ࡱ> #` Xbjbj5G5G *pW-W-< .......B&&&8^dBE2<###$A&B)g+%E'E'E'E'E'E'E$Gh|IPKEQ.[,%^A&[,[,KE..#$EC0C0C0[,j.#.$%EC0[,%EC0C0i=..?# pbm\o&,vM?6?DE0E?6I;-Il?I.?([,[,C0[,[,[,[,[,KEKE/^[,[,[,E[,[,[,[,BBB&BBB&BBB...... The Icla da Silva Foundation Helping Children with Leukemia Volunteer Application (Please Print or Type)  First Name: FORMTEXT       Last Name: FORMTEXT      Home Address:  FORMTEXT      City:  FORMTEXT      State: FORMTEXT      Zip: FORMTEXT      Home Phone: ( FORMTEXT      )  FORMTEXT      Pager/Cellular: ( FORMTEXT      )  FORMTEXT      E-mail: FORMTEXT      Current or last Employer:  FORMTEXT      Occupation:  FORMTEXT      Work Address:  FORMTEXT      City:  FORMTEXT      State:  FORMTEXT      Zip: FORMTEXT      Work Phone: ( FORMTEXT      )  FORMTEXT      Fax: ( FORMTEXT      )  FORMTEXT       Languages: 1.  FORMTEXT      Speak:  FORMTEXT      Read:  FORMTEXT      Write:  FORMTEXT      2.  FORMTEXT      Speak:  FORMTEXT      Read:  FORMTEXT      Write:  FORMTEXT      3.  FORMTEXT      Speak:  FORMTEXT      Read:  FORMTEXT      Write:  FORMTEXT       Availability: (Please specify hours) MONDAY From  FORMTEXT       To  FORMTEXT       TUESDAY From  FORMTEXT       To  FORMTEXT       WEDNESDAY From  FORMTEXT       To  FORMTEXT       THURSDAY From  FORMTEXT       To  FORMTEXT       FRIDAY From  FORMTEXT       To  FORMTEXT       SATURDAY From  FORMTEXT       To  FORMTEXT       SUNDAY From  FORMTEXT       To  FORMTEXT        Which of<>@|~     $ & @ B V X Z d f rbrrrRrrrjdUh*-75CJU\jTh*-75CJU\jh*-75CJU\$jh*-75CJU\mHnHuh*-7CJOJQJ\h*-75CJ\h*-75CJ\h*-75:\h*-75;CJ\h*-75B*CJ\phh*-75;B* CJH*\phh*-75;B* CJ\ph h*-75\jh*-75U\@ * @ h ueuu !