ࡱ>      bjbj /Q1I>>4)))hL)^6(! 7 7 7 d#@(*LY5[5[5[5[5[5[5R8:[5O-B#"d#O-O-[57 7 6333O-^R7 7 Y53O-Y533"37 ^q;)-3E5.60^63;;.t;33&;3p ,>^,,3,$, , , ,[5[53 , , ,^6O-O-O-O-; , , , , , , , , ,> G:  REQUEST FOR REASONABLE ACCOMMODATION (Please Print or Type) SECTION A EMPLOYEE INFORMATION (This section must be completed by the employee/applicant requesting an accommodation.) 1. Employee/Applicant Name: FORMTEXT       2. Work Location: FORMTEXT       3. Work Phone Number: FORMTEXT       4. Email Address: FORMTEXT       5.Description of requested accommodation: FORMTEXT        6.This accommodation is necessary because: FORMTEXT        Signature (Employee/Applicant)Date SECTION B SUPERVISOR INFORMATION (This section must be completed by the supervisor of the employee requesting an accommodation prior to submission to a medical provider.) 1. Supervisors Name: FORMTEXT       2. Work Location: FORMTEXT       3. Work Phone Number: FORMTEXT       4. Email Address: FORMTEXT       5. Date Request Received from Employee/Applicant: FORMTEXT       6.Supervisor s comments/recommendations on employee/applicant requests, and list of accommodations already provided to the employee/applicant, if applicable: FORMTEXT        7.Medical Provider Referral Required?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, Supervisor must list the essential job function(s) in Section C(4). Signature (Supervisor)Date SECTION C MEDICAL INQUIRY FORM IN RESPONSE TO AN ACCOMMODATION REQUEST (This section must be completed by a medical provider.) As discussed, the form will be returned to the supervisor by: FORMTEXT      .(date)Employee/applicant must notify the supervisor of any changes that may impact the submission of the form. 1. Questions to help determine whether an employee has a disability. A person has a disability under the ADA if the person has an impairment that substantially limits one or more major life activities. The following questions may help determine whether an employee has a disability: Does the employee/applicant have a physical or mental impairment? Yes  FORMCHECKBOX  No  FORMCHECKBOX  What is the impairment?  FORMTEXT       Can the impairment be corrected by medication or other means? Yes  FORMCHECKBOX  No  FORMCHECKBOX  Is the impairment long-term or permanent? Yes  FORMCHECKBOX  No  FORMCHECKBOX  Does the impairment affect a major life activity? Yes  FORMCHECKBOX  No  FORMCHECKBOX  If yes, what major life activity(ies) is/are affected?  FORMCHECKBOX  Caring for Self  FORMCHECKBOX  Interacting With Others  FORMCHECKBOX  Performing Manual Tasks  FORMCHECKBOX  Breathing  FORMCHECKBOX  Working  FORMCHECKBOX  Walking  FORMCHECKBOX  Standing  FORMCHECKBOX  Reaching  FORMCHECKBOX  Thinking  FORMCHECKBOX  Toileting  FORMCHECKBOX  Hearing  FORMCHECKBOX  Seeing  FORMCHECKBOX  Speaking  FORMCHECKBOX  Learning  FORMCHECKBOX  Sitting  FORMCHECKBOX  Lifting  FORMCHECKBOX  Sleeping  FORMCHECKBOX  Concentrating  FORMCHECKBOX  Reproduction  FORMCHECKBOX  Other: (describe)  FORMTEXT       Is the employee/applicant