\f643\fbidi \froman\fcharset186\fprq2 Cambria Math Baltic;}{\f676\fbidi \fswiss\fcharset238\fprq2 Tahoma CE;}{\f677\fbidi \fswiss\fcharset204\fprq2 Tahoma Cyr;}{\f679\fbidi \fswiss\fcharset161\fprq2 Tahoma Greek;}
{\f680\fbidi \fswiss\fcharset162\fprq2 Tahoma Tur;}{\f681\fbidi \fswiss\fcharset177\fprq2 Tahoma (Hebrew);}{\f682\fbidi \fswiss\fcharset178\fprq2 Tahoma (Arabic);}{\f683\fbidi \fswiss\fcharset186\fprq2 Tahoma Baltic;}
{\f684\fbidi \fswiss\fcharset163\fprq2 Tahoma (Vietnamese);}{\f685\fbidi \fswiss\fcharset222\fprq2 Tahoma (Thai);}{\f746\fbidi \froman\fcharset238\fprq2 Times CE{\*\falt Times New Roman};}
{\f747\fbidi \froman\fcharset204\fprq2 Times Cyr{\*\falt Times New Roman};}{\f749\fbidi \froman\fcharset161\fprq2 Times Greek{\*\falt Times New Roman};}{\f750\fbidi \froman\fcharset162\fprq2 Times Tur{\*\falt Times New Roman};}
{\f751\fbidi \froman\fcharset177\fprq2 Times (Hebrew){\*\falt Times New Roman};}{\f752\fbidi \froman\fcharset178\fprq2 Times (Arabic){\*\falt Times New Roman};}{\f753\fbidi \froman\fcharset186\fprq2 Times Baltic{\*\falt Times New Roman};}
{\f754\fbidi \froman\fcharset163\fprq2 Times (Vietnamese){\*\falt Times New Roman};}{\f2188\fbidi \fnil\fcharset0\fprq2 @SimSun Western;}{\flomajor\f31508\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\flomajor\f31509\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\flomajor\f31511\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\flomajor\f31512\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\flomajor\f31513\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\flomajor\f31514\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\flomajor\f31515\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\flomajor\f31516\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fdbmajor\f31520\fbidi \fnil\fcharset0\fprq2 SimSun Western{\*\falt \'cb\'ce\'cc\'e5};}{\fhimajor\f31528\fbidi \froman\fcharset238\fprq2 Cambria CE;}
{\fhimajor\f31529\fbidi \froman\fcharset204\fprq2 Cambria Cyr;}{\fhimajor\f31531\fbidi \froman\fcharset161\fprq2 Cambria Greek;}{\fhimajor\f31532\fbidi \froman\fcharset162\fprq2 Cambria Tur;}
{\fhimajor\f31535\fbidi \froman\fcharset186\fprq2 Cambria Baltic;}{\fbimajor\f31538\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\fbimajor\f31539\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fbimajor\f31541\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fbimajor\f31542\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fbimajor\f31543\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fbimajor\f31544\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fbimajor\f31545\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fbimajor\f31546\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\flominor\f31548\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\flominor\f31549\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\flominor\f31551\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\flominor\f31552\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\flominor\f31553\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\flominor\f31554\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\flominor\f31555\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\flominor\f31556\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fdbminor\f31560\fbidi \fnil\fcharset0\fprq2 SimSun Western{\*\falt \'cb\'ce\'cc\'e5};}{\fhiminor\f31568\fbidi \fswiss\fcharset238\fprq2 Calibri CE;}
{\fhiminor\f31569\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr;}{\fhiminor\f31571\fbidi \fswiss\fcharset161\fprq2 Calibri Greek;}{\fhiminor\f31572\fbidi \fswiss\fcharset162\fprq2 Calibri Tur;}
{\fhiminor\f31575\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic;}{\fbiminor\f31578\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\fbiminor\f31579\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fbiminor\f31581\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fbiminor\f31582\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fbiminor\f31583\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fbiminor\f31584\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fbiminor\f31585\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fbiminor\f31586\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}}{\colortbl;\red0\green0\blue0;\red0\green0\blue255;\red0\green255\blue255;\red0\green255\blue0;\red255\green0\blue255;\red255\green0\blue0;
\red255\green255\blue0;\red255\green255\blue255;\red0\green0\blue128;\red0\green128\blue128;\red0\green128\blue0;\red128\green0\blue128;\red128\green0\blue0;\red128\green128\blue0;\red128\green128\blue128;\red192\green192\blue192;}{\*\defchp 
\fs22\loch\af31506\hich\af31506\dbch\af31505 }{\*\defpap \ql \li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 }\noqfpromote {\stylesheet{
\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af45\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe2052\loch\f45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 \snext0 \sqformat \spriority0 
Normal;}{\s1\ql \li0\ri-1440\keepn\widctlpar\tx1440\tx5040\tx7920\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 \rtlch\fcs1 \ab\af45\afs20\alang1025 \ltrch\fcs0 
\b\fs20\lang1033\langfe2052\loch\f45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 \sbasedon0 \snext0 \slink15 \sqformat heading 1;}{
\s2\ql \li0\ri-1440\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin-1440\lin0\itap0 \rtlch\fcs1 \ab\af45\afs18\alang1025 \ltrch\fcs0 
\b\fs18\uldb\lang1033\langfe2052\loch\f45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 \sbasedon0 \snext0 \slink16 \sqformat heading 2;}{\s3\qc \li0\ri-1440\keepn\widctlpar
\tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin-1440\lin0\itap0 \rtlch\fcs1 \ab\af45\afs20\alang1025 \ltrch\fcs0 \b\fs20\lang1033\langfe2052\loch\f45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 
\sbasedon0 \snext0 \slink17 \sqformat heading 3;}{\s4\qc \li0\ri-1440\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin-1440\lin0\itap0 \rtlch\fcs1 \ab\af45\afs20\alang1025 \ltrch\fcs0 
\b\fs20\cf2\lang1033\langfe2052\loch\f45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 \sbasedon0 \snext0 \slink18 \sqformat heading 4;}{\*\cs10 \additive Default Paragraph Font;}{\*
\ts11\tsrowd\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\trcbpat1\trcfpat1\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sa200\sl276\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af31507\afs22\alang1025 \ltrch\fcs0 \fs22\lang1033\langfe2052\loch\f31506\hich\af31506\dbch\af31505\cgrid\langnp1033\langfenp2052 
\snext11 \ssemihidden \sunhideused \sqformat Normal Table;}{\*\cs15 \additive \rtlch\fcs1 \ab\af31503\afs32 \ltrch\fcs0 \b\fs32\kerning32\loch\f31502\hich\af31502\dbch\af31501 \sbasedon10 \slink1 \slocked \spriority9 Heading 1 Char;}{\*\cs16 \additive 
\rtlch\fcs1 \ab\ai\af31503\afs28 \ltrch\fcs0 \b\i\fs28\loch\f31502\hich\af31502\dbch\af31501 \sbasedon10 \slink2 \slocked \ssemihidden \spriority9 Heading 2 Char;}{\*\cs17 \additive \rtlch\fcs1 \ab\af31503\afs26 \ltrch\fcs0 
\b\fs26\loch\f31502\hich\af31502\dbch\af31501 \sbasedon10 \slink3 \slocked \ssemihidden \spriority9 Heading 3 Char;}{\*\cs18 \additive \rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28 \sbasedon10 \slink4 \slocked \ssemihidden \spriority9 Heading 4 Char;}{
\s19\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \cbpat9 \rtlch\fcs1 \af294\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe2052\loch\f294\hich\af294\dbch\af31505\cgrid\langnp1033\langfenp2052 
\sbasedon0 \snext19 \slink20 Document Map;}{\*\cs20 \additive \rtlch\fcs1 \af38\afs16 \ltrch\fcs0 \f38\fs16 \sbasedon10 \slink19 \slocked \ssemihidden Document Map Char;}{\*\cs21 \additive \rtlch\fcs1 \af0 \ltrch\fcs0 \ul\cf2 \sbasedon10 Hyperlink;}}
{\*\listtable{\list\listtemplateid-2125675868{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat0\levelspace0\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\loch\af3\hich\af3\dbch\af0\fbias0\hres0\chhres0 \fi-360\li720
\jclisttab\tx720\lin720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0\hres0\chhres0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23
\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0\hres0\chhres0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0
\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\loch\af3\hich\af3\dbch\af0\fbias0\hres0\chhres0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0
\levelstartat1\levelspace0\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0\hres0\chhres0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext
\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0\hres0\chhres0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}
\loch\af3\hich\af3\dbch\af0\fbias0\hres0\chhres0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0\hres0\chhres0 
\fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0\hres0\chhres0 \fi-360\li6480\jclisttab\tx6480\lin6480 }
{\listname ;}\listid1698963566}}{\*\listoverridetable{\listoverride\listid1698963566\listoverridecount0\ls1}}{\*\rsidtbl \rsid3828267\rsid12855768\rsid13464050\rsid15151980}{\mmathPr\mmathFont34\mbrkBin0\mbrkBinSub0\msmallFrac0\mdispDef1\mlMargin0
\mrMargin0\mdefJc1\mwrapIndent1440\mintLim0\mnaryLim1}{\info{\title Application form}{\author C. Gan}{\operator Academic Computing}{\creatim\yr2007\mo10\dy22\hr17\min22}{\revtim\yr2007\mo10\dy22\hr17\min25}{\printim\yr2006\mo2\dy4\hr14\min21}{\version3}
{\edmins2}{\nofpages2}{\nofwords582}{\nofchars5012}{\*\company Humboldt State University}{\nofcharsws5583}{\vern32889}}{\*\xmlnstbl {\xmlns1 http://schemas.microsoft.com/office/word/2003/wordml}}
\paperw12240\paperh15840\margl720\margr720\margt432\margb432\gutter0\ltrsect 
\widowctrl\ftnbj\aenddoc\hyphhotz0\trackmoves1\trackformatting1\donotembedsysfont0\relyonvml0\donotembedlingdata1\grfdocevents0\validatexml0\showplaceholdtext0\ignoremixedcontent0\saveinvalidxml0\showxmlerrors0
\sprstsp\otblrul\brkfrm\noxlattoyen\expshrtn\noultrlspc\dntblnsbdb\sprstsm\truncex\nolead\nospaceforul\msmcap\lytprtmet\hyphcaps0\horzdoc\dgmargin\dghspace120\dgvspace180\dghorigin720\dgvorigin432\dghshow0\dgvshow0
\jexpand\viewkind1\viewscale75\pgbrdrhead\pgbrdrfoot\bdrrlswsix\nolnhtadjtbl\rsidroot12855768 \fet0{\*\wgrffmtfilter 2450}\ilfomacatclnup0\ltrpar \sectd \ltrsect
\sbknone\linex0\headery0\footery0\endnhere\sectlinegrid326\sectdefaultcl\sectrsid13464050\sftnbj {\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl3
\pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}}{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}
{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl8\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\pard\plain \ltrpar
\s2\ql \li0\ri-1440\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin-1440\lin0\itap0 \rtlch\fcs1 \ab\af45\afs18\alang1025 \ltrch\fcs0 
\b\fs18\uldb\lang1033\langfe2052\loch\af45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 {\rtlch\fcs1 \af45 \ltrch\fcs0 \ulnone\insrsid15151980 \hich\af45\dbch\af31505\loch\f45       }{\rtlch\fcs1 \af45 \ltrch\fcs0 \insrsid15151980 
\hich\af45\dbch\af31505\loch\f45 APPLICATION FOR the 2007 CSU-AMP SUMMER BRIDGE PROGRAM at HUMBOLDT STATE UNIVERSITY
\par }\pard\plain \ltrpar\s4\ql \li0\ri-1440\keepn\widctlpar\tx307\tqc\tx5980\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin-1440\lin0\itap0 \rtlch\fcs1 \ab\af45\afs20\alang1025 \ltrch\fcs0 
\b\fs20\cf2\lang1033\langfe2052\loch\af45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf0\insrsid15151980 \tab \hich\af0\dbch\af31505\loch\f0                                                          July 16}{
\rtlch\fcs1 \af45 \ltrch\fcs0 \cf0\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 , 2007 \hich\f45 \endash \loch\f45  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf0\insrsid15151980 \hich\af0\dbch\af31505\loch\f0 August 10}{\rtlch\fcs1 \af45 \ltrch\fcs0 
\cf0\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 , 2007
\par }\pard\plain \ltrpar\qc \li0\ri-1440\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 \rtlch\fcs1 \af45\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe2052\loch\af45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 {\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx5040\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 Priority postmark deadline: April 30, 2007
\tab \tab \tab Final postmark deadline:  June 4, 2007
\par 
\par \hich\af45\dbch\af31505\loch\f45 Part I\tab \tab Social Security Number}{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45  }{\pard\plain \ltrpar\ql \li0\ri-1440\widctlpar
\tx5040\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 \rtlch\fcs1 \af45\afs20\alang1025 \ltrch\fcs0 \fs20\lang1033\langfe2052\loch\af45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 {\object\objemb\objw2500\objh440
{\*\objclass Word.Picture.8}{\*\objdata 01050000020000000f000000576f72642e506963747572652e38000000000000000000000e0000
d0cf11e0a1b11ae1000000000000000000000000000000003e000300feff0900060000000000000000000000010000000100000000000000001000000200000001000000feffffff0000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
fffffffffffffffffdffffff05000000feffffff04000000fefffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffff52006f006f007400200045006e00740072007900000000000000000000000000000000000000000000000000000000000000000000000000000000000000000016000500ffffffffffffffff020000000709020000000000c000000000000046000000000000000000000000a0cd
e03f0b15c801030000004003000000000000030050004900430000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000a000201ffffffffffffffffffffffff00000000000000000000000000000000000000000000000000000000
000000000000000000000000640000000000000003004d004500540041000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000c0002010100000003000000ffffffff0000000000000000000000000000000000000000000000000000
00000000000000000000020000009e01000000000000030050004900430054000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000c000201ffffffff04000000ffffffff000000000000000000000000000000000000000000000000
00000000000000000000000009000000a10000000000000001000000feffffff030000000400000005000000060000000700000008000000feffffff0a0000000b000000fefffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff640002000100000000000800eb0c000046020000c4090000b801000000000000000000000000000000000000e8030000e803000000000000000000000000000000000000000000ff00000000000000ff00000000000000ff000000000000
00ff00000000000000000000000000000000000000000000000000000000000000000800eb0c46020000010009000003cb00000001000a0000000000050000000b0200000000050000000c0216007d000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102
ffffff00030000001e000a00000026060f000a00ffffffff00000000000007000000160415007c000100030008000000fa0206000100000000000000040000002d0100000500000014021100040005000000130211007b00050000001402100004000500000013020200040005000000140211002b000500000013020300
2b00050000001402100040000500000013020200400005000000140210007b0005000000130202007b00050000001402100010000500000013020b00100005000000140210001d000500000013020b001d00050000001402100036000500000013020b00360005000000140210004e000500000013020b004e0005000000
140210005c000500000013020b005c0005000000140210006b000500000013020b006b000a00000026060f000a00ffffffff010000000000040000002701ffff030000000000000000000000000000000000000000000000000000000000000000000000000000000096000000000016007d1101a10064000c574f524400