$If !p@@@$If !p@@@$&dP^a$EkdT$$Ifl0#4 la $$Ifa$ xXXh j }}3}JkdV$$Ifl40H$fN64 laf4 !p@@@$IfmkdU$$Ifl\H$("M 64 la     ( * > @ B L N n p ƶƦƖƆvj$Zh*-75CJU\jYh*-75CJU\jVXh*-75CJU\jWh*-75CJU\jlWh*-75CJU\h*-75CJ\$jh*-75CJU\mHnHujh*-75CJU\jVh*-75CJU\*  ( P R l 6 WkdX$$IflֈH${ jE64 la !p@@@$If    $ & ( 2 4 H J ^ ` b l n    : < P R T ^ ` r t ƶƦƖƆvjF_h*-75CJU\j`^h*-75CJU\jz]h*-75CJU\j$\h*-75CJU\j[h*-75CJU\h*-75CJ\$jh*-75CJU\mHnHujh*-75CJU\jZh*-75CJU\*6 8 H p r t {{4{Gkd\$$Ifl0H${964 la !p@@@$Ifokd[$$Ifl\H${ R 64 lat v x  \Gkd]$$Ifl0~ H$ 64 laGkd ]$$Ifl0H${964 la !p@@@$If  : b d r  \Gkd_$$Ifl0H$ 64 la !p@@@$IfGkd^$$Ifl0H$(64 la  " $ 8 : < F H L N b d f p r ƶƦƖƆvjBch*-75CJU\jbh*-75CJU\jVbh*-75CJU\jah*-75CJU\j`h*-75CJU\h*-75CJ\$jh*-75CJU\mHnHujh*-75CJU\j,`h*-75CJU\*  t lWWWW !p@@@$Ifkda$$IflֈvH$hjE64 la  24HJLVXhj~   ƶƦƖƆvjgh*-75CJU\j:fh*-75CJU\jeh*-75CJU\jNeh*-75CJU\jdh*-75CJU\h*-75CJ\$jh*-75CJU\mHnHujh*-75CJU\jch*-75CJU\, "2ZhyhhSSSSS !p@@@$If !p@@@ !p@@@&dPmkd.d$$Ifl\H$ > 64 la h2kdf$$IflִHzX 6$z *    4 la !p@@@$If 2@hx !p@@@$If "$.0@BVXZdfxz.02<>PRfƶƦƖƆvjrkh*-75CJU\jjh*-75CJU\jjh*-75CJU\jih*-75CJU\jhh*-75CJU\h*-75CJ\$jh*-75CJU\mHnHujh*-75CJU\j%hh*-75CJU\* G2222 !p@@@$Ifkdi$$IflִHzX 6$z *    4 la @Pxz2kd^l$$IflִHzX 6$z *    4 la !p@@@$Iffhjtv&(*46TVjlnxzƶƦƖƆvjph*-75CJU\joh*-75CJU\j oh*-75CJU\jmh*-75CJU\j]mh*-75CJU\h*-75CJ\$jh*-75CJU\mHnHujh*-75CJU\jkh*-75CJU\*z| 8 !p@@@$IfK$ !p@@@$If !p@@@8:JT|}fffff !p@@@$IfK$kdIn$IfK$L$lro 1 64 la }fffff !p@@@$IfK$kdo$IfK$L$lro 1 64 la>@TVXbdln"$8:<FHPRfƶƦƖƆvjuh*-75CJU\jth*-75CJU\jth*-75CJU\jrh*-75CJU\jjrh*-75CJU\h*-75CJ\$jh*-75CJU\mHnHujh*-75CJU\j1qh*-75CJU\* "4>fl}fffff !p@@@$IfK$kdq$IfK$L$lro 1 64 la}fffff !p@@@$IfK$kdVs$IfK$L$lro 1 64 la"JPx}fffff !p@@@$IfK$kdu$IfK$L$lro 1 64 lafhjtvPPP Q QQQQ2Q4QHQƶƦƟƝƐwd$jh*-75CJU\mHnHuj&yh*-75CJU\h*-75CJ\jh*-75CJU\U h*-75\jwh*-75CJU\jwwh*-75CJU\h*-75CJ\$jh*-75CJU\mHnHujh*-75CJU\j>vh*-75CJU\ xz}fffff !p@@@$IfK$kdv$IfK$L$lro 1 64 laPQ2QZQ}hhbhKKK !pH@@@$IfK$$If !pH@@@$Ifkdcx$IfK$L$lro 1 64 la the following areas would you consider of special interest or as a strong area in terms of whichever skills you