substantially limited in one or more of these major life activities? Yes  FORMCHECKBOX  No  FORMCHECKBOX  2. Questions to help determine whether an accommodation is needed. An employee/applicant with a disability is entitled to an accommodation when such a change to a job, the work environment or the way things are usually done would allow the individual to perform job functions or enjoy equal access to benefits available to other individuals in the workplace. The following questions may help determine whether the requested accommodation is needed because of the disability: What limitation(s) is interfering with the employee s/applicant s ability to perform the essential function(s) of the job?  FORMTEXT        How does the employee s/applicant s limitation(s) interfere with his/her ability to perform the essential function(s) of the job?  FORMTEXT        3. Questions to help determine effective accommodation options. If an employee/applicant has a disab02NPRxz|~ʽʽʰʠpbTbMOJQJ^Jh$hA#OJQJ^J hA#hA#CJOJQJ^JaJ.jhWCJOJQJU^JaJmHnHu2N|_W$a$gdnwkd$$IfTl4   044 laf4p T $$Ifa$gdS, $a$gd48% $1$]gd48%gdA# n p r & f^$a$gd>xkd$$Ifl0 % l0d&44 layt] $Ifgd]$a$ $xa$gd3$a$gdO  0 j l n p r z  ȾnZPLBh>CJOJQJh>h>CJOJQJ&jh=CJOJQJUmHnHu!jhWCJOJQJUh=CJOJQJjhWCJOJQJUhs D5CJOJQJ\h `5CJOJQJ\h>5CJOJQJ\h `CJOJQJhA#CJOJQJh=hs D5CJOJQJaJh=hA#5CJOJQJaJh=5CJOJQJaJ   " $ & ( * X Z n p r | ~ , . 0 2 F ¾¾{¾k`h=>*CJOJQJjhW>*CJOJQJU!j-hWCJOJQJU!jhWCJOJQJUh=CJOJQJh>5CJOJQJ\h>CJOJQJh>h>CJOJQJ&jh=CJOJQJUmHnHujhWCJOJQJU!jhWCJOJQJU & ( * X ~uu $Ifgd]$a$gd>xkdG$$Ifl0%J0d&44 layt] ~uu $Ifgd]$a$gd>xkdo$$Ifl0%6 .0d&44 layt] , ug$x$Ifa$gd{ $$Ifa$gd{gd>xkd$$Ifl0%t0d&44 layt], . 0 ` s$ $$Ifa$gd\E $$Ifa$gd{pkdU$$If40&h%0'4af4F H J T V ` b d        ݽݓk`VLBLhCJOJQJhCJOJQJh]CJOJQJh `>*CJOJQJ)jh9 >*CJOJQJUmHnHu$jhW>*CJOJQJUh9 >*CJOJQJh `h `5CJOJQJ\h `CJOJQJh>h>>*CJOJQJ)jh=>*CJOJQJUmHnHujhW>*CJOJQJU$jhW>*CJOJQJU` b d j ug$x$Ifa$gd{ $$Ifa$gd{gd `xkdf$$Ifl40& %0'44 laf4 s$ ~$$Ifa$gd{ $$Ifa$gd{pkd$$If40&hv%0&4af4        |||pdp $$Ifa$gd{ $$Ifa$gd{$a$gd `{kd$$Ifl40R& %0&244 laf4  ' ( - ~u $Ifgd{ $$Ifa$gd{ $$Ifa$gd{hkd$$IfTsF9T!Dh !    44 sayt48%T    $ % ' ( . / 0 1 7 : ; < S T U Ķ{m_mOmD{mhS,5CJOJQJh=h56CJOJQJh=h35CJOJQJh=h5CJOJQJh=5CJOJQJhOCJOJQJ hOhnCJOJQJ^JaJ hOh{JhOhn5CJ ^JaJ hOh{J5CJ ^JaJ h]CJOJQJhA#CJOJQJhCJOJQJhs D6CJOJQJ]h6CJOJQJ]h- . / 0 : | $$Ifa$gd] $$a$gd]$a$fkd^ $$IfTsF9T!Dh !    44 sayt48%T: ; < S T xphhc[R $Ifgd=$a$gd `gd$a$gd3$a$gdO$a$gdO$a$gdnwkd $$IfTl4c   0c44 laf4p T     8:NPR\^`bdǶѢјǃѢјrѢјaѢ!j6hWCJOJQJU!j hWCJOJQJU!j hWCJOJQJUh `h `CJOJQJ&jh9 CJOJQJUmHnHu!j hWCJOJQJUh9 CJOJQJjhWCJOJQJUh `5CJOJQJ\h `CJOJQJhCJOJQJ& 8`tl$a$gd `kd $$Ifl0p%0d&2+2s44 layt] $Ifgd=`bd}ull $Ifgd=$a$gd `kd, $$Ifl0%J0d&2+2s44 layt] }ull $Ifgd=$a$gd `kdf $$Ifl0%6 .0d&2+2s44 layt]  ^rvx ̿̿̿̂rgTr$jWhW>*CJOJQJUh9 >*CJOJQJjhW>*CJOJQJUhnhnCJOJQJ&jh9 CJOJQJUmHnHu!jphWCJOJQJUh9 CJOJQJhs D5CJOJQJ\hn5CJOJQJ\hnCJOJQJh `h `CJOJQJjhWCJOJQJU v}ull $Ifgd=$a$gdnkd$$Ifl0%t0d&2+2s44 layt]}xla x$Ifgd== $$Ifa$gd{gdnkd$$Ifl0H%0d&2+2s44 layt].p$ ~$$Ifa$gd{ $$Ifa$gd{skd$$If40R&hD%0&4af4yts D  *.028Z&'()69;<wcVVVVhd5CJOJQJ\'jhW5CJOJQJU\'jhhW5CJOJQJU\!jhW5CJOJQJU\h 5CJOJQJ\hn5CJOJQJ\hnCJOJQJhnhDp>*CJOJQJhn>*CJOJQJjhW>*CJOJQJU)jh9 >*CJOJQJUmHnHu.028;{of $Ifgd== $$Ifa$gd{$a$gdn{kd$$Ifl40R& %0&44 laf4ytDp;<=>?