0000000016007da0008ca10064000c574f5244000100030015007c01000a000100030015007c22001100047700220010000400f2220011002b00f2220010004000f2220010007b00f2220010001000fb220010001d00fb220010003600fb220010004e00fb220010005c00fb220010006b00fba100640004574f5244a000
8dff00000000000000000000000000000000000000000000000000000000000000000000000000000000000002000300000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000003004f0062006a0049006e0066006f0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000012000200ffffffffffffffffffff
ffff0000000000000000000000000000000000000000000000000000000000000000000000000c00000006000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffff
ffffffff0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffff
ffffffffffff0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffff
ffffffffffffffff00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000001050000050000000d0000004d45544146494c455049435400eb0c0000bafdffff9e0100000800eb0c46020000
010009000003cb00000001000a0000000000050000000b0200000000050000000c0216007d000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102ffffff00030000001e000a00000026060f000a00ffffffff00000000000007000000160415007c000100
030008000000fa0206000100000000000000040000002d0100000500000014021100040005000000130211007b00050000001402100004000500000013020200040005000000140211002b0005000000130203002b00050000001402100040000500000013020200400005000000140210007b0005000000130202007b00
050000001402100010000500000013020b00100005000000140210001d000500000013020b001d00050000001402100036000500000013020b00360005000000140210004e000500000013020b004e0005000000140210005c000500000013020b005c0005000000140210006b000500000013020b006b000a0000002606
0f000a00ffffffff010000000000040000002701ffff030000000000}{\result {\rtlch\fcs1 \af45 \ltrch\fcs0 \insrsid15151980 {\pict\wmetafile8\picw3307\pich582\picwgoal2500\pichgoal440 
010009000003cb00000001000a0000000000050000000b0200000000050000000c0216007d000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102ffffff00030000001e000a00000026060f000a00ffffffff00000000000007000000160415007c00010003
0008000000fa0206000100000000000000040000002d0100000500000014021100040005000000130211007b00050000001402100004000500000013020200040005000000140211002b0005000000130203002b00050000001402100040000500000013020200400005000000140210007b0005000000130202007b000500
00001402100010000500000013020b00100005000000140210001d000500000013020b001d00050000001402100036000500000013020b00360005000000140210004e000500000013020b004e0005000000140210005c000500000013020b005c0005000000140210006b000500000013020b006b000a00000026060f000a
00ffffffff010000000000040000002701ffff030000000000}}}}}\sectd \ltrsect\sbknone\linex0\headery0\footery0\endnhere\sectlinegrid326\sectdefaultcl\sectrsid13464050\sftnbj {\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \ab\af45\afs16 \ltrch\fcs0 \b\fs16\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \ab\af45\afs16 \ltrch\fcs0 \b\fs16\insrsid15151980 
\par }{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 Legal name}{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 
: __________________________________________________________________\hich\af45\dbch\af31505\loch\f45 _____________________
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx5040\tx8460\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs14 \ltrch\fcs0 \fs14\insrsid15151980 \tab }{\rtlch\fcs1 \af45\afs18 \ltrch\fcs0 \fs18\insrsid15151980 
\hich\af45\dbch\af31505\loch\f45 Last name \tab First name\tab Middle}{\rtlch\fcs1 \af45\afs14 \ltrch\fcs0 \fs14\insrsid15151980 \hich\af45\dbch\af31505\loch\f45  
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 
Other Names:__________________________________ What do you prefer to be called?_____________________________
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 Current mailing address:}{
\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45  
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\par \hich\af45\dbch\af31505\loch\f45 _________________________________________________________________\hich\af45\dbch\af31505\loch\f45 ________________________________
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx5040\tx8540\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs18 \ltrch\fcs0 \fs18\insrsid15151980 \tab \hich\af45\dbch\af31505\loch\f45 Street number\tab Street name
\tab Apartment
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 
____________________________________________________________________}{\pard\plain \ltrpar\ql \li0\ri-1440\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 \rtlch\fcs1 \af45\afs20\alang1025 \ltrch\fcs0 
\fs20\lang1033\langfe2052\loch\af45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 {\object\objemb\objw2701\objh400{\*\objclass Word.Picture.8}{\*\objdata 01050000020000000f000000576f72642e506963747572652e38000000000000000000000e0000
d0cf11e0a1b11ae1000000000000000000000000000000003e000300feff0900060000000000000000000000010000000100000000000000001000000200000001000000feffffff0000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
fffffffffffffffffdffffff04000000feffffff05000000fefffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffff52006f006f007400200045006e00740072007900000000000000000000000000000000000000000000000000000000000000000000000000000000000000000016000500ffffffffffffffff020000000709020000000000c000000000000046000000000000000000000000a0cd
e03f0b15c801030000004002000000000000030050004900430000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000a000201ffffffffffffffffffffffff00000000000000000000000000000000000000000000000000000000
000000000000000000000000640000000000000003004d004500540041000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000c0002010100000003000000ffffffff0000000000000000000000000000000000000000000000000000
0000000000000000000002000000c800000000000000030050004900430054000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000c000201ffffffff04000000ffffffff000000000000000000000000000000000000000000000000
000000000000000000000000060000004b0000000000000001000000feffffff030000000400000005000000feffffff07000000fefffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff640002000100000000000800f40d0000110200008c0a00009001000000000000000000000000000000000000e8030000e803000000000000000000000000000000000000000000ff00000000000000ff00000000000000ff000000000000
00ff00000000000000000000000000000000000000000000000000000000000000000800f40d11020000010009000003600000000100080000000000050000000b0200000000050000000c02140087000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102
ffffff00030000001e0008000000fa0206000100000000000000040000002d010000050000001402100006000500000013021000860005000000140210000600050000001302020006000500000014020f00860005000000130201008600040000002701ffff03000000000005000000140211002b000500000013020300
2b00050000001402100040000500000013020200400005000000140210007b00050000001302004000000000001400871101a10064000c574f5244000000000014008701000a0000000000140087200010000600100086220010000600f222000f008600f2ff000000000000000000002200000013020b004e0005000000
140210005c000500000013020b005c0005000000140210006b000500000013020b006b000a00000003004f0062006a0049006e0066006f0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000012000200ffffffffffffffffffffffff000000000000
0000000000000000000000000000000000000000000000000000000000000800000006000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff00000000
00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff0000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff
0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000200030000006a0049006e0066006f0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000012000200ffffffffffffffffffff
ffff0000000000000000000000000000000000000000000000000000000000000000000000000c00000006000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffff
ffffffff0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffff
ffffffffffff0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffff
ffffffffffffffff00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000001050000050000000d0000004d45544146494c455049435400f40d0000effdffffc80000000800f40d11020000
010009000003600000000100080000000000050000000b0200000000050000000c02140087000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102ffffff00030000001e0008000000fa0206000100000000000000040000002d0100000500000014021000
06000500000013021000860005000000140210000600050000001302020006000500000014020f00860005000000130201008600040000002701ffff030000000000}{\result {\rtlch\fcs1 \af45 \ltrch\fcs0 \insrsid15151980 {\pict\wmetafile8\picw3572\pich529\picwgoal2700\pichgoal400 
010009000003600000000100080000000000050000000b0200000000050000000c02140087000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102ffffff00030000001e0008000000fa0206000100000000000000040000002d010000050000001402100006
000500000013021000860005000000140210000600050000001302020006000500000014020f00860005000000130201008600040000002701ffff030000000000}}}}}\sectd \ltrsect\sbknone\linex0\headery0\footery0\endnhere\sectlinegrid326\sectdefaultcl\sectrsid13464050\sftnbj {
\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx5040\tx7920\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs18 \ltrch\fcs0 \fs18\insrsid15151980 \tab \hich\af45\dbch\af31505\loch\f45 City \tab State\tab Zip code

\par }{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 
\par \hich\af45\dbch\af31505\loch\f45 Home telephone}{\rtlch\fcs1 \af45\afs18 \ltrch\fcs0 \fs18\insrsid15151980 \hich\af45\dbch\af31505\loch\f45  }{\pard\plain \ltrpar\ql \li0\ri-1440\widctlpar
\tx1440\tx5040\tx7920\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 \rtlch\fcs1 \af45\afs18\alang1025 \ltrch\fcs0 \fs18\lang1033\langfe2052\loch\af45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 {\object\objemb
\objw2781\objh400{\*\objclass Word.Picture.8}{\*\objdata 01050000020000000f000000576f72642e506963747572652e38000000000000000000000e0000
d0cf11e0a1b11ae1000000000000000000000000000000003e000300feff0900060000000000000000000000010000000100000000000000001000000200000001000000feffffff0000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
fffffffffffffffffdffffff04000000feffffff05000000fefffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffff52006f006f007400200045006e00740072007900000000000000000000000000000000000000000000000000000000000000000000000000000000000000000016000500ffffffffffffffff020000000709020000000000c000000000000046000000000000000000000000a0cd
e03f0b15c801030000004002000000000000030050004900430000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000a000201ffffffffffffffffffffffff00000000000000000000000000000000000000000000000000000000
000000000000000000000000640000000000000003004d004500540041000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000c0002010100000003000000ffffffff0000000000000000000000000000000000000000000000000000
0000000000000000000002000000dc00000000000000030050004900430054000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000c000201ffffffff04000000ffffffff000000000000000000000000000000000000000000000000
00000000000000000000000006000000520000000000000001000000feffffff030000000400000005000000feffffff07000000fefffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff6400020001000000000008005e0e000011020000dc0a00009001000000000000000000000000000000000000e8030000e803000000000000000000000000000000000000000000ff00000000000000ff00000000000000ff000000000000
00ff000000000000000000000000000000000000000000000000000000000000000008005e0e110200000100090000036a0000000100080000000000050000000b0200000000050000000c0214008b000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102
ffffff00030000001e0008000000fa0206000100000000000000040000002d0100000500000014020f0009000500000013020f008a000500000014020e000900050000001302030009000500000014020f002e0005000000130204002e000500000014020f008a0005000000130203008a00040000002701ffff03000000
0000050000001402100040000500000013020200400005000000140210007b000500000013020047000000000014008b1101a10064000c574f5244000000000014008b01000a000000000014008b20000f0009000f008a22000e000900f522000f002e00f522000f008a00f4ff00000000000000000000004e0005000000
140210005c000500000013020b005c0005000000140210006b000500000013020b006b000a00000003004f0062006a0049006e0066006f0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000012000200ffffffffffffffffffffffff000000000000
0000000000000000000000000000000000000000000000000000000000000800000006000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff00000000
00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff0000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff
0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000200030000006a0049006e0066006f0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000012000200ffffffffffffffffffff
ffff0000000000000000000000000000000000000000000000000000000000000000000000000c00000006000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffff
ffffffff0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffff
ffffffffffff0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffff
ffffffffffffffff00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000001050000050000000d0000004d45544146494c4550494354005e0e0000effdffffdc00000008005e0e11020000
0100090000036a0000000100080000000000050000000b0200000000050000000c0214008b000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102ffffff00030000001e0008000000fa0206000100000000000000040000002d0100000500000014020f00
09000500000013020f008a000500000014020e000900050000001302030009000500000014020f002e0005000000130204002e000500000014020f008a0005000000130203008a00040000002701ffff030000000000}{\result {\rtlch\fcs1 \af45 \ltrch\fcs0 \insrsid15151980 
{\pict\wmetafile8\picw3678\pich529\picwgoal2780\pichgoal400 
0100090000036a0000000100080000000000050000000b0200000000050000000c0214008b000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102ffffff00030000001e0008000000fa0206000100000000000000040000002d0100000500000014020f0009
000500000013020f008a000500000014020e000900050000001302030009000500000014020f002e0005000000130204002e000500000014020f008a0005000000130203008a00040000002701ffff030000000000}}}}}\sectd \ltrsect
\sbknone\linex0\headery0\footery0\endnhere\sectlinegrid326\sectdefaultcl\sectrsid13464050\sftnbj {\rtlch\fcs1 \af45\afs18 \ltrch\fcs0 \fs18\insrsid15151980 \tab }{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 
\hich\af45\dbch\af31505\loch\f45 Cell phone}{\rtlch\fcs1 \af45\afs18 \ltrch\fcs0 \fs18\insrsid15151980 \hich\af45\dbch\af31505\loch\f45  }{\pard\plain \ltrpar\ql \li0\ri-1440\widctlpar
\tx1440\tx5040\tx7920\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 \rtlch\fcs1 \af45\afs18\alang1025 \ltrch\fcs0 \fs18\lang1033\langfe2052\loch\af45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 {\object\objemb
\objw2620\objh400{\*\objclass Word.Picture.8}{\*\objdata 01050000020000000f000000576f72642e506963747572652e38000000000000000000000e0000
d0cf11e0a1b11ae1000000000000000000000000000000003e000300feff0900060000000000000000000000010000000100000000000000001000000200000001000000feffffff0000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
fffffffffffffffffdffffff04000000feffffff05000000fefffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffff52006f006f007400200045006e00740072007900000000000000000000000000000000000000000000000000000000000000000000000000000000000000000016000500ffffffffffffffff020000000709020000000000c00000000000004600000000000000000000000020e8