possess:  FORMTEXT       Phone Work  FORMTEXT       Recruitment  FORMTEXT       Mailings  FORMTEXT       Special Projects  FORMTEXT       Computer Work  FORMTEXT       Join a Committee  FORMTEXT       Fundraising Other:  FORMTEXT        In case of emergency, contact: Name:  FORMTEXT      Phone:( FORMTEXT      )  FORMTEXT      Evening Phone: ( FORMTEXT      ) FORMTEXT       I hereby submit my application for volunteer position with The Icla da Silva Foundation, Inc. and once a member of the volunteer program, I agree to abide by the policies and procedures explained to me during orientation. Signature: ____________________________________________________ Date: ________________________ THE ICLA DA SILVA FOUNDATION, 11-43 47th Avenue, Long Island City, NY 11101 USA Telephone: (212) 593-1807 * Toll Free: 1-866-FDN-ICLA * Facsimile: (718) 554-0151 * E-mail:Info@icla.org     HQJQLQVQXQtQvQQQQQQQQQQQQQQQRRRR R>R@RTRVRXRbRdRRRRRRRRRRƶƦƖƆvmh*-75CJ\j}h*-75CJU\j|h*-75CJU\jX|h*-75CJU\j5{h*-75CJU\jzh*-75CJU\h*-75CJ\$jh*-75CJU\mHnHujh*-75CJU\jyh*-75CJU\)ZQrQtQQQQQynkdz$IfK$L$l\hX hzv64 la !pH@@@$IfK$QQ"R>RfRRyyyy !pH@@@$IfK$nkd{$IfK$L$l\hX hzv64 laRRRRRRyyyy !pH@@@$IfK$nkdD}$IfK$L$l\hX hzv64 laRRRRRyy0Hkd$IfK$L$l0K64 la !pH@@@$IfK$nkdg~$IfK$L$l\hX hzv64 laRRSSS5kd$IfK$L$l64 la !pH@@@$IfK$ !pH@@@$IfRRSSSSSSSnSpSSSSSSSSSSSSSSSSSSSSTT2T4T6T@TBTFTHT\T^T`TjTlTVvjh*-75CJU\jzh*-75CJU\jh*-75CJU\jh*-75CJU\jh*-75CJU\$jh*-75CJU\mHnHujyh*-75CJU\h*-75CJ\jh*-75CJU\,SSS S^S`SnSSSS~eeeePPPP !pH@@@$If !pH@@@H^H`kdL$$IflFX$H06    4 lal SSTFTnTpT2kdf$$IflִZ j&zH$)c8TJ    4 la !pH@@@$IfpTvT2V4VVVVVWxX|X~XXXXXXXXX$a$$a$ !p@@@ !pH@@@H^H`VV6WFWJWWWWW XX*X0X4XDXHXNXxXzX~XXXXXXXXÿÿÿÿh$jh$U hCJ h*-7CJ h*-7CJhhCJH*\ hCJ\ h*-7CJ\h*-75CJ\(/ =!T"#8$% TDd` p V  C 2AfdnlogosmallRSaSDFSaJFIFPhotoshop 3.08BIM Resolution8BIM FX Global Lighting Angle8BIMFX Global Altitude8BIM Print Flags 8BIM Copyright Flag8BIM'Japanese Print Flags 8BIMColor Halftone SettingsH/fflff/ff2Z5-8BIMColor Transfer Settingsp8BIMGuides@@8BIM URL overrides8BIMSliceso1fdnlogo18BIMICC Untagged Flag8BIMLayer ID Generator Base8BIM New Windows Thumbnail\pxJFIFHHAdobed            p\"?   