@ABCvjv $$Ifa$gd{ $$Ifa$gd{$a$gdngdpkdP$$If40&hv%0&4af4<?@ABCDOY[\bcdnopѺ찢scsSI?hyCJOJQJhJSCJOJQJh=hs D5CJOJQJaJh=hJS5CJOJQJaJh=5CJOJQJaJh:C*CJOJQJ hOh:C*CJOJQJ^JaJ hOh:C*hOh:C*5CJ ^JaJ h,CJOJQJhnCJOJQJh:C*6CJOJQJ]hn6CJOJQJ]hnhnCJOJQJhnCJOJQJh `CJOJQJCD[\a~u $Ifgd{ $$Ifa$gd{ $$Ifa$gd{hkd$$IfTsF5M!Dhi !    44 saytTabcdny $$Ifa$gd== $$a$gd==$a$gdnfkd$$IfTsF5M!Dhi !    44 saytTnop&xphpp\P $$Ifa$gdQ $$Ifa$gdQ$a$gdJS$a$gdO$a$gdO$a$gd:C*wkd $$IfTl4C   044 laf4p T $%&'12  &(ȴ՝Րzj]SI=IhThO5CJ^JhOCJOJQJhs DCJOJQJhs DhyCJOJQJhQhJS6CJOJQJaJhQhJSCJOJQJaJ hQhJShQhJSCJOJQJ,jhQhyCJOJQJUmHnHu'jhQhWCJOJQJUhQhyCJOJQJ!jhQhWCJOJQJUhQhyCJOJQJhQhJSCJOJQJ$&yyy $$Ifa$gdQpkd-$$IfsFO/$=% t%    22s44 saytQ $Ifgdy&(}}}t D%gdgd$a$gdO x^gdyekd$$IfsFO/$=% t%    44 saytQ 23=>  zeZLh3h3>*CJOJQJh3>*CJOJQJ)jhdE>*CJOJQJUmHnHu$jOhW>*CJOJQJUhdE>*CJOJQJjhW>*CJOJQJU!jhWCJOJQJU!jghWCJOJQJUjhWCJOJQJUh4ZCJOJQJhyCJOJQJhOCJOJQJh3CJOJQJRdf-./0:=>L輡輲輐輲r^rr'jh4ZhWCJOJQJU!jh4ZhWCJOJQJUh4Zh4ZCJOJQJ!j!hWCJOJQJU!jhWCJOJQJUh4ZCJOJQJh3CJOJQJ!j9hWCJOJQJU!jhWCJOJQJUjhWCJOJQJUhCJOJQJ#OP5OjJ~ $h^ha$gd|$a$gd|gd$a$gdOLMNOP*ƼƲФq`!jhWCJOJQJU!jehWCJOJQJU!jhWCJOJQJU!j}hWCJOJQJUjhWCJOJQJUh|CJOJQJh4ZCJOJQJh3CJOJQJhOCJOJQJ!jh4ZhWCJOJQJU'j h4ZhWCJOJQJU*+,56DEFOP^_`jkyz{ִ֣֒ցp_!j hWCJOJQJU!j hWCJOJQJU!jhWCJOJQJU!j'hWCJOJQJU!jhWCJOJQJU!j;hWCJOJQJU!jhWCJOJQJUh4ZCJOJQJjhWCJOJQJU!jOhWCJOJQJU%246JLhjl~ (*FHJfhqgh|CJOJQJ!j#hWCJOJQJU!jM#hWCJOJQJU!j"hWCJOJQJU!ja"hWCJOJQJU!j!hWCJOJQJU!ju!hWCJOJQJU!j hWCJOJQJUjhWCJOJQJUh4ZCJOJQJ&(f !!$ 2%$Ifa$gd}hcxgd==$gdgd$a$gd|$a$gdO $h^ha$gd|PTUcdeforsȾș֏xgxSgxxgx?'j%h4ZhWCJOJQJU'j%%h4ZhWCJOJQJU!jh4ZhWCJOJQJUh4Zh4ZCJOJQJhyCJOJQJh4ZCJOJQJ&jh|CJOJQJUmHnHu!j$hWCJOJQJUh|CJOJQJjhWCJOJQJUh|CJOJQJjhWCJOJQJU!j9$hWCJOJQJU !!!!!!!!!!!!!$"<"ʺ䰦䜰䌁nYUKhqGCJOJQJh` )jh` >*CJOJQJUmHnHu$j &hW>*CJOJQJUh` >*CJOJQJjhW>*CJOJQJUh` CJOJQJh,CJOJQJhWA7CJOJQJh,h4Z5CJOJQJ^Jh,h9 CJOJQJh,h4ZCJOJQJh4ZCJOJQJ!jh4ZhWCJOJQJU!!!""0#}m$ 2%$Ifa$gd}hc$a$gd}hc]gd==$a$gdOhkd&$$Ifs4K&R&0R&44 salf4yt48%<""""""""### #"#0#2#4#6#######$܂L 0Vj2fhǴҟǛ⑆xnlnnnbnbnhCJOJQJUh,CJOJQJh}hch` 5CJOJQJh}hc5CJOJQJh9 CJOJQJh}hc)jh}hc>*CJOJQJUmHnHu$j'hW>*CJOJQJUh}hc>*CJOJQJjhW>*CJOJQJUh}hcCJOJQJhWA7CJOJQJh` CJOJQJ&0#2#4#6###df||l$ 2%$Ifa$gd{gd==$a$gdOgd$a$gd}hchkd'$$Ifs4K&R&0R&44 salf4yt48% ility and needs an accommodation because of the disability, the employer must provide reasonable accommodation(s), unless the accommodation(s) poses an undue hardship on the operations of the organization and/or causes direct threat to the health and safety of employee/applicant, customers/clients, or others. The following questions may help determine effective accommodations: Do you have any suggestions regarding possible accommodations to improve the employee s/applicant s ability to perform the essential function(s) of the job? If so, what are they?  