e63f0b15c801030000004002000000000000030050004900430000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000a000201ffffffffffffffffffffffff00000000000000000000000000000000000000000000000000000000
000000000000000000000000640000000000000003004d004500540041000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000c0002010100000003000000ffffffff0000000000000000000000000000000000000000000000000000
0000000000000000000002000000dc00000000000000030050004900430054000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000c000201ffffffff04000000ffffffff000000000000000000000000000000000000000000000000
00000000000000000000000006000000500000000000000001000000feffffff030000000400000005000000feffffff07000000fefffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff6400020001000000000008008a0d0000110200003c0a00009001000000000000000000000000000000000000e8030000e803000000000000000000000000000000000000000000ff00000000000000ff00000000000000ff000000000000
00ff00000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffff08008a0d110200000100090000036a0000000100080000000000050000000b0200000000050000000c02140083000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102
ffffff00030000001e0008000000fa0206000100000000000000040000002d0100000500000014020f0009000500000013020f0082000500000014020f000800050000001302040008000500000014020f002e0005000000130204002e000500000014020f00820005000000130203008200040000002701ffff03000000
0000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff004500000000001400831101a10064000c574f5244000000000014008301000a000000000014008322000f0009790022000f000800f522000f002e00f522000f008200f4ff0000000000000000000000ffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff03004f0062006a0049006e0066006f0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000012000200ffffffffffffffffffffffff000000000000
0000000000000000000000000000000000000000000000000000000000000800000006000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff00000000
00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff0000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff
0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000200030000002d4974616c69630050616c6174696e6f2d526f6d616e00506172697369616e005061726b4176656e7565005072657374696765456c697465005072657374696765456c6974652d42
6f6c64005072657374696765456c6974652d426f6c64536c616e746564005072657374696765456c6974652d536c616e746564005374656d70656c476172616d6f6e642d426f6c64005374656d70656c476172616d6f6e642d426f6c644974616c6963005374656d70656c476172616d6f6e642d4974616c696300537465
6d70656c476172616d6f6e642d526f6d616e0053796d626f6c0054656b746f6e0054656b746f6e2d426f6c640054696d65732d426f6c640054696d65732d426f6c644974616c69630054696d65732d4974616c69630054696d65732d526f6d616e0054696d65734e6577526f6d616e50532d426f6c644974616c69634d54
0054696d65734e6577526f6d616e50532d426f6c644d540054696d65734e6577526f6d616e50532d4974616c69634d540054696d65734e6577526f6d616e50534d54005472616a616e2d426f6c64005472616a616e2d526567756c617200556e697665727300556e69766572732d426c61636b00556e69766572732d426f
6c6400556e69766572732d426f6c6445787400556e69766572732d426f6c644578744f626c00556e69766572732d426f6c644f626c69717501050000050000000d0000004d45544146494c4550494354008a0d0000effdffffdc00000008008a0d11020000
0100090000036a0000000100080000000000050000000b0200000000050000000c02140083000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102ffffff00030000001e0008000000fa0206000100000000000000040000002d0100000500000014020f00
09000500000013020f0082000500000014020f000800050000001302040008000500000014020f002e0005000000130204002e000500000014020f00820005000000130203008200040000002701ffff030000000000}{\result {\rtlch\fcs1 \af45 \ltrch\fcs0 \insrsid15151980 
{\pict\wmetafile8\picw3466\pich529\picwgoal2620\pichgoal400 
0100090000036a0000000100080000000000050000000b0200000000050000000c02140083000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102ffffff00030000001e0008000000fa0206000100000000000000040000002d0100000500000014020f0009
000500000013020f0082000500000014020f000800050000001302040008000500000014020f002e0005000000130204002e000500000014020f00820005000000130203008200040000002701ffff030000000000}}}}}\sectd \ltrsect
\sbknone\linex0\headery0\footery0\endnhere\sectlinegrid326\sectdefaultcl\sectrsid13464050\sftnbj {\rtlch\fcs1 \af45\afs18 \ltrch\fcs0 \fs18\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 
\par \hich\af45\dbch\af31505\loch\f45 Summer 200}{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 8}{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 
 address/ phone number (if different from current address/ phone number):
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\par \hich\af45\dbch\af31505\loch\f45 _____________________________________\hich\af45\dbch\af31505\loch\f45 ____________________________________________________________
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx5040\tx8540\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs18 \ltrch\fcs0 \fs18\insrsid15151980 \tab \hich\af45\dbch\af31505\loch\f45 Street number\tab Street name
\tab Apartment
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 
____________________________________________________________________}{\pard\plain \ltrpar\ql \li0\ri-1440\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 \rtlch\fcs1 \af45\afs20\alang1025 \ltrch\fcs0 
\fs20\lang1033\langfe2052\loch\af45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 {\object\objemb\objw2701\objh400{\*\objclass Word.Picture.8}{\*\objdata 01050000020000000f000000576f72642e506963747572652e38000000000000000000000e0000
d0cf11e0a1b11ae1000000000000000000000000000000003e000300feff0900060000000000000000000000010000000100000000000000001000000200000001000000feffffff0000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
fffffffffffffffffdffffff04000000feffffff05000000fefffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffff52006f006f007400200045006e00740072007900000000000000000000000000000000000000000000000000000000000000000000000000000000000000000016000500ffffffffffffffff020000000709020000000000c00000000000004600000000000000000000000020e8
e63f0b15c801030000004002000000000000030050004900430000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000a000201ffffffffffffffffffffffff00000000000000000000000000000000000000000000000000000000
000000000000000000000000640000000000000003004d004500540041000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000c0002010100000003000000ffffffff0000000000000000000000000000000000000000000000000000
0000000000000000000002000000c800000000000000030050004900430054000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000c000201ffffffff04000000ffffffff000000000000000000000000000000000000000000000000
000000000000000000000000060000004b0000000000000001000000feffffff030000000400000005000000feffffff07000000fefffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff640002000100000000000800f40d0000110200008c0a00009001000000000000000000000000000000000000e8030000e803000000000000000000000000000000000000000000ff00000000000000ff00000000000000ff000000000000
00ff00000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffff0800f40d11020000010009000003600000000100080000000000050000000b0200000000050000000c02140087000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102
ffffff00030000001e0008000000fa0206000100000000000000040000002d010000050000001402100006000500000013021000860005000000140210000600050000001302020006000500000014020f00860005000000130201008600040000002701ffff030000000000130203008200040000002701ffff03000000
0000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff004000000000001400871101a10064000c574f5244000000000014008701000a0000000000140087200010000600100086220010000600f222000f008600f2ff00000000000000000000000000000000ffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff03004f0062006a0049006e0066006f0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000012000200ffffffffffffffffffffffff000000000000
0000000000000000000000000000000000000000000000000000000000000800000006000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff00000000
00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff0000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff
0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000200030000002d4974616c69630050616c6174696e6f2d526f6d616e00506172697369616e005061726b4176656e7565005072657374696765456c697465005072657374696765456c6974652d42
6f6c64005072657374696765456c6974652d426f6c64536c616e746564005072657374696765456c6974652d536c616e746564005374656d70656c476172616d6f6e642d426f6c64005374656d70656c476172616d6f6e642d426f6c644974616c6963005374656d70656c476172616d6f6e642d4974616c696300537465
6d70656c476172616d6f6e642d526f6d616e0053796d626f6c0054656b746f6e0054656b746f6e2d426f6c640054696d65732d426f6c640054696d65732d426f6c644974616c69630054696d65732d4974616c69630054696d65732d526f6d616e0054696d65734e6577526f6d616e50532d426f6c644974616c69634d54
0054696d65734e6577526f6d616e50532d426f6c644d540054696d65734e6577526f6d616e50532d4974616c69634d540054696d65734e6577526f6d616e50534d54005472616a616e2d426f6c64005472616a616e2d526567756c617200556e697665727300556e69766572732d426c61636b00556e69766572732d426f
6c6400556e69766572732d426f6c6445787400556e69766572732d426f6c644578744f626c00556e69766572732d426f6c644f626c69717501050000050000000d0000004d45544146494c455049435400f40d0000effdffffc80000000800f40d11020000
010009000003600000000100080000000000050000000b0200000000050000000c02140087000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102ffffff00030000001e0008000000fa0206000100000000000000040000002d0100000500000014021000
06000500000013021000860005000000140210000600050000001302020006000500000014020f00860005000000130201008600040000002701ffff030000000000}{\result {\rtlch\fcs1 \af45 \ltrch\fcs0 \insrsid15151980 {\pict\wmetafile8\picw3572\pich529\picwgoal2700\pichgoal400 
010009000003600000000100080000000000050000000b0200000000050000000c02140087000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102ffffff00030000001e0008000000fa0206000100000000000000040000002d010000050000001402100006
000500000013021000860005000000140210000600050000001302020006000500000014020f00860005000000130201008600040000002701ffff030000000000}}}}}\sectd \ltrsect\sbknone\linex0\headery0\footery0\endnhere\sectlinegrid326\sectdefaultcl\sectrsid13464050\sftnbj {
\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx5040\tx7920\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs18 \ltrch\fcs0 \fs18\insrsid15151980 \tab \hich\af45\dbch\af31505\loch\f45 City \tab State\tab Zip code

\par 
\par }{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 Home telephone}{\rtlch\fcs1 \af45\afs18 \ltrch\fcs0 \fs18\insrsid15151980 \hich\af45\dbch\af31505\loch\f45  }{\pard\plain \ltrpar\ql \li0\ri-1440\widctlpar
\tx1440\tx5040\tx7920\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 \rtlch\fcs1 \af45\afs18\alang1025 \ltrch\fcs0 \fs18\lang1033\langfe2052\loch\af45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 {\object\objemb
\objw2781\objh400{\*\objclass Word.Picture.8}{\*\objdata 01050000020000000f000000576f72642e506963747572652e38000000000000000000000e0000
d0cf11e0a1b11ae1000000000000000000000000000000003e000300feff0900060000000000000000000000010000000100000000000000001000000200000001000000feffffff0000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
fffffffffffffffffdffffff04000000feffffff05000000fefffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffff52006f006f007400200045006e00740072007900000000000000000000000000000000000000000000000000000000000000000000000000000000000000000016000500ffffffffffffffff020000000709020000000000c00000000000004600000000000000000000000020e8
e63f0b15c801030000004002000000000000030050004900430000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000a000201ffffffffffffffffffffffff00000000000000000000000000000000000000000000000000000000
000000000000000000000000640000000000000003004d004500540041000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000c0002010100000003000000ffffffff0000000000000000000000000000000000000000000000000000
0000000000000000000002000000dc00000000000000030050004900430054000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000c000201ffffffff04000000ffffffff000000000000000000000000000000000000000000000000
00000000000000000000000006000000520000000000000001000000feffffff030000000400000005000000feffffff07000000fefffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff6400020001000000000008005e0e000011020000dc0a00009001000000000000000000000000000000000000e8030000e803000000000000000000000000000000000000000000ff00000000000000ff00000000000000ff000000000000
00ff00000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffff08005e0e110200000100090000036a0000000100080000000000050000000b0200000000050000000c0214008b000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102
ffffff00030000001e0008000000fa0206000100000000000000040000002d0100000500000014020f0009000500000013020f008a000500000014020e000900050000001302030009000500000014020f002e0005000000130204002e000500000014020f008a0005000000130203008a00040000002701ffff03000000
0000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff0047000000000014008b1101a10064000c574f5244000000000014008b01000a000000000014008b20000f0009000f008a22000e000900f522000f002e00f522000f008a00f4ff0000000000000000000000ffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff03004f0062006a0049006e0066006f0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000012000200ffffffffffffffffffffffff000000000000
0000000000000000000000000000000000000000000000000000000000000800000006000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff00000000
00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff0000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff
0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000200030000002d4974616c69630050616c6174696e6f2d526f6d616e00506172697369616e005061726b4176656e7565005072657374696765456c697465005072657374696765456c6974652d42
6f6c64005072657374696765456c6974652d426f6c64536c616e746564005072657374696765456c6974652d536c616e746564005374656d70656c476172616d6f6e642d426f6c64005374656d70656c476172616d6f6e642d426f6c644974616c6963005374656d70656c476172616d6f6e642d4974616c696300537465
6d70656c476172616d6f6e642d526f6d616e0053796d626f6c0054656b746f6e0054656b746f6e2d426f6c640054696d65732d426f6c640054696d65732d426f6c644974616c69630054696d65732d4974616c69630054696d65732d526f6d616e0054696d65734e6577526f6d616e50532d426f6c644974616c69634d54
0054696d65734e6577526f6d616e50532d426f6c644d540054696d65734e6577526f6d616e50532d4974616c69634d540054696d65734e6577526f6d616e50534d54005472616a616e2d426f6c64005472616a616e2d526567756c617200556e697665727300556e69766572732d426c61636b00556e69766572732d426f
6c6400556e69766572732d426f6c6445787400556e69766572732d426f6c644578744f626c00556e69766572732d426f6c644f626c69717501050000050000000d0000004d45544146494c4550494354005e0e0000effdffffdc00000008005e0e11020000
0100090000036a0000000100080000000000050000000b0200000000050000000c0214008b000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102ffffff00030000001e0008000000fa0206000100000000000000040000002d0100000500000014020f00
09000500000013020f008a000500000014020e000900050000001302030009000500000014020f002e0005000000130204002e000500000014020f008a0005000000130203008a00040000002701ffff030000000000}{\result {\rtlch\fcs1 \af45 \ltrch\fcs0 \insrsid15151980 
{\pict\wmetafile8\picw3678\pich529\picwgoal2780\pichgoal400 
0100090000036a0000000100080000000000050000000b0200000000050000000c0214008b000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102ffffff00030000001e0008000000fa0206000100000000000000040000002d0100000500000014020f0009