3!1AQa"q2B#$Rb34rC%Scs5&DTdE£t6UeuF'Vfv7GWgw5!1AQaq"2B#R3$brCScs4%&5DTdEU6teuFVfv'7GWgw ?TBʣ9KkZ˞]leuVmpel{ \8bmSnM[q﫧bW?ȱؘҺQ.Ud3~KSu|S[7>*/Ӓ K-VE6Cwo,TbU9[b>~ڱ=s톚1Clw9/LUWNxM̻ 35}fw{=̎l}̐ic.:(mg}k=_J[qqKu/'"hZsCZV6Lv16~L!2=7Moik$W6cu7QXǤ}ٌ7QN;?ek?SkzúLvF-O&xcCUxo_ϳw1H_r:gb[]I)?KK_ISV_sԺ YFj\n̵edMo}vBq F5=f/R;0qƶ$MVKCE.'}gN>=vn[+nOƳβ2{Z=/^2[.1tYvK&]9廷o/c=c+N?4G8qK*?a$QUuNuIAկ\uto.VsqSKߕ͓VVbQgB/eW goFk+f8he;mo?HTu=vSҾ'tWֱ۟r65]6ls1Yf;?Mk?Jןuv1=ۨnn=@#gogI5oVɠ?+ys-빵[n Kt~ֺ=;'FmU_X)@GO5߫W}Cklm96_vA!OOfS+>/zR2qP JFL¹5e~k=w]Y_.sMf6Z.sWm{O˽;i3>Wuw}al1̬~m ާ<ь9 $7PYJ뇝( 6ͬ̽UUnmf̪jsгck]; bŸ溛{D[k ݇e~Ǿk6ʬniǷ ְ:}[t:R~'QnEufW}{I\YqFߕܤVX,?bˏh̖7w޶?uq(c}]]};Iu +m2 f.EWYG Hu_S˪ǾicS~;y %VKq[:Rʿܚ1ɶ\.OYegn\t::}_a!6e4ʙcY˚ղZ] ZO_O~ *?Wqe}adjdd_^3>Ӳs En{C4`{5ӹt7:;L^G߽ }2M9dX<ڹĸ{,USe2 s㵌cGscqRܷ<1!AA_@}J>t:l?Q ַoU?kÝZKHpcnc.W`}?{۾7l~۽[_h#zw_ؽ7s2,nEuz﮷WoO şiGgc}bg6?Jm런VVKCtc乻,mS _1s?]Sgʧe1ޝQiwAÑm=z,[1bMOYE4k}=}wIóUfsU7zk6\>Ks1W=>[1%sgr?TKl׹/v_~.vp=oIbܶU,p=5UdNcYyGfq޵F2k@jOHk`ܐ" ismK>μY'¨TΛ}l@\IIϞb06w623b3 ^}[eMW⽘*?Goi^]l-6ngޏ]v}ݓ;'[1Z}#~=a6KOҲ~{zQU?oϡ>~?>{&gїs[F8붫Ut2]51ؗYW]Su>m3}j鸰u-̇2>ѕYKEOێRUnߙs` aeno?΢;-dt܎3/܍Y]R[Cݑȫӧ/*TD맏Ś&PFi~o/##MsY]Z*;Uu'*sq5KOͭvz~X={湦AP搣8B7L|>d湶XA=ۖ*}o,-{םczu7no"[+.tmn+]ӂ+nkݴyOӔk-WAϋcW\w?\[N7XXq^Zc}61Z\ԺJeնkh!&ˡG+ L~9i9Oeݙc:ݒ ]_3 T6Z;,|l uaȦm y1:7(x#9[Q=xX9OF 2z֮u:]Eew1?mӳ _s~w}m>E/?ĥU2<ދƇRͶd[{NܚzV]UW.g]j]/?eW<;k6J.VF}_PisKjcZW\e:6vuO:}=؏sn=MzvQ_ft^x6eV7ߥoK /m-s߉šmSOd Y*#ů:!zky hogU{Y[{IZ:UVk-lZ/]¶_gHc!n3koz/[U_jjUvѳ?\9a~ñК<-", vHmvaywk3jznݹtK^,UUM-9-cFC]hY~s5R8{lÜrn&n8}I³ե4;m+:`~^ngoQF5~=m.sr'pԒ! ?{_lS0'mɳ6fYZHY0}ײw%cwS[2s1z"Y܋fXUӺqa!S?.ڛCK4?wUM}_AmzQWܣÅy</Q#)4dwN똵bQk -0?h=?BfWe]18kr\^veM/۵f:lg7_~ҭj3 f?