FORMTEXT        How would your suggestions improve the employee s/applicant s ability to perform the essential function(s) of the job?  FORMTEXT        4. Assess whether essential job function(s) can be performed (attached additional sheets as required): YesNoYes, with Reasonable AccommodationEssential Function/Duty FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMTEXT      Explain: FORMTEXT       FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMTEXT      Explain: FORMTEXT       FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMTEXT      Explain: FORMTEXT       FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMTEXT      Explain: FORMTEXT       FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMTEXT      Explain: FORMTEXT       FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMTEXT      Explain: FORMTEXT       FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMTEXT      Explain: FORMTEXT       FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMTEXT      Explain: FORMTEXT       FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMTEXT      Explain: FORMTEXT       FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMTEXT      Explain: FORMTEXT       5. Additional Comments:  FORMTEXT        6. Medical Provider Information: Name (printed): FORMTEXT      Address: FORMTEXT      Telephone: FORMTEXT       Medical Professional s SignatureDate SECTION D APPOINTING AUTHORITY S DECISION 1.The following accommodation(s) is(are) approved: FORMTEXT        2.The following accommodation(s) is(are) not approved: FORMTEXT        3.The reason(s) for not approving the accommodation(s) requested is(are): FORMTEXT        Signature (Appointing Authority)Date (Attach more pages or documents as needed)     CFN 552-0574 R 1/07  PAGE 1 Human Resources Enterprise Iowa Department of Administrative Services h|~‡ćƇ̇>ѼѱѼѱ|qf[qMh}hch}hc5CJOJQJh5CJOJQJh,5CJOJQJh}hc5CJOJQJhqGCJOJQJ$j-)hW>*CJOJQJUhWA7CJOJQJh}hcCJOJQJh}hch}hc>*CJOJQJ)jh=>*CJOJQJUmHnHujhW>*CJOJQJU$j)(hW>*CJOJQJUh=>*CJOJQJ‡y$ 2%$Ifa$gd{gd==$a$gd}hchkd($$Ifs4K&R&0R&44 salf4yt48%‡ćƇΈtttttt $$Ifa$gdQ$a$gdO$gd==$a$gd}hchkd)$$Ifs4K&R&0R&44 salf4yt48% :<>@B^`bdfп}iXKhQh=CJOJQJ!jhQhWCJOJQJU'j+,hQhWCJOJQJU'j+hQhWCJOJQJUhQh}hcCJOJQJ'j?+hQhWCJOJQJUhQh]CJOJQJ!jhQhWCJOJQJU hQh}hchQh}hc5CJOJQJhQh}hc5OJQJaJhdEh}hcCJOJQJ@d_SSSJ $Ifgd $$Ifa$gdQkd1*$$Ifs\ &v^ t0&&44 salytQȉʉމ4ڶڕڶpcOppc'j/hQhWCJOJQJUhQh]CJOJQJ!jhQhWCJOJQJU'j.hQhWCJOJQJUhQh=CJOJQJhQh}hcCJOJQJ hQh}hchQh}hcCJOJQJ,jhQh=CJOJQJUmHnHu!jhQhWCJOJQJU'j,hQhWCJOJQJUȉ_SSSJ $Ifgd $$Ifa$gdQkd-$$Ifs\ &v^ t0&&44 salytQ:^]QQQH $Ifgd $$Ifa$gdQkd.$$Ifs\ &v^ t0&&44 salytQ468:<XZ\^`tvx͛zcVOB͛hQh4 CJOJQJ hQh}hchQh}hcCJOJQJ,jhQh=CJOJQJUmHnHu'j0hQhWCJOJQJUhQh=CJOJQJ!jhQhWCJOJQJU'j0hQhWCJOJQJUhQh]CJOJQJhQh}hcCJOJQJ!jhQhWCJOJQJU'j 0hQhWCJOJQJUƊ_SSSJ $Ifgd $$Ifa$gdQkdm1$$Ifs\ &v^ t0&&44 salytQŠĊƊȊʊ .0246ڶ}p\pHp'j4hQhWCJOJQJU'ja4hQhWCJOJQJUhQh}hcCJOJQJ'j3hQhWCJOJQJUhQh]CJOJQJ!jhQhWCJOJQJU hQh}hchQh}hcCJOJQJ,jhQh=CJOJQJUmHnHu!jhQhWCJOJQJU'jo2hQhWCJOJQJUƊȊ4\]QQQH $Ifgd $$Ifa$gdQkd2$$Ifs\ &v^ t0&&44 