000500000013020f008a000500000014020e000900050000001302030009000500000014020f002e0005000000130204002e000500000014020f008a0005000000130203008a00040000002701ffff030000000000}}}}}\sectd \ltrsect
\sbknone\linex0\headery0\footery0\endnhere\sectlinegrid326\sectdefaultcl\sectrsid13464050\sftnbj {\rtlch\fcs1 \af45\afs18 \ltrch\fcs0 \fs18\insrsid15151980 \tab }{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 
\hich\af45\dbch\af31505\loch\f45 Cell phone}{\rtlch\fcs1 \af45\afs18 \ltrch\fcs0 \fs18\insrsid15151980 \hich\af45\dbch\af31505\loch\f45  }{\pard\plain \ltrpar\ql \li0\ri-1440\widctlpar
\tx1440\tx5040\tx7920\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 \rtlch\fcs1 \af45\afs18\alang1025 \ltrch\fcs0 \fs18\lang1033\langfe2052\loch\af45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 {\object\objemb
\objw2620\objh400{\*\objclass Word.Picture.8}{\*\objdata 01050000020000000f000000576f72642e506963747572652e38000000000000000000000e0000
d0cf11e0a1b11ae1000000000000000000000000000000003e000300feff0900060000000000000000000000010000000100000000000000001000000200000001000000feffffff0000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
fffffffffffffffffdffffff04000000feffffff05000000fefffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffff52006f006f007400200045006e00740072007900000000000000000000000000000000000000000000000000000000000000000000000000000000000000000016000500ffffffffffffffff020000000709020000000000c00000000000004600000000000000000000000020e8
e63f0b15c801030000004002000000000000030050004900430000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000a000201ffffffffffffffffffffffff00000000000000000000000000000000000000000000000000000000
000000000000000000000000640000000000000003004d004500540041000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000c0002010100000003000000ffffffff0000000000000000000000000000000000000000000000000000
0000000000000000000002000000dc00000000000000030050004900430054000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000c000201ffffffff04000000ffffffff000000000000000000000000000000000000000000000000
00000000000000000000000006000000500000000000000001000000feffffff030000000400000005000000feffffff07000000fefffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff6400020001000000000008008a0d0000110200003c0a00009001000000000000000000000000000000000000e8030000e803000000000000000000000000000000000000000000ff00000000000000ff00000000000000ff000000000000
00ff00000000532d426f6c644974616c69634d540054696d65734e6577526f6d616e08008a0d110200000100090000036a0000000100080000000000050000000b0200000000050000000c02140083000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102
ffffff00030000001e0008000000fa0206000100000000000000040000002d0100000500000014020f0009000500000013020f0082000500000014020f000800050000001302040008000500000014020f002e0005000000130204002e000500000014020f00820005000000130203008200040000002701ffff03000000
00006e64656e736564426f6c644f626c6971756500556e69766572732d436f6e64656e736564004500000000001400831101a10064000c574f5244000000000014008301000a000000000014008322000f0009790022000f000800f522000f002e00f522000f008200f4ff000000000000000000000069766572732d4578
74656e6465644f626c00556e69766572732d4c6967687400556e69766572732d4c696768744f626c03004f0062006a0049006e0066006f0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000012000200ffffffffffffffffffffffff000000000000
0000000000000000000000000000000000000000000000000000000000000800000006000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff00000000
00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff0000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff
0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000200030000006a0049006e0066006f0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000012000200ffffffffffffffffffff
ffff0000000000000000000000000000000000000000000000000000000000000000000000000c00000006000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffff
ffffffff0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffff
ffffffffffff0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffff
ffffffffffffffff00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000001050000050000000d0000004d45544146494c4550494354008a0d0000effdffffdc00000008008a0d11020000
0100090000036a0000000100080000000000050000000b0200000000050000000c02140083000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102ffffff00030000001e0008000000fa0206000100000000000000040000002d0100000500000014020f00
09000500000013020f0082000500000014020f000800050000001302040008000500000014020f002e0005000000130204002e000500000014020f00820005000000130203008200040000002701ffff030000000000}{\result {\rtlch\fcs1 \af45 \ltrch\fcs0 \insrsid15151980 
{\pict\wmetafile8\picw3466\pich529\picwgoal2620\pichgoal400 
0100090000036a0000000100080000000000050000000b0200000000050000000c02140083000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102ffffff00030000001e0008000000fa0206000100000000000000040000002d0100000500000014020f0009
000500000013020f0082000500000014020f000800050000001302040008000500000014020f002e0005000000130204002e000500000014020f00820005000000130203008200040000002701ffff030000000000}}}}}\sectd \ltrsect
\sbknone\linex0\headery0\footery0\endnhere\sectlinegrid326\sectdefaultcl\sectrsid13464050\sftnbj {\rtlch\fcs1 \af45\afs18 \ltrch\fcs0 \fs18\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx2880\tx7200\tx8640\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs14 \ltrch\fcs0 \fs14\insrsid15151980 \tab \hich\af45\dbch\af31505\loch\f45            Area code
\tab Number\tab                Area code\tab Number
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx5040\tx7920\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\par }\pard\plain \ltrpar\s1\ql \li0\ri-1440\keepn\widctlpar\tx1440\tx5040\tx7920\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 \rtlch\fcs1 \ab\af45\afs20\alang1025 \ltrch\fcs0 
\b\fs20\lang1033\langfe2052\loch\af45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 {\rtlch\fcs1 \af45 \ltrch\fcs0 \insrsid15151980 \hich\af45\dbch\af31505\loch\f45 Email address (please \hich\af45\dbch\af31505\loch\f45 
print clearly) ____________________________________________________
\par }\pard\plain \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx5040\tx7920\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 \rtlch\fcs1 \af45\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe2052\loch\af45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 {\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 Birthdate}{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\hich\af45\dbch\af31505\loch\f45          }{\pard\plain \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx5040\tx7920\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 \rtlch\fcs1 \af45\afs20\alang1025 \ltrch\fcs0 
\fs20\lang1033\langfe2052\loch\af45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 {\object\objemb\objw2900\objh400\objscalex97{\*\objclass Word.Picture.8}{\*\objdata 01050000020000000f000000576f72642e506963747572652e3800000000000000000000520000
d0cf11e0a1b11ae1000000000000000000000000000000003e000300feff0900060000000000000000000000010000000100000000000000001000000200000001000000feffffff0000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
fffffffffffffffffdffffff04000000feffffff0d0000000e000000060000000700000008000000090000000a0000000b0000000c000000fefffffffeffffff1f00000010000000110000001200000013000000140000001500000016000000feffffff18000000190000001a0000001b0000001c0000001d0000001e00
0000fefffffffeffffff21000000220000002300000024000000250000002600000027000000feffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffff52006f006f007400200045006e00740072007900000000000000000000000000000000000000000000000000000000000000000000000000000000000000000016000500ffffffffffffffff040000000709020000000000c00000000000004600000000000000000000000020e8
e63f0b15c80103000000000400000000000001004f006c00650000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000a000201ffffffffffffffffffffffff00000000000000000000000000000000000000000000000000000000
0000000000000000000000001400000000000000030050004900430000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000a0002010100000003000000ffffffff0000000000000000000000000000000000000000000000000000
00000000000000000000010000004c0000000000000003004d004500540041000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000c000201ffffffffffffffffffffffff000000000000000000000000000000000000000000000000
000000000000000000000000030000002c01000000000000feffffff02000000feffffff04000000050000000600000007000000feffffff09000000fefffffffeffffff0c0000000d0000000e000000fefffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff0100000200000000000000000000000000000000a00315009001000000000000000000000000000000000000e8030000e80300000000000000000000000000004c0000000000000000000800fb130000c2020000540b0000900100000000
0000000000000000000000000000d3030000e803000000000000000000000000000000000000000000000000000000036a0000000100080000000000050000000b0200000000050000000c02140083000500000004010d000000050000002e0118000800e20ef70100000100090000039200000001000a00000000000500
00000b0200000000050000000c02130090000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102ffffff00030000001e0008000000fa0206000100000000000000040000002d01000005000000140212000a00050000001302120090000a00000026060f00
0a00ffffffff01000000000005000000140212000a000500000013020d000a000a00000026060f000a00ffffffff010000000000050000001402110035000500000013020c0035000a00000026060f000a00ffffffff01000000000005000000140211005e000500000013020c005e000a00000026060f000a00ffffffff
010000000000040000002701ffff03000000000067687400556e69766572732d4c696768744f626c31005400610062006c006500000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000e0002010200000008000000ffffffff000000000000
000000000000000000000000000000000000000000000000000000000000050000000010000000000000010043006f006d0070004f0062006a0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000012000201ffffffffffffffffffffffff00000000
0000000000000000000000000000000000000000000000000000000000000000080000006f0000000000000003004f0062006a0049006e0066006f00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000120002000500000007000000ffffffff0000
000000000000000000000000000000000000000000000000000000000000000000000a00000006000000000000004f0062006a0065006300740050006f006f006c00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000016000101ffffffffffffffffffffffff
000000000000000000000000000000000000000020e8e63f0b15c80120e8e63f0b15c80100000000000000000000000012000f000a00010069000f00020003000000030028000040f1ff02002800000006004e006f0072006d0061006c000000020000000800434a18006d48090400000000000000000000000000000000
00003c004140f2ffa1003c0000001600440065006600610075006c0074002000500061007200610067007200610070006800200046006f006e00740000000000000000000000000000000000060000000500000e00000000ffffffff010000000420ffff01004056c3000000000006000000000000000000000600000606
0000040000000006000006060000050000000006000006060000060000000f0000f038000000000006f01800000007040000020000000600000001000000010000000700000040001ef110000000ffff00000000ff0080808000f7000010000f0002f068020000100008f00800000006000000060400000f0003f0060200
000f0004f028000000010009f01000000044d66d03a0070000401900008012000002000af00800000000040000050000000f0004f05600000042010af00800000002040000000a000023000bf00c000000cb019c3100003f0200000200330022f112000000900301000000920301000000bf0300000080000010f0040000
0004000000000011f004000000000000010f0004f05600000042010af00800000003040000800a000023000bf00c000000cb019c3100003f0200000200330022f112000000900301000000920301000000bf0300000080000010f00400000003000000000011f004000000000000010f0004f05600000042010af0080000
0004040000800a000023000bf00c000000cb019c3100003f0200000200330022f112000000900301000000920301000000bf0300000080000010f00400000002000000000011f004000000000000010f0004f05600000042010af00800000005040000800a000023000bf00c000000cb019c3100003f0200000200330022
f112000000900301000000920301000000bf0300000080000010f00400000001000000000011f004000000000000010f0004f05600000042010af00800000006040000c00a000023000bf00c000000cb019c3100003f0200000200330022f112000000900301000000920301000000bf0300000080000010f00400000000
000000000011f004000000000000010f0004f04200000012000af00800000001040000000e000053000bf01e000000bf0100001000cb0100000000ff01000008000403090000003f0301000100000011f0040000000000000100000000010000000200000003000000040000000600000006040000f72c00009027000001
2d0000f12700006a000000000005040000152900009027000017290000f02700006a000000000004040000e625000090270000e8250000f02700006a00000000000304000090220000a327000092220000032800006a0000000000020400009022000002280000f72c0000042800006a0000000000000000000800000007
0000000000080000000700000000000800000001000000ff400080010000000000000000007007f30300000000000000000000000000000000000000000300030085037e02021000000000000000060000005000000c00400000040000004706900100000002020603050405020300000003000000000000000000000000
0100000000000000540069006d006500730020004e0065007700200052006f006d0061006e00000035069001020000020005000000000000000000001000000000000000000000000000008000000000530079006d0062006f006c00000033069001000000020b0604020202020200000003000000000000000000000000
010000000000000041007200690061006c00000033069001000000020005000000000000000000030000000000000000000000000100000000000000540069006d0065007300000022000400f10888180000d0020000680100000000db617686db6176860000000003000100000000000000050000000100010000000400
831001000000000000000000000001000100000001000000000000002103000000840000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000a506c00778007800800072300000000000000000000000000000060000000000
0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000020000004d02000000000000000000000084ff03000000000000000000000000000000000000000000000000000000000000ffff120000000000000000000000
00000000060043002e002000470061006e000c004a00610063006f00620020005600610072006b006500790000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000100feff030a0000ffffffff0709
020000000000c0000000000000461e0000004d6963726f736f6674204f666669636520576f72642050696374757265000a0000004d53576f7264446f63000f000000576f72642e506963747572652e3800f439b2710000000000000000000000000000000000000000000000000000000000000003000400000000000000
00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffff030000000400000001000000ffffffff00000000000000000000000000000000ac00000000ac0000000000130090001102ff0c00fffe00000048000000480000000000000013
00900000000000a101f200044d53574400a1008c00080011000900140092001e0001000a800180017fff7fff00200012000a0012009000a0008d00a1008c0008000c00090014000c00220012000a00fb00a0008d00a1008c0008000b00340013003700220011003500fb00a0008d00a1008c0008000b005d001300600022
0011005e00fb00a0008d00ff00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000f000000576f72642e506963747572652e380000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000002004f006c00
6500500072006500730030003000300000000000000000000000000000000000000000000000000000000000000000000000000000000000000018000201060000000a000000ffffffff0000000000000000000000000000000000000000000000000000000000000000000000000b000000d40000000000000057006f00
7200640044006f00630075006d0065006e007400000000000000000000000000000000000000000000000000000000000000000000000000000000001a000201ffffffffffffffffffffffff0000000000000000000000000000000000000000000000000000000000000000000000000f00000000100000000000000100