ſfT,jrus VUk?IU$庆]]CX 엑v{Gs,|߳We6̯pn߬[eE'5%=kq۵?UO~[ѓKɭS`cC;wE}./̬};mu +oUP0##D?Y6cBX,3qwxl:yLa:]z>T121eٶkVoͿU ̻g5fSXѝYÈ`s趗zӲ~#g2>59'I&x/}hH'j8wºֲkwbnKkbhߣ].ѷ&oL}T}4Ym>{ꪷҶz^lλfmS'7,pzb|%rq˴={' 3zgSeEV5yok쯷5UY(W:GF m'N\3`ɗ?F8G5/Jnn>7[eλ-TֳLsvIͭ!Y-$N36 GO_c^8BIM!Version compatibility infoUAdobe PhotoshopAdobe Photoshop 6.08BIM JPEG Quality!Adobed##""     1" 0!2@1"3#$B4 !"1A2B#3CS QqRbrcs0a$4DT@dteE !"2R qBbr1AQa0#3CS@cs`$ XƇl+WjgJjha<- jbue<ɶ8ڄ6jsB ޾J2׈}Pۗg/6 Tcf9Mw(h9GL3O9G+3?$*[CekU, ݠ@,AҴ|SsNcSi*aߗ q[FWs-V1;5\dTt@Bےx$e-v_s,팠Ѫȱ*GL0OKKTPq79Iƪ*n0a>i 91"vy#$y8 !X2@؇^3ʻ c:og4+B@ԪYSnsv?Mf"P"薟o̺7*p9vfz.οP[bE7|;z${/FBxϓ1LL6+ κ2#]sm?Qו%;8۝:܎b2Yàts@Li_}칵cSZBLiXwݧ./ 7CyķXԜg^[+hpug1v,RxMWԫrʴխVJ9oߖNNjqZ OZ)9縜8q8pwq8pwq8pwF#wGk5ʛS= 1EsO~j"ansvO4r9jqͱQM5ֵʎn MvV=ˎMSeUZN8*G#rcUwc=|Ij*[hflzQQQVʛ.YrBN6ͱG#QBN+O,Lblӿu<$M3S7g#StznaŞH0NG9.#T4 UAZܐihb##k"B/󎪮)}#7 V 6N(XBjX<ªgċ;6:hFv_EErܛ&g!BV7dB}AXUQF9q{#]F {1+qEr|mǹ6ыr5ǣEMRLbZ\EE\WȘ+nHSvzps\rg7bsq\oETr;Xbv(ޘW/SU}6e~F''Q}] }E=]\fob./Sܝo'{lj羫]u7f97F/Ol_ًz*.'"c܎]M߳f*{o6b*pA?m O/]΍ ?6toCf 萻b.}}}=+W-s/DE3qS6>.FHr*&;uv|SB8tG1\CȮj|1 :SVޥ3Rd hq#QZo6\I Uca6UU`iqx|8֥h~7Lı:$ &No,dٯpK~wH, zZNrZHOKA˚m2P&7P;]FsEI7oUm沋e6Lt5k&W^2tdK,!G<}\3X,od5ZukB8S-i >٥eKR FA~qʢs^ܘ-m$$w!I*IWu\iմ|,D_^}EvGଋ<'xTg:IJhу­%cغ+{jF|\sA= c]l\=u'ZJ$ThN,&,P4a!Q1UIǒxq.LudgWO䪍Oy᳦\qL뛉6V=YM$0XHدl,@x٫Ό6I.ɥq'%X›k+Z6 _6!a4~וXX=^X(#_v ls !.Zv1GxQFa3u KRU<xW]E_V!kn2"&*Rxr>"djC&W9TENmzm$ƪ*!ɮ|bرwIvZX{r4k\uGӸ[$ )j챁2,>doo[e-E'G;$&H*,Xd,+E cːIrvͳP|iaJ'ٶmf؞l$-+Agl#•m2ZJ]>|ڨ!OoFiwbuf֩?%-3tL6?7l6ͳl6nGcvzD6Ω3.;DAJ'6:%~KkRˤ0JlW _X$s6ͳl6Ͱj]m'lc7̵XR;HRDɋ/N#$t5εI&=0dnmq9cq9\sa"6 œdqmgR4Q@c%ğz1*zVios%DrL!؋osuH0<98R|'N15?҆æV$mgݮK+ס͋4$ HH>ǎq9(:5Qsq+뵼tlHײfĘ<*cO_ծ ?]2`u9qsWo0]q9(BkrmWImL˺ԍm;k[ם ;#%[㕲~&s]8e$Je>\H0>mr[&0LW=mk&x/7θ"N"K'VRLU Qa5M('@*WE4&&<_$9Ck$Dz]}_U.kK`6P|nQSѴnͱUt.HVN}ߐ_.],dm$[sI\3GMe#浫McɬvȍhpȀdvhun}':Q B& l>uB4ȰG3cv&@1`,\_*&;Sm< t}P1'o[&m7e,(Qg~<0B]0}Jd3{-drLV`i"˔..TEGCb(ݘHա?M*pq!85ƲD}$ܡ""Gc3uާW.FKyrcYsGƦ,j Y PP T`dR&xC0*̉YXL)d!Z_u*$qH5k|bCmlWRe\Y&SШ湎#WgL)cEc/ДȕGya…B_Esک]]^%bf1o6:34٥Hcv>9ѽ8Ji lJɐS,3,[sy"J-\ _n&-!1cbs색 )[_, SΐSЌ,$X  AmW9N6)ģB($8f~FPqV͋]k>ӸnuEYgwZl&YvdZo4L%jo +>W yk(t-5[w%#/ >'4(4Z,y_?'