salytQ6JLNXZ\^brtv‹ċηΪuηΪdWCddW'jA8hQhWCJOJQJUhQhGDHCJOJQJ!jhQhWCJOJQJU'j6hQhWCJOJQJUhQh4 CJOJQJhQh}hcCJOJQJ hQh}hchQh}hcCJOJQJ,jhQh=CJOJQJUmHnHu!jhQhWCJOJQJU'jM5hQhWCJOJQJUhQh=CJOJQJ\^`bt_SSSJ $Ifgd $$Ifa$gdQkd5$$Ifs\ &v^ t0&&44 salytQ‹ 2]QQQH $Ifgd $$Ifa$gdQkd;7$$Ifs\ &v^ t0&&44 salytQ "$.0248HJL`͛zcVOB͛hQh4 CJOJQJ hQh}hchQh}hcCJOJQJ,jhQh=CJOJQJUmHnHu'j9hQhWCJOJQJUhQh=CJOJQJ!jhQhWCJOJQJU'j-9hQhWCJOJQJUhQhGDHCJOJQJhQh}hcCJOJQJ!jhQhWCJOJQJU'j8hQhWCJOJQJU2468Jr_SSSJ $Ifgd $$Ifa$gdQkd:$$Ifs\ &v^ t0&&44 salytQ`bdnprtvڌ܌ތڶ}p\pHp'j=hQhWCJOJQJU'j =hQhWCJOJQJUhQh}hcCJOJQJ'j<hQhWCJOJQJUhQhGDHCJOJQJ!jhQhWCJOJQJU hQh}hchQh}hcCJOJQJ,jhQh=CJOJQJUmHnHu!jhQhWCJOJQJU'j;hQhWCJOJQJUrt]QQQH $Ifgd $$Ifa$gdQkd;$$Ifs\ &v^ t0&&44 salytQ  "68:DFHJLηΪ|hQΪ@!jhQhWCJOJQJU,jhQh=CJOJQJUmHnHu'jq?hQhWCJOJQJUhQh=CJOJQJhQh4 CJOJQJhQh}hcCJOJQJ hQh}hchQh}hcCJOJQJ,jhQhdECJOJQJUmHnHu!jhQhWCJOJQJU'j=hQhWCJOJQJUhQhdECJOJQJ  H_SSSJ $Ifgd $$Ifa$gdQkdo>$$Ifs\ &v^ t0&&44 salytQHJnލ]QQQH $Ifgd $$Ifa$gdQkd?$$Ifs\ &v^ t0&&44 salytQLhjlnp̍΍Ѝڍ܍ލ{gPC< hQh}hchQh}hcCJOJQJ,jhQh=CJOJQJUmHnHu'jOBhQhWCJOJQJUhQh=CJOJQJ!jhQhWCJOJQJU'jAhQhWCJOJQJU'jcAhQhWCJOJQJUhQh}hcCJOJQJ!jhQhWCJOJQJU'j@hQhWCJOJQJUhQhGDHCJOJQJލ_SSSJ $Ifgd $$Ifa$gdQkdB$$Ifs\ &v^ t0&&44 salytQ  ">@BDFbdfhjȴ՝ՐxkWxxkCxxk'jEhQhWCJOJQJU'jCEhQhWCJOJQJUhQhGDHCJOJQJ!jhQhWCJOJQJU hQh}hchQh}hcCJOJQJ,jhQh=CJOJQJUmHnHu'jChQhWCJOJQJUhQh=CJOJQJ!jhQhWCJOJQJUhQh}hcCJOJQJhQh4 CJOJQJ Dh]QQQH $Ifgd $$Ifa$gdQkd=D$$Ifs\ &v^ t0&&44 salytQʎ̎ΎͼwpcͼOwpBhQhGDHCJOJQJ'jHhQhWCJOJQJUhQh4 CJOJQJ hQh}hchQh}hcCJOJQJ,jhQh=CJOJQJUmHnHu'jFhQhWCJOJQJUhQh=CJOJQJ!jhQhWCJOJQJUhQh}hcCJOJQJ!jhQhWCJOJQJU'j/FhQhWCJOJQJU̎_SSSJ $Ifgd $$Ifa$gdQkdG$$Ifs\ &v^ t0&&44 salytQ>b]QQQH $Ifgd $$Ifa$gdQkdH$$Ifs\ &v^ t0&&44 salytQ8:<>@\^`bdxz|͇zfOB; hQh}hchQh}hcCJOJQJ,jhQh=CJOJQJUmHnHu'jJhQhWCJOJQJUhQh=CJOJQJ!jhQhWCJOJQJU'jJhQhWCJOJQJU'jJhQhWCJOJQJUhQhGDHCJOJQJhQh}hcCJOJQJ!jhQhWCJOJQJU'jIhQhWCJOJQJUʏ_SSSJ $Ifgd $$Ifa$gdQkdqK$$Ifs\ &v^ t0&&44 salytQƏȏʏ̏Ώ2ȴ՝ՐxkWxxkCxxk'jeNhQhWCJOJQJU'jMhQhWCJOJQJUhQhGDHCJOJQJ!jhQhWCJOJQJU hQh}hchQh}hcCJOJQJ,jhQh=CJOJQJUmHnHu'jsLhQhWCJOJQJUhQh=CJOJQJ!jhQhWCJOJQJUhQh}hcCJOJQJhQh4 CJOJQJʏ̏8`]QQQH $Ifgd $$Ifa$gdQkdL$$Ifs\ &v^ t0&&44 salytQ2468:NPR\^`bfvxzͼwpcͼOwpBhQhGDHCJOJQJ'jPhQhWCJOJQJUhQh4 CJOJQJ hQh}hchQh}hcCJOJQJ,jhQh=CJOJQJUmHnHu'jQOhQhWCJOJQJUhQh=CJOJQJ!jhQhWCJOJQJUhQh}hcCJOJQJ!jhQhWCJOJQJU'jNhQhWCJOJQJU`bdfx_SSSJ $Ifgd $$Ifa$gdQkdO$$Ifs\ &v^ t0&&44 salytQƐ6]QQQH $Ifgd $$Ifa$gdQkd?Q$$Ifs\ &v^ t0&&44 salytQĐƐȐ $&(246ڟzmYzBz5hQh}hcCJOJQJ,jhQh=CJOJQJUmHnHu'jShQhWCJOJQJUhQh=CJOJQJ!jhQhWCJOJQJU'j1ShQhWCJOJQJUhQh=CJOJQJ'jRhQhWCJOJQJUhQhGDHCJOJQJhQh}hcCJOJQJ!jhQhWCJOJQJU'jERhQhWCJOJQJU68:<Nv_SSSJ $Ifgd $$Ifa$gdQkdT$$Ifs\ &v^ t0&&44 salytQ68<LNPdfhrtvxz‘ΖΉ|qcVC5hQh=>*CJOJQJ$jhQhW>*CJOJQJUhdEh9 CJOJQJh9 h9 5CJOJQJh9 5CJOJQJhdEh` CJOJQJhQh}hcCJOJQJ,jhQh=CJOJQJUmHnHu'jUhQhWCJOJQJUhQh=CJOJQJ!jhQhWCJOJQJUhQh4 CJOJQJhQh}hcCJOJQJ hQh}hcvxz]UPU@$ D%$Ifa$gdQgd==$a$gdOkdU$$Ifs\ &v^ t0&&44 salytQ‘đƑБґޑ&(*2FHJ׿ױ{m`RD6RhQh2^6CJOJQJhQhy]6CJOJQJhQh]6CJOJQJhy]hGDHCJOJQJh9 h]5CJOJQJh]5CJOJQJh9 CJOJQJ hQh9 hQh9 CJOJQJhQh9 CJOJQJhQh9 >*CJOJQJ/jhQh=>*CJOJQJUmHnHu$jhQhW>*CJOJQJU*jVhQhW>*CJOJQJU(*Jr}xkb $Ifgd $IfgdQgdy]gd==$a$gdOhkdW$$Ifs&& t044 saytQ $$Ifa$gdQJL`bdnprt’ĒƒȒܒޒr^Thy]CJOJQJ'jYhQhWCJOJQJU'jXhQhWCJOJQJUhQh2^6CJOJQJhQh]6CJOJQJ hQh]hQh]CJOJQJ,jhQhCJOJQJUmHnHu'jWhQhWCJOJQJUhQhCJOJQJ!jhQhWCJOJQJUrtƒ?Tkd Y$$If:0<j tH44 :a.ytQ $Ifgd $IfgdQTkdX$$If:0b<n tH44 :a.ytQ $$Ifa$gdRk $$Ifa$gdRk$a$gdy]TkdZ$$If:0< tH44 :a.ytQ>@LNPdfh̓߳vi[iviviWMh{JCJOJQJh{Jh48%h{JCJOJQJ\h{J5CJOJQJ\h:C*5CJOJQJ\h:C*CJOJQJ hh:C*CJOJQJ^JaJ hh:C*hh:C*5CJ ^JaJ h2^hy]CJOJQJ^JaJhy]CJOJQJhy]6CJOJQJ]hy]hy]CJOJQJhy]CJOJQJhdEhy]CJOJQJ>@J~u $IfgdRk $$Ifa$gdRk $$Ifa$gdRkhkdZ$$IfTsFOM!Dh !    44 sayty]TJLNPd $$Ifa$gd|gdy]$a$gdy]fkd%[$$IfTsFOM!Dh !    44 sayty]Tdfh~uj x$Ifgd== $$Ifa$$a$gdwkd[$$IfTl4   044 laf4p TVy $ ~$$Ifa$ $$Ifa$pkdJ\$$If40&hv%0&4af4,.0:<VXZ^`ʔ̔ΔД•𲮤{h]{{hO>*CJOJQJ$j^hW>*CJOJQJUhOCJOJQJhOh48%hOCJOJQJ\hO5CJOJQJ\h{JCJOJQJh{Jh{J>*CJOJQJ)jhS,>*CJOJQJUmHnHu$j\hW>*CJOJQJUhS,>*CJOJQJjhW>*CJOJQJUVXZ`ʔsh x$Ifgd== $$Ifa$gd{$a${kde]$$Ifl40R& %0&244 laf4ʔ̔Δs$ ~$$Ifa$gd{ $$Ifa$gd{pkd ^$$If40&hv%0&4af4|pe x$Ifgd== $$Ifa$gd{$a$gdO{kd_$$Ifl40R& %0&244 laf4s$ ~$$Ifa$gd{ $$Ifa$gd{pkd_$$If40&hv%0&4af4•ĕƕЕҕ>@LPݽvh`\`\`\`\XPhACJ^JhAhCjhCUhOh{J6OJQJaJh{JCJOJQJhqGCJOJQJhqG6CJOJQJ]hqGhqGCJOJQJhqGCJOJQJhOCJOJQJhOhO>*CJOJQJ)jhS,>*CJOJQJUmHnHujhW>*CJOJQJU$ji`hW>*CJOJQJU|wwnen $$Ifa$ $$Ifa$$a$$a$gdO{kd`$$Ifl40R& %0&244 laf4>@J~$If $$Ifa$ $$Ifa$hkdya$$IfTsFmM!hW !    44 saytTJLNP  HgdA$a$$a$fkdb$$IfTsFmM!hW !    44 saytT>@ƾhOh{J6OJQJaJhVGJhVGJ5CJ aJ hWhVGJhDp]5CJ aJ hChR~h{JCJ^JhACJ^JjhW0JCJU^J* h5[0JCJ^JmHnHu*hA0JCJ^JjhW0JCJU^J>@f$a$gdVGJgdDp]  HgdqG z&P+p,p-p.p/R 4567:p|/ =!"#`$%`  0&P+p,p-p.p/R 4567:p|/ =!"#`$%` P0  0&P+p,p-p.p1h/R 4567:p|/ =!"#`$%` F=;CH:-۬JFIFHHC      q }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz?S(((((Umo#y6 俖\jKEQEQEQEQEQEQEQEQEQEQETnpOZ__Yt]KEQEQEQEQEQEQEQEQEQEQETo[^kB-3^:REQEQEQEQEQEQEQEQEQEQEW $צQEQEQEQEQEQEQEQEQEQEQEB)Fo[a7f7jCȧQEQEQEQEQEQEQEQEQEQEQEp_$[x"(`Y!ݴ鹏yO>* O6%h戓PYaCFR2 [Z}QEQEQEQEQEQEQEQEQEQE|G YXCXkcuDVݶ/%+i.x(T8·EH:REQEQEQEQEQEQEQEQEQERU +}F๊9qU d5O-a󭯞8dQrxSڽh1@>(((((((((('>SPԭg;xP|HU^e:tVSC'<$':7ċ M35եܦK O/NJ|JмP؎ls5թ㷥MEQEQEQEQEQEQEQEQEQEQX% 4B(EQk_xRxm~6}랥V*Xt5 ~)KyqLd1} {`!š}3DzOoWGRZ(((((((((H~H #_3v bQE}V*"})?ֿ}?i?E4G"/OS3M.,V[w6M6@楢(((((((((ſ|ES8!@ЩH\*ؿW?:|U?`I _O7G~+~zƥ"4w-*>PzA犒(((((((((FI}wYɒicsǨQY0ox=[ћx2OȮfkۘGkפ|Y$|}p"}E8S^>?\uÚuQEQEQEQEQEQEQEQEQEWY._.ۼٿxTjQƱ k:q xM:]7=?ر?漷֗ υb` k|sRQEQEQEQEQEQEQEQEQEQEx#ÿ%{R7WտU>Jώ"]ЫZx-oEQEQEQEQEQEQEQEQEQI/_Z;\ѲW/Jsx![^^yDYt+A}QEQEQEQEQEQEQEQEQE0ji6osy7Q>7Q>7Q>7Q>7Q>7VmA|Gcrq1- cǵ}`(h(((((((('yw}o3a%CW^Y\2[A%H+RSOZZ6V Wk"QVtH,?ِ|kX|<=[Q[ʟC魯䴔ˏz:+о kڶZH~?ɺ~kqnѭ_ֽKNխ5u$lUXIEQEQEQEQEQEQEQLךnV'|'x-Veu:Ñ^㏄7s``>c{hWSHS.4۔Kyl U>4C#7ʗpm?J}fvt?yMż3#E"6)HA)+KDŹӮ嶗ߺ ׳#uinSszr, "(( REN)2):{Sh8ITadW|G?&tX ˅I[5%ʌUH駭fyEwRΖ~Q_}|U.4k;aq|OMGW-^R@;Zi4]׀)>tK 7BJB f}kTREQE!8(1)9KN=(=)k?—h(mbRRv94)ט|Xf ]SMn{Ҽ2ajP:e__.go>Q?ƿW>-ʸDCS_8w(Srѫ"S{^0<՛Cİ7ܔzzSž-񆚷vr|uoz((EQEQEQEQERb?0^BVSlR6.QG{בQz_&=owosC޽]-Gcw="e.5ۤ :B޴VY} V;&ܭ}WC_OxoV(a`TFT(#4QE Z((() 4Mϱ} :T4;)n#Y`JHKºΛ.t27֊1@$r3,^k_:׈+gsy \"c=A^3𥧌tl.HV?4R?b+õo~%(A4?