4f006c0065003100300046006d007400500072006f006700490044000000000000000000000000000000000000000000000000000000000000000000000020000200090000000b000000ffffffff0000000000000000000000000000000000000000000000000000000000000000000000000f0000001300000000000000
0500530075006d006d0061007200790049006e0066006f0072006d006100740069006f006e00000000000000000000000000000000000000000000000000000028000201ffffffff0c000000ffffffff00000000000000000000000000000000000000000000000000000000000000000000000017000000001000000000
0000eca5c1001b4009040000f012bf000000000001110001000100060000060600000e006a626a628bee8bee000000000000000000000000000000000000090416001e0e0000e18c0100e18c01000600000000000000000000000000000000000000000000000000000000000000ffff0f000000000000000000ffff0f00
0000000000000000ffff0f00000000000000000000000000000000006c0000000000960000000000000096000000960000000000000096000000000000009600000000000000960000000000000096000000140000000000000000000000c600000000000000c600000000000000c600000000000000c600000000000000
c60000000c000000d20000000c000000c60000000000000098040000ea000000ea00000000000000ea00000000000000ea00000000000000ea00000000000000ea00000000000000350400000000000035040000000000003504000000000000550400000200000057040000000000005704000000000000570400000000
000057040000000000005704000000000000570400002c0000008205000020020000a20700004e00000083040000150000000000000000000000000000000000000096000000000000003504000000000000000000000000000000000000000000009b0300009a0000003504000000000000350400000000000035040000
000000008304000000000000490400000000000096000000000000009600000000000000ea000000000000000000000000000000ea000000b1020000ea00000000000000490400000000000049040000000000004904000000000000350400000a0000009600000000000000ea000000000000009600000000000000ea00
000000000000550400000000000000000000000000004904000000000000aa0000000e000000b80000000e0000009600000000000000960000000000000096000000000000009600000000000000350400000000000055040000000000004904000000000000490400000000000000000000000000004904000000000000
96000000000000009600000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000049040000000000000000000000000000de0000000c000000773e0ebb00000000c600000000000000c6000000000000003f0400000a00
000049040000000000000000000000000000490400000c000000980400000000000098040000000000004904000000000000f0070000000000004904000000000000f00700000000000049040000000000004904000000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000400c3000f00e50000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000008080808080d00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
00000000000000000000000000000000000000000000000000000000000000000000000600000506000006060000f600000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000011036a00000000434a14005508016d48000400020006000006060000fd000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000001000000010006000006060000fe00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000020101011c001fb0c04e20b0c04e21b0bf2122b0c0212390a1262490a22625b000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000feff0000030a01000000000000000000000000000000000001000000e0859ff2f94f6810ab9108002b27b3d930000000580100001000000001000000
880000000200000090000000030000009c00000004000000a800000005000000b800000007000000c400000008000000d400000009000000ec00000012000000f80000000a000000140100000c000000200100000d0000002c0100000e000000380100000f00000040010000100000004801000013000000500100000200
0000102700001e00000001000000006f00731e00000001000000006f00731e00000007000000432e2047616e00661e00000001000000002e20471e000000070000004e6f726d616c00661e0000000d0000004a61636f62205661726b65790057006f1e000000020000003300636f1e000000140000004d6963726f736f66
7420576f72642031302e3000400000000046c323000000004000000000d26cafee30c3014000000000d26cafee30c301030000000100000003000000000000000300000005000000030000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
00000000050044006f00630075006d0065006e007400530075006d006d0061007200790049006e0066006f0072006d006100740069006f006e000000000000000000000038000200ffffffffffffffffffffffff000000000000000000000000000000000000000000000000000000000000000000000000200000000010
0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff00000000000000000000000000000000000000000000000000000000000000000000000000000000
00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff0000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000feff0000030a0100000000000000000000000000000000000100000002d5cdd59c2e1b10939708002b2cf9ae30000000000100000c00000001000000680000000f000000700000000500000094000000060000009c00000011000000a400000017000000ac0000000b000000b40000001000
0000bc00000013000000c400000016000000cc0000000d000000d40000000c000000e100000002000000102700001e0000001a00000048756d626f6c647420537461746520556e69766572736974790000690300000001000000030000000100000003000000060000000300000024050a000b000000000000000b000000
000000000b000000000000000b000000000000001e1000000100000001000000000c100000020000001e000000060000005469746c65000300000001000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000001050000050000000d0000004d45544146494c455049435400e20e000009feffff2c0100000800e20ef7010000
0100090000039200000001000a0000000000050000000b0200000000050000000c02130090000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102ffffff00030000001e0008000000fa0206000100000000000000040000002d0100000500000014021200
0a00050000001302120090000a00000026060f000a00ffffffff01000000000005000000140212000a000500000013020d000a000a00000026060f000a00ffffffff010000000000050000001402110035000500000013020c0035000a00000026060f000a00ffffffff01000000000005000000140211005e0005000000
13020c005e000a00000026060f000a00ffffffff010000000000040000002701ffff030000000000}{\result {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 {\pict\wmetafile8\picw5115\pich706\picwgoal2900\pichgoal400 \picscalex97 
0100090000039200000001000a0000000000050000000b0200000000050000000c02130090000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102ffffff00030000001e0008000000fa0206000100000000000000040000002d01000005000000140212000a
00050000001302120090000a00000026060f000a00ffffffff01000000000005000000140212000a000500000013020d000a000a00000026060f000a00ffffffff010000000000050000001402110035000500000013020c0035000a00000026060f000a00ffffffff01000000000005000000140211005e00050000001302
0c005e000a00000026060f000a00ffffffff010000000000040000002701ffff030000000000}}}}}\sectd \ltrsect\sbknone\linex0\headery0\footery0\endnhere\sectlinegrid326\sectdefaultcl\sectrsid13464050\sftnbj {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\tab }{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 Sex}{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45  (enter M or F) }{\rtlch\fcs1 \af45\afs56 \ltrch\fcs0 
\fs56\insrsid15151980 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 28}{\fldrslt\f10\fs56}}}{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1260\tx2160\tx2880\tx5040\tx7920\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs14 \ltrch\fcs0 \fs14\insrsid15151980 \tab \hich\af45\dbch\af31505\loch\f45         Month
\tab      \hich\af45\dbch\af31505\loch\f45       Day\tab                Year
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\brdrb\brdrs\brdrw30\brsp20 \tx1440\tx5040\tx5760\tx6390\tx7740\tx8640\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs10 \ltrch\fcs0 \fs10\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx5040\tx5760\tx6390\tx7740\tx8640\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs16 \ltrch\fcs0 \fs16\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 Part II
\par 
\par }{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 Will you be attending Humboldt State University during the 200}{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 8}{
\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 /200}{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 9}{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\hich\af45\dbch\af31505\loch\f45  academic year? \tab \tab Yes /  }{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 *}{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\hich\af45\dbch\af31505\loch\f45 No (If no, see next line)}{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 
\par }\pard \ltrpar\ql \li360\ri-1440\widctlpar\brdrb\brdrs\brdrw30 \tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin360\itap0 {\rtlch\fcs1 \ab\af45\afs18 \ltrch\fcs0 \b\fs18\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 
\hich\f45 *If you answered \'93\loch\f45 \hich\f45 no\'94\loch\f45  (you }{\rtlch\fcs1 \ab\af45\afs18 \ltrch\fcs0 \b\fs18\ul\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 do not}{\rtlch\fcs1 \ab\af45\afs18 \ltrch\fcs0 \b\fs18\insrsid15151980 
\hich\af45\dbch\af31505\loch\f45  plan to attend HSU in the 200}{\rtlch\fcs1 \ab\af45\afs18 \ltrch\fcs0 \b\fs18\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 8}{\rtlch\fcs1 \ab\af45\afs18 \ltrch\fcs0 \b\fs18\insrsid15151980 
\hich\af45\dbch\af31505\loch\f45 /\hich\af45\dbch\af31505\loch\f45 200}{\rtlch\fcs1 \ab\af45\afs18 \ltrch\fcs0 \b\fs18\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 9}{\rtlch\fcs1 \ab\af45\afs18 \ltrch\fcs0 \b\fs18\insrsid15151980 
\hich\af45\dbch\af31505\loch\f45  academic year), you are not eligible 
\par \hich\af45\dbch\af31505\loch\f45 for the 200}{\rtlch\fcs1 \ab\af45\afs18 \ltrch\fcs0 \b\fs18\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 8}{\rtlch\fcs1 \ab\af45\afs18 \ltrch\fcs0 \b\fs18\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 
 CSU-AMP Summer Bridge Program (do not continue this application).
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \ab\af45\afs16 \ltrch\fcs0 \b\fs16\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx5040\tx5760\tx6390\tx7740\tx8640\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 
\hich\af45\dbch\af31505\loch\f45 Part III}{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx5040\tx5760\tx6390\tx7740\tx8640\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 
What is your degree objective?  }{\rtlch\fcs1 \af45\afs56 \ltrch\fcs0 \fs56\insrsid15151980 {\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 28}{\fldrslt\f10\fs56}}}{\rtlch\fcs1 \af45\afs48 \ltrch\fcs0 \fs48\insrsid15151980 
\hich\af45\dbch\af31505\loch\f45  }{\rtlch\fcs1 \ai\af45\afs20 \ltrch\fcs0 \i\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 Enter code in box}{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 ::  \tab 
0 - None \tab 1 }{\rtlch\fcs1 \af45\afs18 \ltrch\fcs0 \fs18\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 -  }{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 two year technology \tab 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx4860\tx5040\tx5760\tx6390\tx7740\tx8640\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \tab \hich\af45\dbch\af31505\loch\f45 
   \tab \tab 2 - BA\tab \tab 3 \hich\f45 \endash \loch\f45  BS\tab \tab 4 - other
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx5040\tx7380\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \tab \tab 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx5040\tx7920\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 
Intended major:  ____________________________________________________________________________
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx5040\tx7380\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \tab \tab 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx5040\tx7380\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 
Emphasis/concentration (if applicable):  _________________________________________________________\tab   \tab \tab 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx5040\tx7380\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx5040\tx7380\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 
Are you a member of one of the ethnic groups listed below? __________ (yes or no)
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\par \hich\af45\dbch\af31505\loch\f45 1. American Indian or Alaskan native \tab 2. African American\tab 3. Latino/Hispanic\tab 4. Pacific Islander
\par \hich\af45\dbch\af31505\loch\f45 If you are a member of one (or more) of the above mentioned ethnic groups, p\hich\af45\dbch\af31505\loch\f45 lease enter your ethnic identity code(s) in the box }{\rtlch\fcs1 \af45\afs66 \ltrch\fcs0 \fs66\insrsid15151980 
{\field{\*\fldinst SYMBOL 111 \\f "Wingdings" \\s 33}{\fldrslt\f10\fs66}}}{\rtlch\fcs1 \af45\afs56 \ltrch\fcs0 \fs56\insrsid15151980 
\par }\pard\plain \ltrpar\s3\qc \li0\ri-1440\keepn\widctlpar\tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin-1440\lin0\itap0 \rtlch\fcs1 \ab\af45\afs20\alang1025 \ltrch\fcs0 
\b\fs20\lang1033\langfe2052\loch\af45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 {\rtlch\fcs1 \af45 \ltrch\fcs0 \insrsid15151980 \tab \hich\af45\dbch\af31505\loch\f45           Page 1\tab \tab \tab (over)
\par }\pard\plain \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 \rtlch\fcs1 \af45\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe2052\loch\af45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 {\rtlch\fcs1 \af45 \ltrch\fcs0 \insrsid15151980 \page }{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \tab \tab \tab \hich\af45\dbch\af31505\loch\f45 
Name __________________________________________
\par 
\par }\pard \ltrpar\ql \fi-5760\li5760\ri-1440\widctlpar\tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin5760\itap0 {\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 Part IV\tab 
\tab \tab }{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 Please list the math courses (indicate honors/AP if applicable) 
\par }{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \tab \tab \tab }{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 taken durin\hich\af45\dbch\af31505\loch\f45 
g high school and the grade you received:
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 
High School attended__________________________________}{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \tab }{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\ul\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 year}{\rtlch\fcs1 
\ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45    \tab  \tab }{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\ul\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 high school math course}{\rtlch\fcs1 \ab\af45\afs20 
\ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45  }{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\ul\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 final grades}{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \tab \tab \tab \tab \tab \tab \tab \tab 
\hich\af45\dbch\af31505\loch\f45      
\par \tab \tab \tab \hich\af45\dbch\af31505\loch\f45 Freshman\tab _________________________________
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 
City and State _____________________________________\hich\af45\dbch\af31505\loch\f45 ___    }{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45  }{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 

\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \tab \tab \tab \hich\af45\dbch\af31505\loch\f45 Sophomore\tab 
_________________________________
\par 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 
High School grade point average: include all work completed\tab Junior\tab \tab _________________________________
\par \hich\af45\dbch\af31505\loch\f45 after the 9th grade,  except military science and physical education.