\#3_1ޯ}J-f!ca.}ߞ߳cRpeuE<;d1gu3?-IFI)o_FOy|p?#$αf!Gҵ0IV{PUe͵I ,jg,0+aIqiV 'MadUL>[6?sGyB TˆX\>('@Jt(j0B[4r{} `>*XyVB74:ȟOYcvَk#W8:yڌ]`Lqa[cGTѤF(ŋ{:Ƹ#Q5\D@X G|iZY0q6+=Bw_?sb*g7H~*9 D$rv:©QVHԎF#*wK6ĴqR-QpS17k jGTVdIc鿉 c=?E5ӶTd?(aSI5Z&g]j<_4j|G,$D5nHЏȣ^y7вuCɝ;4[(}5_h UEK>}X+?6kͰt#8eOIÏI` 0b*9|;uqÀᨫ:RebSBb7IVגM}uYHT6T9WתiXeKgni%5%dY+o57x!JgRʌ73IX"0׍>h)* r/S!VߡdFbI~;$Vǽ9/;EKmG7-p4lQK2Ұ5t.TFnlw{.Q:h:[ 65]PJZKL l-H~_YsoV[,*[ sط=X pFY$KQUQ/|ijs*u*6V:q$v=YPK%;r93G!{2I $Mz U)E ,WGX˱yێ6´ÛX_TQ1U}ZJIؼsۀUլ VZV ?.-U0CwevYppJKێT9s(&ÝRmi9en8BI~S¢&9`ܵ aT Q[ZtE!R6InnJ7r6aJN;dʡ?."2qYBQ̓I#?a&*cwܿ ۬k#OVޗޚ h`nI'h KXzOylRHř3.9d7(miӛؖD;r6r,&~3ؿWH\_*[x:6e&cй|CK&񄘁F~aHݚc78D]Iӣ_TYdg%zʒ."?d#QnUi0o$®b/UD~i璖v2Qyɚ 4]Ƹe='X ijqΚIWDn@6!Tf74M5FӧE,F)/[^yG%$2DjqZ*\k{"x&PH ѱ{2w?f*0kc--ﭭOKxŏ`dK;wpÎKIUGb꣒{KS&>oX[Ԭ8Z}>ɴsoIT:bؚHwɇ$tK43 '2-IXˊfH['OMO?Ki:nddmg~ɿJad<ogCb567;쯷x0no~e~}o$KIK8$f#"xlA)a$z)x??2ƱE*g7yK/VE!y<>i.4:|K) e7SS:+'lսi 3 :ÑZ.9$ʴT0ad9 '?X.@b 4xG_˥H۲H珏Ras¿|^mȜ:AlF@17uɣVzڛ *f- Okw.zʲZ[hA6eIz|h-#pO"yINya_c :Ē+Ⱥ끛LKH_>2dCqpOdVMvy[/SGGKARWY,Zv<`]hܲEU|na{+ti&>ad] 0?vy fQ%v9K$r>t"#bM^V4 7GT=MNi3_oM'_-$S$BXGxo%yDv ,sU__6d2bf\Wɥ^_˵h* 2OOM 6cxfV/fcpu]"vLϗ#n#wu'q vpz;<3)Y1 U* U'l#vbڣߩ4*-Z.4q2U;jo6=?jzyRlChNl2$v R$ uv&gw 8'^Gx%n_ ui5[{ R@# ظqs0/w}¨؜vjЎYߩ|>jk+ZENR#Ez&z{(5-K]V]nCJL1LjJ{G5h\ڮMKX[إFs%v9.Q/Ev* UZŧ!- \eˍw:`%aC􇢏h@4qL|kVdS,uiKeEN97:~O6?֤nM$M7XnEuP{]7d$qU1G# m?S8QG  U.eaa6Ï(V;I3M@&D85U(v }t,Vh]g`b ӌObvTYieՐ;hM~$LMuPIGU.UDKkh)f%6K8ٱR&_޵;U`iӅS;?ۭ#q,`_$KdN+X;ÊuBdU20Ʌ$Gm=\v$F0A+Ui(J?gl[Nl.7vCr -LX.cߊ&;G a7F]^#RGd$f9\X.NljI$:rVZ6|zl,4ӦYˌ:q]S ܙN[52 ]duԒ9xhCҴ1&7]kZ;]n9N\xb}|n>´+~--f))x x~ҟqz.