~\A-C4ohRO59fm:wǸ#9bexV^AEZ'Z(oQBяJuQEQEQEStEQE&)_ #LuhF釭?AbkؼúX|ڞdpK"v=|rHt4[+uD(i&֯; @yμз(Wqs^|h_ =^!Ο^#h^籼O.xub=Qh5_|k 7:ĽY?ESU9Pih(((HpS袊))hNquOQRw:4nXӥ{ +[N3ց֝^Vãk*q50Ŕ6s>ՉůFЬ/ q}Ww?i{]ޱmZ6blӺc^X|MӵHM!U1ta)t $vmČݹtՍV4{i6\@D>⾱ι4MFysoOF_Vإ)qX1÷Z5KMF_J#-w1eG^u ;kd|?4?xO?xO?xO'6G*_G6G*_H? U~,xK'uhWشZUU̽vE7oI]y>aC̲IRk[ JQҝEQES03_M|%Y_RD{+*Kv8p(keNW?QOċ_wtZ fmj(1Ls/3cI㾋ԾE [O;N ">^赯C!+{I>gVj >k%ܽ5~k4oZj7"_5נu0 M#W~9PuMFKtf纯xX_o~#c >Q!1CE֬C컣6&+?J-KL/x?uDm 05GAz袘+jI}Z=m_ؾ2\?g>V:˺+`?z7amDԵ6 lc>Sɻ%?shzo?~#x[IrO궚R2Hݍkr??Jz\ֿCwb v4m&D_Jx/&Wo:|4y.#Q 򾟨^zwVWS59##Ќ_LgAqo ޼6ц?Lg}>[q,?_?z;}&+3%χ/zn?V(+?i/ Ʋ &$rr?c#&}㾾//.k M#ev9f'ԚeG_?xJm-W. 6Lg\j;~ѼGM隵7z):ט{E!糘okց֝_SR>ɡQl32C\zOïsxTm7̑N={?|#Nw-G)Mu%~i\IK~пwVxf6PcrJ[ڽ7IO)_|"ɷkJ+2-Uq$=I^y=i_S> ^/x/V;) [ਟ~+i7-Rn 07 ? s_^VD[8TfC.gQsYy޸'tb6)O'j~ozHյm=n.^.XJ(i_Y_! zCbMcvWR: u~yIb=?+#NKOѽֵcjFyy @gZzbU/tNQ5嬆9"y 9f`_ۚ7G||F/TG3 (cpOڟEQE~[a5׾Wa?[cCkC}Kkඥ+j^͸cYNYӯ] WlW;m5_jbW}ZL\@D>P~3J+wjvwwX}U|=Gy6,Cif,2|;uQ_Do{ GG]GmkraaB>|g1~z9Bz3}Z˔|q;U{l?~WHG77a$4?A ߯J}%x7ŭYHŏl?O6?Toi3OT˨7p7ݖ6r0ٕW~!?6{(IgȊ+?f/9o7i[E#QL#Mt!VA0hx^?0k0W hxXhiƙr6PGSBi_'Ŗ*XdݨӐ-{5QEfZRtn.)fc5yy(ϲ=W5ֻ,EsLW!o>`E +GE_`ڽ(WWHgd_%"Z+?f/9o7i[E#QEAQc.8nvNyuGJ[;Fx:IA W?4U~x3euM= 0ta*>+ԇ4)_ROimb?EbY*17/2\Xּ|C:o7Y-5eq伋`?G e?޼%(A|6eH>ݧKUø+Si<vj]eAJQi<j Fן^[__KoLc0ev.s*LG']~pŠZ(77M#ol;D&O߲φ߳4@kOFč7C!Cd1ĝW=a8>ƺl PiQEQH+ +$3?2/_o-S 3fx/^۸Vis)] hkFuڿ]zuQu?_uu5VpR>-{7g? _[<_s[ H[l :jVuZ\$ԣ[w߃Y.%rIh~Rdpt|c{VqQǛjk)`y:WtQE3ҿ? '?uED'!+_QvIhhzJGHԮF+>̤_I0uj'WŶ .$]ߛ׿ >_;P xluM_¿7dxK&+E7t@M(WWHgd_%"Z+?f/9o7i[E#QEdoc!O^}x_MR?bt|͟l=0L㙯Q?XS@5R-t6K˩ߤqFݏE?> iu޺5H 6 1|-+GEek@?![y,Ccxc❌_MPO5A{y_1OrJ-'j ?qqhڤړ3a7H#s~ӨW̿?imhl竾?yoITcJ+o.,-䵺CL6SVS`zқފ(v7:]7vwB(U _ n/O_ JNu+%Gp7_·šo|9Ah"kkvH`x*yuQEҿ??ಿC<c",z^1|&Hث):(8~(!5@_Z.cw(ʬ,}AkW?U>)[3V"9I|>>'_["ӝTt̿$[Wq_X<דӟ<| oYf;|lb>ٯk #hn!sH1A WGCA5|m9[^֬roBow]JاL'_gm锽匘V u'Y[Wh>) ^鑟jhP)zQ_`;k?-ǜ.tTdg SZ(WWHgd_%"Z+?f/9o7i[E#QE7Oz[\5,)WI])ڶK݋\6= E%~m {^i?OXyL|fu]$|O%b:-y/%v?Eg^)u/*>~Қg?m>+>L4+ WƵ}']kbrZx?/4(+?xoOŽ3Oqԃ_W?xMqw/~lʒVU޾4f1O?^MB|umA&Ԭnt[lQ2Uft޿w3~v6mP-#ː%h?_Nc'4(nIgȃ֊ًN[7G_H)QE|)kؿ UYE+6pgSM~|$nUv=sekύK 4 R(v6BK{X̥6AUI3Eɺ+]V$F}|R(nIgȃ֊ًN[7G_H)QE|mZF$j6Z礆__Ej? _:mF>uXWF>gҾ|i߆͛]/=EW]LOEz_~y3k1x!v$漲X!xQzǿh*KZA #h|{4־=CDHQ9k}ׇ͕.bhfMJI 2wژzK޿^0A|=vk:3rs%3" '(4QEᯓ?lsß/"Fm{=N5G\)POT$U惫_iz:mqm2xBU PJ'7/ʿchWWHgd_%"Z+?f/9o7i[E#QE2|$bKrK; JE~Kt|4KCYH{`3{-Eңt"TqEϾIRaoV]J(лѭ5 j~4 o[}aShE&M,!-m@UV"',??EOX2d ??c+"+ &x{tk̈́@r^ _S]V.E8׿~KºmBOTmONBoQr:^M~%~ߴ׍~ xKux4؛{1_~U'xLfu[8o^wG"S(H:WkᕷiGxKP*} OR6>__F x#yV$v=¸ٍ~(nIgȃ֊ًN[7G_H)R Q~6\&'h]/vy&_\5=|1?ovQɮLI|HxP?ֿP1޾lf띳l`!_u^?|*/|R1Y/.`ǸO-sMTjZ( 4|"_$Zń"2$T :އ{kP5+vl.dNJUPx_cg/_ٳº5>/Pnc"yrJ?⿟۟NAJO}nj7[ Hl6P]}袊(ɿ,Ρm/ď6 w3H{y&}M~'>[=`~,\LZ{NF_Y_! z=hPݤlUE7 ▋WLj&x^n'k7NW;t{W6E{.k}eݓ$֮CA覿y|='|=YGim[ZcFOZ-_>~~ Nv4GʼnL}4=k3^;>hE6jﻓc0W/JZ((>N) /Gn [\(C5|aގ1@7YŽg?hFń/3?+4w?. W#N?P|k>n$=6#e;[O?<7ޛ M^QQ )1^EQU.nIa%.;$WO/,et;LizSz@qdJf/ZG~5;^--2O}Yo sO4 IK-/M?1DQE>>: WM;_2/_|zQǥzoqK&Hث' N=GF?:ߴ/6xn8ݷߓ_/7MɋF|Uq濰-~?֞ج&IgC9z_۟Y5}S-/iii$m4 1SUO[orkY[}mM{(67{e,3,}zXHEdaG RԔQE0k0|#0>/՜"]o­i|`^b.ѥ~|ƺh>)$٩h_@[F?`W[zgį*dߦ1_[$P[]?