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \tab \tab \tab \hich\af45\dbch\af31505\loch\f45 Senior}{
\rtlch\fcs1 \af45\afs16 \ltrch\fcs0 \fs16\insrsid15151980 \tab \hich\af45\dbch\af31505\loch\f45       \tab }{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 __________\hich\af45\dbch\af31505\loch\f45 
_______________________
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx720\tx1440\tx3600\tx4680\tx5760\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45           }
{\pard\plain \ltrpar\ql \li0\ri-1440\widctlpar\tx720\tx1440\tx3600\tx4680\tx5760\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 \rtlch\fcs1 \af45\afs20\alang1025 \ltrch\fcs0 
\fs20\lang1033\langfe2052\loch\af45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 {\object\objemb\objw1400\objh480\objscalex135\objscaley129{\*\objclass Word.Picture.8}{\*\objdata 01050000020000000f000000576f72642e506963747572652e380000000000
00000000000e0000
d0cf11e0a1b11ae1000000000000000000000000000000003e000300feff0900060000000000000000000000010000000100000000000000001000000200000001000000feffffff0000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
fffffffffffffffffdffffff05000000feffffff04000000fefffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffff52006f006f007400200045006e00740072007900000000000000000000000000000000000000000000000000000000000000000000000000000000000000000016000500ffffffffffffffff020000000709020000000000c00000000000004600000000000000000000000080cb
fd3f0b15c801030000000003000000000000030050004900430000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000a000201ffffffffffffffffffffffff00000000000000000000000000000000000000000000000000000000
000000000000000000000000640000000000000003004d004500540041000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000c0002010100000003000000ffffffff0000000000000000000000000000000000000000000000000000
00000000000000000000020000006e01000000000000030050004900430054000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000c000201ffffffff04000000ffffffff000000000000000000000000000000000000000000000000
00000000000000000000000008000000a20000000000000001000000feffffff0300000004000000050000000600000007000000feffffff090000000a000000fefffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff6400020001000000000008003c0700007b02000078050000e001000000000000000000000000000000000000460500000a05000000000000000000000000000000000000000000ff00000000000000ff00000000000000ff000000000000
00ff00000000532d426f6c644974616c69634d540054696d65734e6577526f6d616e08003c077b020000010009000003b300000003001c0000000000050000000b0200000000050000000c02180046000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102
ffffff00030000001e000a00000026060f000a00ffffffff0000000000000700000016041700450003001b0007000000fc020100000000000000040000002d01000008000000fa0206000100000000000000040000002d010100070000001b041300440004001c00050000001402100030000500000013020e0030000a00
000026060f000a00ffffffff010000000000040000002701ffff030000001e00070000001604180046000000000004000000080100001c000000fb02f6ff0000000000009001000000000000001054696d657300000041110a8378e2120088a9f37791a9f3772030f577c10f6644040000002d0102000800000021050300
475041ff10000400040000002701ffff0300000000007400556e69766572732d4c696768744f626c009700000000001800461101a10064000c574f52440000000000180046a0008ca10064000c574f52440003001b0017004501000a0003001b00170045300004001c00130044220010003000fea100640004574f5244a0
008da10096000c01000000010000000000000001000a00000000001800462c000800140554696d65730300140d000a2e0004000000002b041003475041a00097ff00000000000000000000ff000000000000000000000000000000000000000000000000000000000000020003000000ffffffffffffffffffff00000000
00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff0000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff
00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000003004f0062006a0049006e0066006f0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000012000200ffffffffffffffffffff
ffff0000000000000000000000000000000000000000000000000000000000000000000000000b00000006000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffff
ffffffff0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffff
ffffffffffff0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffff
ffffffffffffffff00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000001050000050000000d0000004d45544146494c4550494354003c07000085fdffff6e01000008003c077b020000
010009000003b300000003001c0000000000050000000b0200000000050000000c02180046000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102ffffff00030000001e000a00000026060f000a00ffffffff000000000000070000001604170045000300
1b0007000000fc020100000000000000040000002d01000008000000fa0206000100000000000000040000002d010100070000001b041300440004001c00050000001402100030000500000013020e0030000a00000026060f000a00ffffffff010000000000040000002701ffff030000001e0007000000160418004600
0000000004000000080100001c000000fb02f6ff0000000000009001000000000000001054696d657300000041110a8378e2120088a9f37791a9f3772030f577c10f6644040000002d0102000800000021050300475041ff10000400040000002701ffff030000000000}{\result {\rtlch\fcs1 \af45 \ltrch\fcs0 
\insrsid15151980 {\pict\wmetafile8\picw1852\pich635\picwgoal1400\pichgoal480 \picscalex135\picscaley129 
010009000003b300000003001c0000000000050000000b0200000000050000000c02180046000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102ffffff00030000001e000a00000026060f000a00ffffffff0000000000000700000016041700450003001b
0007000000fc020100000000000000040000002d01000008000000fa0206000100000000000000040000002d010100070000001b041300440004001c00050000001402100030000500000013020e0030000a00000026060f000a00ffffffff010000000000040000002701ffff030000001e00070000001604180046000000
000004000000080100001c000000fb02f6ff0000000000009001000000000000001054696d657300000041110a8378e2120088a9f37791a9f3772030f577c10f6644040000002d0102000800000021050300475041ff10000400040000002701ffff030000000000}}}}}\sectd \ltrsect
\sbknone\linex0\headery0\footery0\endnhere\sectlinegrid326\sectdefaultcl\sectrsid13464050\sftnbj {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \tab \tab \tab \tab 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx720\tx1440\tx2880\tx3600\tx4680\tx5760\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \tab \tab 
\hich\af45\dbch\af31505\loch\f45 Instructions:\tab GPA = Total grade points / Total units\tab A = 4; B = 3; C = 2; D = 1; F = 0 
\par }\pard \ltrpar\ql \li2880\ri-1440\widctlpar\tx720\tx1440\tx2880\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin2880\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 
Note:  Add 1 point for each honors or advanced placement (AP) cours\hich\af45\dbch\af31505\loch\f45 e in which you 
\par \hich\af45\dbch\af31505\loch\f45 obtained a C or better.
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\brdrt\brdrs\brdrw30\brsp20 \tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs16 \ltrch\fcs0 \fs16\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 Part V}{
\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\par \hich\af45\dbch\af31505\loch\f45 Enter test scores and dates taken:
\par 
\par \hich\af45\dbch\af31505\loch\f45 ACT\tab _________      _________      _________      _________      _________ \tab Date:  ______________________
\par \tab }{\rtlch\fcs1 \af45\afs18 \ltrch\fcs0 \fs18\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 English                Math                      Reading         \hich\af45\dbch\af31505\loch\f45        Science                }{\rtlch\fcs1 \af45\afs14 
\ltrch\fcs0 \fs14\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 COMPOSITE SCORE}{\rtlch\fcs1 \af45\afs18 \ltrch\fcs0 \fs18\insrsid15151980 
\par }{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\par \hich\af45\dbch\af31505\loch\f45 SAT taken \tab _________      _________      _________      \tab \tab \tab \tab Date:  ______________________
\par \hich\af45\dbch\af31505\loch\f45 before 3-2005:\tab }{\rtlch\fcs1 \af45\afs18 \ltrch\fcs0 \fs18\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 Verbal                   Math\tab          TOTAL}{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 

\par 
\par \hich\af45\dbch\af31505\loch\f45 SAT taken\tab _________      _________      _________     ____\hich\af45\dbch\af31505\loch\f45 _____            \tab \tab Date:  ______________________
\par \hich\af45\dbch\af31505\loch\f45 after 3-2005:}{\rtlch\fcs1 \af45\afs18 \ltrch\fcs0 \fs18\insrsid15151980 \tab \hich\af45\dbch\af31505\loch\f45 Critical reading   Math\tab          Writing               TOTAL
\par }{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\brdrt\brdrs\brdrw30\brsp20 \tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs16 \ltrch\fcs0 \fs16\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 Part VI
\par 
\par }{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 If you are transferring to HSU, please state the name and address of the}{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 
\par }{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 college or university you are transferring from\tab \tab \hich\af45\dbch\af31505\loch\f45 GPA for all transferable undergraduate college work: 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx720\tx1440\tx3600\tx4680\tx5760\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs32 \ltrch\fcs0 \fs32\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 
_____________________________________________________}{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \tab }{\pard\plain \ltrpar\ql \li0\ri-1440\widctlpar
\tx720\tx1440\tx3600\tx4680\tx5760\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 \rtlch\fcs1 \af45\afs20\alang1025 \ltrch\fcs0 \fs20\lang1033\langfe2052\loch\af45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp2052 {\object\objemb
\objw1400\objh480\objscalex135\objscaley84{\*\objclass Word.Picture.8}{\*\objdata 01050000020000000f000000576f72642e506963747572652e38000000000000000000000e0000
d0cf11e0a1b11ae1000000000000000000000000000000003e000300feff0900060000000000000000000000010000000100000000000000001000000200000001000000feffffff0000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
fffffffffffffffffdffffff05000000feffffff04000000fefffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffff52006f006f007400200045006e00740072007900000000000000000000000000000000000000000000000000000000000000000000000000000000000000000016000500ffffffffffffffff020000000709020000000000c00000000000004600000000000000000000000040f3
06400b15c801030000000003000000000000030050004900430000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000a000201ffffffffffffffffffffffff00000000000000000000000000000000000000000000000000000000
000000000000000000000000640000000000000003004d004500540041000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000c0002010100000003000000ffffffff0000000000000000000000000000000000000000000000000000
00000000000000000000020000006e01000000000000030050004900430054000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000c000201ffffffff04000000ffffffff000000000000000000000000000000000000000000000000
00000000000000000000000008000000a20000000000000001000000feffffff0300000004000000050000000600000007000000feffffff090000000a000000fefffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff6400020001000000000008003c0700007b02000078050000e001000000000000000000000000000000000000460500004803000000000000000000000000000000000000000000ff00000000000000ff00000000000000ff000000000000
00ff00000000532d426f6c644974616c69634d540054696d65734e6577526f6d616e08003c077b020000010009000003b300000003001c0000000000050000000b0200000000050000000c02180046000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102
ffffff00030000001e000a00000026060f000a00ffffffff0000000000000700000016041700450003001b0007000000fc020100000000000000040000002d01000008000000fa0206000100000000000000040000002d010100070000001b041300440004001c00050000001402100030000500000013020e0030000a00
000026060f000a00ffffffff010000000000040000002701ffff030000001e00070000001604180046000000000004000000080100001c000000fb02f6ff0000000000009001000000000000001054696d6573000000c10f0a4678e2120088a9f37791a9f3772030f5774812663a040000002d0102000800000021050300
475041ff10000400040000002701ffff0300000000007400556e69766572732d4c696768744f626c009700000000001800461101a10064000c574f52440000000000180046a0008ca10064000c574f52440003001b0017004501000a0003001b00170045300004001c00130044220010003000fea100640004574f5244a0
008da10096000c01000000010000000000000001000a00000000001800462c000800140554696d65730300140d000a2e0004000000002b041003475041a00097ff00000000000000000000ff000000000000000000000000000000000000000000000000000000000000020003000000ffffffffffffffffffff00000000
00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff0000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff
00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000003004f0062006a0049006e0066006f0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000012000200ffffffffffffffffffff
ffff0000000000000000000000000000000000000000000000000000000000000000000000000b00000006000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffff
ffffffff0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffff
ffffffffffff0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffff
ffffffffffffffff00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000001050000050000000d0000004d45544146494c4550494354003c07000085fdffff6e01000008003c077b020000
010009000003b300000003001c0000000000050000000b0200000000050000000c02180046000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102ffffff00030000001e000a00000026060f000a00ffffffff000000000000070000001604170045000300
1b0007000000fc020100000000000000040000002d01000008000000fa0206000100000000000000040000002d010100070000001b041300440004001c00050000001402100030000500000013020e0030000a00000026060f000a00ffffffff010000000000040000002701ffff030000001e0007000000160418004600
0000000004000000080100001c000000fb02f6ff0000000000009001000000000000001054696d6573000000c10f0a4678e2120088a9f37791a9f3772030f5774812663a040000002d0102000800000021050300475041ff10000400040000002701ffff030000000000}{\result {\rtlch\fcs1 \af45 \ltrch\fcs0 
\insrsid15151980 {\pict\wmetafile8\picw1852\pich635\picwgoal1400\pichgoal480 \picscalex135\picscaley84 
010009000003b300000003001c0000000000050000000b0200000000050000000c02180046000500000004010d000000050000002e01180000000500000002010100000005000000090200000000050000000102ffffff00030000001e000a00000026060f000a00ffffffff0000000000000700000016041700450003001b
0007000000fc020100000000000000040000002d01000008000000fa0206000100000000000000040000002d010100070000001b041300440004001c00050000001402100030000500000013020e0030000a00000026060f000a00ffffffff010000000000040000002701ffff030000001e00070000001604180046000000
000004000000080100001c000000fb02f6ff0000000000009001000000000000001054696d6573000000c10f0a4678e2120088a9f37791a9f3772030f5774812663a040000002d0102000800000021050300475041ff10000400040000002701ffff030000000000}}}}}\sectd \ltrsect
\sbknone\linex0\headery0\footery0\endnhere\sectlinegrid326\sectdefaultcl\sectrsid13464050\sftnbj {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\par 
\par }{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\ul\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 year}{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45    \tab }{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 
\b\fs20\ul\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 Math courses taken during college}{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45    }{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 
\b\fs20\ul\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 grade}{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \tab }{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\ul\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 year}{\rtlch\fcs1 
\ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45    \tab }{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\ul\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 Math courses taken during college}{\rtlch\fcs1 \ab\af45\afs20 
\ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45    }{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\ul\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 grade}{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \tab \tab \tab \tab 
\par \hich\af45\dbch\af31505\loch\f45 Freshman\tab __________________________________\tab Sophomore  ________________________________________
\par 
\par \hich\af45\dbch\af31505\loch\f45 Freshman\tab __________________________________\tab Sophomo\hich\af45\dbch\af31505\loch\f45 re  ________________________________________
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\brdrb\brdrs\brdrw30\brsp80 \tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \ab\af45\afs16 \ltrch\fcs0 \b\fs16\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \ab\af45\afs16 \ltrch\fcs0 \b\fs16\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 Part VII
\par }{\rtlch\fcs1 \ab\af45\afs16 \ltrch\fcs0 \b\fs16\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 
Have you participated in previous CSU-AMP summer programs at Humboldt State University?\tab \tab Yes /  No
\par \hich\af45\dbch\af31505\loch\f45 If yes, year that you participated    _________________________________________
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\brdrb\brdrs\brdrw30\brsp20 \tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \ab\af45\afs16 \ltrch\fcs0 \b\fs16\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx3600\tx5760\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \ab\af45\afs16 \ltrch\fcs0 \b\fs16\insrsid15151980 
\par }{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 Part VIII
\par }{\rtlch\fcs1 \ab\af45\afs16 \ltrch\fcs0 \b\fs16\insrsid15151980 
\par }{\rtlch\fcs1 \ab\af45\afs20 \ltrch\fcs0 \b\fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 Certification}{\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 
: My signature certifies the accuracy and completeness of the information provided. 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx4320\tx5760\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 
\par \hich\af45\dbch\af31505\loch\f45 _______________________________________________________\tab __________________________________
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\tx1440\tx4760\tx5760\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \af45\afs20 \ltrch\fcs0 \fs20\insrsid15151980 \hich\af45\dbch\af31505\loch\f45 Applicant's Signature\tab \tab 
Date
\par }{\rtlch\fcs1 \af45\afs16 \ltrch\fcs0 \fs16\insrsid15151980 
\par }\pard \ltrpar\ql \li0\ri-1440\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-1440\lin0\itap0 {\rtlch\fcs1 \ab\af0\afs20 \ltrch\fcs0 \b\f0\fs20\insrsid15151980 \hich\af0\dbch\af31505\loch\f0 Note:  You must attach a personal sta
\hich\af0\dbch\af31505\loch\f0 tement (no more than one single spaced page - see brochure) and a copy 
\par \hich\af0\dbch\af31505\loch\f0 of your official high school transcript and college transcript (if applicable) to this application.
\par }{\rtlch\fcs1 \ab\af0\afs16 \ltrch\fcs0 \b\f0\fs16\insrsid15151980 
\par }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f0\fs20\insrsid15151980 \hich\af0\dbch\af31505\loch\f0 Please call 707-826-4164 or email }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f0\fs20\insrsid15151980 \hich\af0\dbch\af31505\loch\f0 
 HYPERLINK "mailto:jpv1@humboldt.edu" }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid12855768 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000017000000120000006a007000760031004000680075006d0062006f006c00640074002e006500640075000000e0c9ea79f9bace118c8200aa004ba90b320000006d00610069006c0074006f003a006a007000760031004000680075006d0062006f006c00640074002e00
650064007500000000000000000000000047}}}{\fldrslt {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \cs21\f0\fs20\ul\cf2\insrsid15151980 \hich\af0\dbch\af31505\loch\f0 jpv1@humboldt.edu}}}\sectd \ltrsect
\sbknone\linex0\headery0\footery0\endnhere\sectlinegrid326\sectdefaultcl\sectrsid13464050\sftnbj {\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f0\fs20\insrsid15151980 \hich\af0\dbch\af31505\loch\f0  if you have any questions or concerns.}{\rtlch\fcs1 
\ab\af0\afs20 \ltrch\fcs0 \b\f0\fs20\insrsid15151980 \hich\af0\dbch\af31505\loch\f0   Mail all application 
\par \hich\af0\dbch\af31505\loch\f0 materials to:}{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f0\fs20\insrsid15151980 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \ab\af0\afs20 \ltrch\fcs0 \b\f0\fs20\insrsid15151980 \hich\af0\dbch\af31505\loch\f0 
Dr. Jacob Varkey, Professor, Biology Department, Humboldt Sta\hich\af0\dbch\af31505\loch\f0 te University, Arcata, CA  95521}{\rtlch\fcs1 \af45 \ltrch\fcs0 \insrsid15151980 
\par }{\*\themedata 504b030414000600080000002100828abc13fa0000001c020000130000005b436f6e74656e745f54797065735d2e786d6cac91cb6ac3301045f785fe83d0b6d8
72ba28a5d8cea249777d2cd20f18e4b12d6a8f843409c9df77ecb850ba082d74231062ce997b55ae8fe3a00e1893f354e9555e6885647de3a8abf4fbee29bbd7
2a3150038327acf409935ed7d757e5ee14302999a654e99e393c18936c8f23a4dc072479697d1c81e51a3b13c07e4087e6b628ee8cf5c4489cf1c4d075f92a0b
44d7a07a83c82f308ac7b0a0f0fbf90c2480980b58abc733615aa2d210c2e02cb04430076a7ee833dfb6ce62e3ed7e14693e8317d8cd0433bf5c60f53fea2fe7
065bd80facb647e9e25c7fc421fd2ddb526b2e9373fed4bb902e182e97b7b461e6bfad3f010000ffff0300504b030414000600080000002100a5d6a7e7c00000
00360100000b0000005f72656c732f2e72656c73848fcf6ac3300c87ef85bd83d17d51d2c31825762fa590432fa37d00e1287f68221bdb1bebdb4fc7060abb08
84a4eff7a93dfeae8bf9e194e720169aaa06c3e2433fcb68e1763dbf7f82c985a4a725085b787086a37bdbb55fbc50d1a33ccd311ba548b63095120f88d94fbc
52ae4264d1c910d24a45db3462247fa791715fd71f989e19e0364cd3f51652d73760ae8fa8c9ffb3c330cc9e4fc17faf2ce545046e37944c69e462a1a82fe353
bd90a865aad41ed0b5b8f9d6fd010000ffff0300504b0304140006000800000021006b799616830000008a0000001c0000007468656d652f7468656d652f7468
656d654d616e616765722e786d6c0ccc4d0ac3201040e17da17790d93763bb284562b2cbaebbf600439c1a41c7a0d29fdbd7e5e38337cedf14d59b4b0d592c9c
070d8a65cd2e88b7f07c2ca71ba8da481cc52c6ce1c715e6e97818c9b48d13df49c873517d23d59085adb5dd20d6b52bd521ef2cdd5eb9246a3d8b4757e8d3f7
29e245eb2b260a0238fd010000ffff0300504b03041400060008000000210096b5ade296060000501b0000160000007468656d652f7468656d652f7468656d65
312e786d6cec594f6fdb3614bf0fd87720746f6327761a07758ad8b19b2d4d1bc46e871e698996d850a240d2497d1bdae38001c3ba618715d86d87615b8116d8
a5fb34d93a6c1dd0afb0475292c5585e9236d88aad3e2412f9e3fbff1e1fa9abd7eec70c1d1221294fda5efd72cd4324f1794093b0eddd1ef62fad79482a9c04
98f184b4bd2991deb58df7dfbb8ad755446282607d22d771db8b944ad79796a40fc3585ee62949606ecc458c15bc8a702910f808e8c66c69b9565b5d8a314d3c
94e018c8de1a8fa94fd05093f43672e23d06af89927ac06762a049136785c10607758d9053d965021d62d6f6804fc08f86e4bef210c352c144dbab999fb7b471
7509af678b985ab0b6b4ae6f7ed9ba6c4170b06c788a705430adf71bad2b5b057d03606a1ed7ebf5babd7a41cf00b0ef83a6569632cd467faddec9699640f671
9e76b7d6ac355c7c89feca9cccad4ea7d36c65b258a206641f1b73f8b5da6a6373d9c11b90c537e7f08dce66b7bbeae00dc8e257e7f0fd2badd5868b37a088d1
e4600ead1ddaef67d40bc898b3ed4af81ac0d76a197c86826828a24bb318f3442d8ab518dfe3a20f000d6458d104a9694ac6d88728eee2782428d60cf03ac1a5
193be4cbb921cd0b495fd054b5bd0f530c1931a3f7eaf9f7af9e3f45c70f9e1d3ff8e9f8e1c3e3073f5a42ceaa6d9c84e5552fbffdeccfc71fa33f9e7ef3f2d1
17d57859c6fffac327bffcfc793510d26726ce8b2f9ffcf6ecc98baf3efdfdbb4715f04d814765f890c644a29be408edf3181433567125272371be15c308d3f2
8acd249438c19a4b05fd9e8a1cf4cd296699771c393ac4b5e01d01e5a30a787d72cf1178108989a2159c77a2d801ee72ce3a5c545a6147f32a99793849c26ae6
6252c6ed637c58c5bb8b13c7bfbd490a75330f4b47f16e441c31f7184e140e494214d273fc80900aedee52ead87597fa824b3e56e82e451d4c2b4d32a423279a
668bb6690c7e9956e90cfe766cb37b077538abd27a8b1cba48c80acc2a841f12e698f13a9e281c57911ce298950d7e03aba84ac8c154f8655c4f2af074481847
bd804859b5e696007d4b4edfc150b12addbecba6b18b148a1e54d1bc81392f23b7f84137c2715a851dd0242a633f900710a218ed715505dfe56e86e877f0034e
16bafb0e258ebb4faf06b769e888340b103d3311da9750aa9d0a1cd3e4efca31a3508f6d0c5c5c398602f8e2ebc71591f5b616e24dd893aa3261fb44f95d843b
5974bb5c04f4edafb95b7892ec1108f3f98de75dc97d5772bdff7cc95d94cf672db4b3da0a6557f70db629362d72bcb0431e53c6066acac80d699a6409fb44d0
8741bdce9c0e4971624a2378cceaba830b05366b90e0ea23aaa241845368b0eb9e2612ca8c742851ca251ceccc70256d8d87265dd96361531f186c3d9058edf2
c00eafe8e1fc5c509031bb4d680e9f39a3154de0accc56ae644441edd76156d7429d995bdd88664a9dc3ad50197c38af1a0c16d684060441db02565e85f3b966
0d0713cc48a0ed6ef7dedc2dc60b17e92219e180643ed27acffba86e9c94c78ab90980d8a9f0913ee49d62b512b79626fb06dccee2a432bbc60276b9f7dec44b
7904cfbca4f3f6443ab2a49c9c2c41476dafd55c6e7ac8c769db1bc399161ee314bc2e75cf8759081743be1236ec4f4d6693e5336fb672c5dc24a8c33585b5fb
9cc24e1d4885545b58463634cc5416022cd19cacfccb4d30eb45296023fd35a458598360f8d7a4003bbaae25e331f155d9d9a5116d3bfb9a95523e51440ca2e0
088dd844ec6370bf0e55d027a012ae264c45d02f708fa6ad6da6dce29c255df9f6cae0ec38666984b372ab5334cf640b37795cc860de4ae2816e95b21be5ceaf
8a49f90b52a51cc6ff3355f47e0237052b81f6800fd7b802239daf6d8f0b1571a8426944fdbe80c6c1d40e8816b88b8569082ab84c36ff0539d4ff6dce591a26
ade1c0a7f669880485fd484582903d284b26fa4e2156cff62e4b9265844c4495c495a9157b440e091bea1ab8aaf7760f4510eaa69a6465c0e04ec69ffb9e65d0
28d44d4e39df9c1a52ecbd3607fee9cec7263328e5d661d3d0e4f62f44acd855ed7ab33cdf7bcb8ae889599bd5c8b3029895b6825696f6af29c239b75a5bb1e6
345e6ee6c28117e73586c1a2214ae1be07e93fb0ff51e133fb65426fa843be0fb515c187064d0cc206a2fa926d3c902e907670048d931db4c1a44959d366ad93
b65abe595f70a75bf03d616c2dd959fc7d4e6317cd99cbcec9c58b34766661c7d6766ca1a9c1b327531486c6f941c638c67cd22a7f75e2a37be0e82db8df9f30
254d30c1372581a1f51c983c80e4b71ccdd28dbf000000ffff0300504b0304140006000800000021000dd1909fb60000001b010000270000007468656d652f74
68656d652f5f72656c732f7468656d654d616e616765722e786d6c2e72656c73848f4d0ac2301484f78277086f6fd3ba109126dd88d0add40384e4350d363f24
51eced0dae2c082e8761be9969bb979dc9136332de3168aa1a083ae995719ac16db8ec8e4052164e89d93b64b060828e6f37ed1567914b284d262452282e3198
720e274a939cd08a54f980ae38a38f56e422a3a641c8bbd048f7757da0f19b017cc524bd62107bd5001996509affb3fd381a89672f1f165dfe514173d9850528
a2c6cce0239baa4c04ca5bbabac4df000000ffff0300504b01022d0014000600080000002100828abc13fa0000001c0200001300000000000000000000000000
000000005b436f6e74656e745f54797065735d2e786d6c504b01022d0014000600080000002100a5d6a7e7c0000000360100000b000000000000000000000000
002b0100005f72656c732f2e72656c73504b01022d00140006000800000021006b799616830000008a0000001c00000000000000000000000000140200007468
656d652f7468656d652f7468656d654d616e616765722e786d6c504b01022d001400060008000000210096b5ade296060000501b000016000000000000000000
00000000d10200007468656d652f7468656d652f7468656d65312e786d6c504b01022d00140006000800000021000dd1909fb60000001b010000270000000000
00000000000000009b0900007468656d652f7468656d652f5f72656c732f7468656d654d616e616765722e786d6c2e72656c73504b050600000000050005005d010000960a00000000}
{\*\colorschememapping 3c3f786d6c2076657273696f6e3d22312e302220656e636f64696e673d225554462d3822207374616e64616c6f6e653d22796573223f3e0d0a3c613a636c724d
617020786d6c6e733a613d22687474703a2f2f736368656d61732e6f70656e786d6c666f726d6174732e6f72672f64726177696e676d6c2f323030362f6d6169
6e22206267313d226c743122207478313d22646b3122206267323d226c743222207478323d22646b322220616363656e74313d22616363656e74312220616363
656e74323d22616363656e74322220616363656e74333d22616363656e74332220616363656e74343d22616363656e74342220616363656e74353d22616363656e74352220616363656e74363d22616363656e74362220686c696e6b3d22686c696e6b2220666f6c486c696e6b3d22666f6c486c696e6b222f3e}
{\*\latentstyles\lsdstimax267\lsdlockeddef0\lsdsemihiddendef1\lsdunhideuseddef1\lsdqformatdef0\lsdprioritydef99{\lsdlockedexcept \lsdsemihidden0 \lsdunhideused0 \lsdqformat1 \lsdpriority0 \lsdlocked0 Normal;
\lsdsemihidden0 \lsdunhideused0 \lsdqformat1 \lsdlocked0 heading 1;\lsdsemihidden0 \lsdunhideused0 \lsdqformat1 \lsdlocked0 heading 2;\lsdsemihidden0 \lsdunhideused0 \lsdqformat1 \lsdlocked0 heading 3;
\lsdsemihidden0 \lsdunhideused0 \lsdqformat1 \lsdlocked0 heading 4;\lsdqformat1 \lsdpriority9 \lsdlocked0 heading 5;\lsdqformat1 \lsdpriority9 \lsdlocked0 heading 6;\lsdqformat1 \lsdpriority9 \lsdlocked0 heading 7;
\lsdqformat1 \lsdpriority9 \lsdlocked0 heading 8;\lsdqformat1 \lsdpriority9 \lsdlocked0 heading 9;\lsdpriority39 \lsdlocked0 toc 1;\lsdpriority39 \lsdlocked0 toc 2;\lsdpriority39 \lsdlocked0 toc 3;\lsdpriority39 \lsdlocked0 toc 4;
\lsdpriority39 \lsdlocked0 toc 5;\lsdpriority39 \lsdlocked0 toc 6;\lsdpriority39 \lsdlocked0 toc 7;\lsdpriority39 \lsdlocked0 toc 8;\lsdpriority39 \lsdlocked0 toc 9;\lsdqformat1 \lsdpriority35 \lsdlocked0 caption;
\lsdsemihidden0 \lsdunhideused0 \lsdqformat1 \lsdpriority10 \lsdlocked0 Title;\lsdunhideused0 \lsdlocked0 Default Paragraph Font;\lsdsemihidden0 \lsdunhideused0 \lsdqformat1 \lsdpriority11 \lsdlocked0 Subtitle;\lsdunhideused0 \lsdlocked0 Hyperlink;