ҿۣNAJ>ѭ>xT\CmA6ty$xy NKtpϰSR8|e{Z?l#uχ@Ui3^3RiGJ5 WZwoiֱgGH9, ~R?QH%iH5m|P^+&>o񭧅!Ij,W`8ie~=.kL<9,48 ݲG ORk(ׅ~پ ?ٳ7-6cK[^C$B_{WlO ?K V85o jz;X̪qGj~MZo$蛷I?76dđM##A9?lOx ?K&? +l.joC^oX)ungX2?ho7Ym&,N~&j!~/kW%D@_%'¿3[{zx`0t$Gu>H;KHG DG*otMƛ./fmmQ]Gs_Oڒo'[ g&[I?MO??MIOoڊ7HU={7П hq3N¢(Gp3/A_QEs>=<>?2O 24ldM~-'UB~%%POڡѕ7,?*vޛ4vDٿuM#5hषlΚf' &зi(| }ԏT @&ѯ&_?xL^i:ζn-⼹IEDܭ_*O_??hDmΧ 7M&8|/|}~K|͏\`UQڹ4iIZ%>ɯ*^ұ cf(~t`TWk>Yj0I?ݮkÿ=6+#Gc.VvǤfz֛3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3ڗP 1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g- eW )6-rCSj id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R3U~7+׸#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ptheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] HEHK c E  |  0000000000000003 F  <L*<"h46`L26‘J• #'+.25689:<=?LOQTVX[]_bdfikmprtvy~& , `  - : ` .;Can&!0#‡Ɗ\2rHލʏ`6vrJdVʔJ!"$%&()*,-/01347;>@MNPRSUWYZ\^`aceghjlnoqsuwxz{|} ,8>Uag !-3NZ`ww+7= 0?Ojv|) 9 H X  " 2 L \ v  ' 3 C M ] f v  * : N Z ` Vbh>JP')9;GM[gmp#1=CFVXhjz|,.>@PR^dr~&(4:HTZ]mo *0MY_MY_EFFFFFFFFFFFFG G FG G FG G G G G G G G G G G G G G G G G G G G G G G G G G FG G FFFFG G G FFG G G FFG G G FFG G G FFG G G FFG G G FFG G G FFG G G FFG G G FFG G G FFFFFFFFF#*,3!,R$;CH:-۬=# AA@z(  N EB?  "  3 RA@?DAS logo (no words) (greyscale)EB?  r  s *   r  s * B S  ?E0 tRText1Check3Check4Text35Check5Check6Text11Check7Check8Check9Check10Check11Check12Check13Check14Check15Check16Check17Check18Check19Check20Check21Check22Check23Check24Check25Check26Text13Check27Check28Check29Text14Text15Check30Check31Check32Text16Text17Check33Check34Check35Text18Text19Check36Check37Check38Text20Text21Check39Check40Check41Text22Text23Check42Check43Check44Text24Text25Check45Check46Check47Text26Text27Check48Check49Check50Text28Text29Check51Check52Check53Text30Text31Check54Check55Check56Text32Text33Text36Text37Text38Text8+!@j # M w  4 N g + N );[p1FXj|.@Rr(H]oF  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQ>1P} 3 ] ( D ^ w  ; a (:Nn$DWi{-?Qe';[n1FtE#l$#""  F%%F8*urn:schemas-microsoft-com:office:smarttagsCity9*urn:schemas-microsoft-com:office:smarttagsplace pF F3333,?Uh !4Naww+> 1?Pj}) : H Y  " 3 L ] v  ( 3 D M ^ f w  * ; N a Vi>Q():;N[np$1DFWXij{|-.?@QRer'(;H[]no1M`M`F, DXV=%y,` 4 y]p(#48%:C*S,%O.e1WA7Eb7==.@s DFG %GqGGDH{JVGJ0W5Y4ZDp]2^}hc]d@h|lntz^tyR~1Q=CP,{>5[9\EWDp|]nA#bOTlYAJS `9 JrM3>udE]Rk$ jYd)d@88ww w w wwwEXX X@XXX$@XX,@XX4@XX<@X X"XUnknownG* Times New Roman5Symbol3. * ArialA.Arial Narrow?.Arial BlackCModern No. 205" TahomaACambria Math"1h5&5&۫& 0 002HX  ?1*!xx/552-0574 (Request for Reasonable Accommodation)jlopez3Sharleen NewtonOh+'0H\ t    0552-0574 (Request for Reasonable Accommodation)jlopez3@Rev. 1-30-07 (Stef Hill) (2nd page) Rev. 11-27-06 (Stef Hill) Normal.dotmSharleen Newton2Microsoft Office Word@F#@a@;@;՜.+,0 hp  DAS-HRE0  0552-0574 (Request for Reasonable Accommodation) Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~ Root Entry FP;Data b1Table;WordDocument/QSummaryInformation(DocumentSummaryInformation8CompObjy  F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q