\lsdsemihidden0 \lsdunhideused0 \lsdqformat1 \lsdpriority22 \lsdlocked0 Strong;\lsdsemihidden0 \lsdunhideused0 \lsdqformat1 \lsdpriority20 \lsdlocked0 Emphasis;\lsdunhideused0 \lsdlocked0 Document Map;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority59 \lsdlocked0 Table Grid;\lsdunhideused0 \lsdlocked0 Placeholder Text;\lsdsemihidden0 \lsdunhideused0 \lsdqformat1 \lsdpriority1 \lsdlocked0 No Spacing;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority60 \lsdlocked0 Light Shading;\lsdsemihidden0 \lsdunhideused0 \lsdpriority61 \lsdlocked0 Light List;\lsdsemihidden0 \lsdunhideused0 \lsdpriority62 \lsdlocked0 Light Grid;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority63 \lsdlocked0 Medium Shading 1;\lsdsemihidden0 \lsdunhideused0 \lsdpriority64 \lsdlocked0 Medium Shading 2;\lsdsemihidden0 \lsdunhideused0 \lsdpriority65 \lsdlocked0 Medium List 1;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority66 \lsdlocked0 Medium List 2;\lsdsemihidden0 \lsdunhideused0 \lsdpriority67 \lsdlocked0 Medium Grid 1;\lsdsemihidden0 \lsdunhideused0 \lsdpriority68 \lsdlocked0 Medium Grid 2;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority69 \lsdlocked0 Medium Grid 3;\lsdsemihidden0 \lsdunhideused0 \lsdpriority70 \lsdlocked0 Dark List;\lsdsemihidden0 \lsdunhideused0 \lsdpriority71 \lsdlocked0 Colorful Shading;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority72 \lsdlocked0 Colorful List;\lsdsemihidden0 \lsdunhideused0 \lsdpriority73 \lsdlocked0 Colorful Grid;\lsdsemihidden0 \lsdunhideused0 \lsdpriority60 \lsdlocked0 Light Shading Accent 1;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority61 \lsdlocked0 Light List Accent 1;\lsdsemihidden0 \lsdunhideused0 \lsdpriority62 \lsdlocked0 Light Grid Accent 1;\lsdsemihidden0 \lsdunhideused0 \lsdpriority63 \lsdlocked0 Medium Shading 1 Accent 1;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority64 \lsdlocked0 Medium Shading 2 Accent 1;\lsdsemihidden0 \lsdunhideused0 \lsdpriority65 \lsdlocked0 Medium List 1 Accent 1;\lsdunhideused0 \lsdlocked0 Revision;
\lsdsemihidden0 \lsdunhideused0 \lsdqformat1 \lsdpriority34 \lsdlocked0 List Paragraph;\lsdsemihidden0 \lsdunhideused0 \lsdqformat1 \lsdpriority29 \lsdlocked0 Quote;\lsdsemihidden0 \lsdunhideused0 \lsdqformat1 \lsdpriority30 \lsdlocked0 Intense Quote;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority66 \lsdlocked0 Medium List 2 Accent 1;\lsdsemihidden0 \lsdunhideused0 \lsdpriority67 \lsdlocked0 Medium Grid 1 Accent 1;\lsdsemihidden0 \lsdunhideused0 \lsdpriority68 \lsdlocked0 Medium Grid 2 Accent 1;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority69 \lsdlocked0 Medium Grid 3 Accent 1;\lsdsemihidden0 \lsdunhideused0 \lsdpriority70 \lsdlocked0 Dark List Accent 1;\lsdsemihidden0 \lsdunhideused0 \lsdpriority71 \lsdlocked0 Colorful Shading Accent 1;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority72 \lsdlocked0 Colorful List Accent 1;\lsdsemihidden0 \lsdunhideused0 \lsdpriority73 \lsdlocked0 Colorful Grid Accent 1;\lsdsemihidden0 \lsdunhideused0 \lsdpriority60 \lsdlocked0 Light Shading Accent 2;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority61 \lsdlocked0 Light List Accent 2;\lsdsemihidden0 \lsdunhideused0 \lsdpriority62 \lsdlocked0 Light Grid Accent 2;\lsdsemihidden0 \lsdunhideused0 \lsdpriority63 \lsdlocked0 Medium Shading 1 Accent 2;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority64 \lsdlocked0 Medium Shading 2 Accent 2;\lsdsemihidden0 \lsdunhideused0 \lsdpriority65 \lsdlocked0 Medium List 1 Accent 2;\lsdsemihidden0 \lsdunhideused0 \lsdpriority66 \lsdlocked0 Medium List 2 Accent 2;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority67 \lsdlocked0 Medium Grid 1 Accent 2;\lsdsemihidden0 \lsdunhideused0 \lsdpriority68 \lsdlocked0 Medium Grid 2 Accent 2;\lsdsemihidden0 \lsdunhideused0 \lsdpriority69 \lsdlocked0 Medium Grid 3 Accent 2;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority70 \lsdlocked0 Dark List Accent 2;\lsdsemihidden0 \lsdunhideused0 \lsdpriority71 \lsdlocked0 Colorful Shading Accent 2;\lsdsemihidden0 \lsdunhideused0 \lsdpriority72 \lsdlocked0 Colorful List Accent 2;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority73 \lsdlocked0 Colorful Grid Accent 2;\lsdsemihidden0 \lsdunhideused0 \lsdpriority60 \lsdlocked0 Light Shading Accent 3;\lsdsemihidden0 \lsdunhideused0 \lsdpriority61 \lsdlocked0 Light List Accent 3;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority62 \lsdlocked0 Light Grid Accent 3;\lsdsemihidden0 \lsdunhideused0 \lsdpriority63 \lsdlocked0 Medium Shading 1 Accent 3;\lsdsemihidden0 \lsdunhideused0 \lsdpriority64 \lsdlocked0 Medium Shading 2 Accent 3;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority65 \lsdlocked0 Medium List 1 Accent 3;\lsdsemihidden0 \lsdunhideused0 \lsdpriority66 \lsdlocked0 Medium List 2 Accent 3;\lsdsemihidden0 \lsdunhideused0 \lsdpriority67 \lsdlocked0 Medium Grid 1 Accent 3;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority68 \lsdlocked0 Medium Grid 2 Accent 3;\lsdsemihidden0 \lsdunhideused0 \lsdpriority69 \lsdlocked0 Medium Grid 3 Accent 3;\lsdsemihidden0 \lsdunhideused0 \lsdpriority70 \lsdlocked0 Dark List Accent 3;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority71 \lsdlocked0 Colorful Shading Accent 3;\lsdsemihidden0 \lsdunhideused0 \lsdpriority72 \lsdlocked0 Colorful List Accent 3;\lsdsemihidden0 \lsdunhideused0 \lsdpriority73 \lsdlocked0 Colorful Grid Accent 3;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority60 \lsdlocked0 Light Shading Accent 4;\lsdsemihidden0 \lsdunhideused0 \lsdpriority61 \lsdlocked0 Light List Accent 4;\lsdsemihidden0 \lsdunhideused0 \lsdpriority62 \lsdlocked0 Light Grid Accent 4;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority63 \lsdlocked0 Medium Shading 1 Accent 4;\lsdsemihidden0 \lsdunhideused0 \lsdpriority64 \lsdlocked0 Medium Shading 2 Accent 4;\lsdsemihidden0 \lsdunhideused0 \lsdpriority65 \lsdlocked0 Medium List 1 Accent 4;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority66 \lsdlocked0 Medium List 2 Accent 4;\lsdsemihidden0 \lsdunhideused0 \lsdpriority67 \lsdlocked0 Medium Grid 1 Accent 4;\lsdsemihidden0 \lsdunhideused0 \lsdpriority68 \lsdlocked0 Medium Grid 2 Accent 4;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority69 \lsdlocked0 Medium Grid 3 Accent 4;\lsdsemihidden0 \lsdunhideused0 \lsdpriority70 \lsdlocked0 Dark List Accent 4;\lsdsemihidden0 \lsdunhideused0 \lsdpriority71 \lsdlocked0 Colorful Shading Accent 4;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority72 \lsdlocked0 Colorful List Accent 4;\lsdsemihidden0 \lsdunhideused0 \lsdpriority73 \lsdlocked0 Colorful Grid Accent 4;\lsdsemihidden0 \lsdunhideused0 \lsdpriority60 \lsdlocked0 Light Shading Accent 5;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority61 \lsdlocked0 Light List Accent 5;\lsdsemihidden0 \lsdunhideused0 \lsdpriority62 \lsdlocked0 Light Grid Accent 5;\lsdsemihidden0 \lsdunhideused0 \lsdpriority63 \lsdlocked0 Medium Shading 1 Accent 5;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority64 \lsdlocked0 Medium Shading 2 Accent 5;\lsdsemihidden0 \lsdunhideused0 \lsdpriority65 \lsdlocked0 Medium List 1 Accent 5;\lsdsemihidden0 \lsdunhideused0 \lsdpriority66 \lsdlocked0 Medium List 2 Accent 5;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority67 \lsdlocked0 Medium Grid 1 Accent 5;\lsdsemihidden0 \lsdunhideused0 \lsdpriority68 \lsdlocked0 Medium Grid 2 Accent 5;\lsdsemihidden0 \lsdunhideused0 \lsdpriority69 \lsdlocked0 Medium Grid 3 Accent 5;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority70 \lsdlocked0 Dark List Accent 5;\lsdsemihidden0 \lsdunhideused0 \lsdpriority71 \lsdlocked0 Colorful Shading Accent 5;\lsdsemihidden0 \lsdunhideused0 \lsdpriority72 \lsdlocked0 Colorful List Accent 5;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority73 \lsdlocked0 Colorful Grid Accent 5;\lsdsemihidden0 \lsdunhideused0 \lsdpriority60 \lsdlocked0 Light Shading Accent 6;\lsdsemihidden0 \lsdunhideused0 \lsdpriority61 \lsdlocked0 Light List Accent 6;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority62 \lsdlocked0 Light Grid Accent 6;\lsdsemihidden0 \lsdunhideused0 \lsdpriority63 \lsdlocked0 Medium Shading 1 Accent 6;\lsdsemihidden0 \lsdunhideused0 \lsdpriority64 \lsdlocked0 Medium Shading 2 Accent 6;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority65 \lsdlocked0 Medium List 1 Accent 6;\lsdsemihidden0 \lsdunhideused0 \lsdpriority66 \lsdlocked0 Medium List 2 Accent 6;\lsdsemihidden0 \lsdunhideused0 \lsdpriority67 \lsdlocked0 Medium Grid 1 Accent 6;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority68 \lsdlocked0 Medium Grid 2 Accent 6;\lsdsemihidden0 \lsdunhideused0 \lsdpriority69 \lsdlocked0 Medium Grid 3 Accent 6;\lsdsemihidden0 \lsdunhideused0 \lsdpriority70 \lsdlocked0 Dark List Accent 6;
\lsdsemihidden0 \lsdunhideused0 \lsdpriority71 \lsdlocked0 Colorful Shading Accent 6;\lsdsemihidden0 \lsdunhideused0 \lsdpriority72 \lsdlocked0 Colorful List Accent 6;\lsdsemihidden0 \lsdunhideused0 \lsdpriority73 \lsdlocked0 Colorful Grid Accent 6;
\lsdsemihidden0 \lsdunhideused0 \lsdqformat1 \lsdpriority19 \lsdlocked0 Subtle Emphasis;\lsdsemihidden0 \lsdunhideused0 \lsdqformat1 \lsdpriority21 \lsdlocked0 Intense Emphasis;
\lsdsemihidden0 \lsdunhideused0 \lsdqformat1 \lsdpriority31 \lsdlocked0 Subtle Reference;\lsdsemihidden0 \lsdunhideused0 \lsdqformat1 \lsdpriority32 \lsdlocked0 Intense Reference;
\lsdsemihidden0 \lsdunhideused0 \lsdqformat1 \lsdpriority33 \lsdlocked0 Book Title;\lsdpriority37 \lsdlocked0 Bibliography;\lsdqformat1 \lsdpriority39 \lsdlocked0 TOC Heading;}}{\*\datastore 010500000200000018000000
4d73786d6c322e534158584d4c5265616465722e352e3000000000000000000000060000
d0cf11e0a1b11ae1000000000000000000000000000000003e000300feff090006000000000000000000000001000000010000000000000000100000feffffff00000000feffffff0000000000000000ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
fffffffffffffffffdfffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffff52006f006f007400200045006e00740072007900000000000000000000000000000000000000000000000000000000000000000000000000000000000000000016000500ffffffffffffffffffffffffec69d9888b8b3d4c859eaf6cd158be0f00000000000000000000000040f3
06400b15c801feffffff00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff00000000000000000000000000000000000000000000000000000000
00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff0000000000000000000000000000000000000000000000000000
000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000ffffffffffffffffffffffff000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000000000105000000000000}}