-V5ާeSu[lJjq!onq8èڲz2J션$l[ݘu RFV "7-'2D۸nZ;Ic6 9"qQ*eډB<7oM+#l11UoS'LZw "hjqKS0݉lhjQxDŽ?bhشzrۈmSC,/kԂ;b@7K?saH`HڲIҮ,a}ޮ61ӃgmaE.IlRA{y|c;Kݴf!IbqΐĒE#qCcTA(u#CtyL>jH;bǣj.v&wNeE[^ٶ;lwFڰ"p/*_O/c9Xʰ"Sɗ4gZuf[hT,ayHU435 ;h=?z|r2]WiTV7SZAqclCM7I޲ZX%62ir P٥ g,_عûm"\lRim6D4 bCFezIle<+QPxiӁ 9IWEd7CX"Q>]W!%hݹ!+A8f-BN4k8sI8++4G^Y$4T/ZD}v4?m+x=k7|B(b3*1F whC$qˀ \<]O7r; I'uqWED뽦N.GrXS PBdZ'uUVVLU28VàW>)db3?W_YKs:OL&j*Q9* .JK%0ت9m$wǍZ񵱬jt{hQ"3 \31xE/6_2jv=hz!tNr@5h32KLYYC"a|0f?55-ӓQP O9~J4* Y4"F{gN2;]"ar EYrV2**ɂG%3脻$ri9l״(^iYq=KoVᩩrAS;ÖԨgĺ f?#brbG[9XG$ohU"x@qpAmX\I-ζ `E51KI$찥Jtkّ󱾪#ZZD8zxauOSCÆ{(ECUWK'$*y쁦{*Jn,2BuQ ɬ˗5.EB{BEXc$$If!vh55#v#v:V l,554tDText3tDText6$$If!vh5(5"55M #v(#v"#v#vM :V l65(5"55M / / 4tDText4t$$If!vh5f5N#vf#vN:V l465f5N/ 4f4tDText5vDText11vDText10$$If!vh5{5 555j5E#v{#v #v#v#vj#vE:V l65{5 555j5E/ / / 4tDText1vDText47tDText7vDText48$$If!vh5{5 55R #v{#v #v#vR :V l65{5 55R / 4vDText63n$$If!vh5{59#v{#v9:V l65{59/ 4n$$If!vh5{59#v{#v9:V l65{59/ 4vDText15n$$If!vh5 5#v #v:V l65 5/ 4vDText13n$$If!vh5(5#v(#v:V l65(5/ 4vDText14n$$If!vh5 5#v #v:V l65 5/ 4vDText16vDText17vDText12$$If!vh55h555j5E#v#vh#v#v#vj#vE:V l655h555j5E/ 4vDText18vDText19vDText20vDText21$$If!vh5 5> 55#v #v> #v#v:V l65 5> 55/ / 4vDText22vDText25vDText28vDText31$$If!vh5z5 555*555#vz#v #v#v*#v#v:V l5z5 55*55/ / / / 4vDText23vDText26vDText29vDText32$$If!vh5z5 555*555#vz#v #v#v*#v#v:V l5z5 55*55/ / / / 4vDText24vDText27vDText30vDText33$$If!vh5z5 555*555#vz#v #v#v*#v#v:V l5z5 55*55/ / / / 4vDText49vDText50$IfK$L$l!vh55555#v#v#v#v#v:V l655555/ / 4vDText51vDText57$IfK$L$l!vh55555#v#v#v#v#v:V l655555/ / 4vDText52vDText58$IfK$L$l!vh55555#v#v#v#v#v:V l655555/ / 4vDText53vDText59$IfK$L$l!vh55555#v#v#v#v#v:V l655555/ / 4vDText54vDText60$IfK$L$l!vh55555#v#v#v#v#v:V l655555/ / 4vDText55vDText61$IfK$L$l!vh55555#v#v#v#v#v:V l655555/ / 4vDText56vDText62$IfK$L$l!vh55555#v#v#v#v#v:V l655555/ / 4vDText34vDText38$IfK$L$l!vh5h5z5v5#vh#vz#vv#v:V l65h5z5v5/ / 4vDText35vDText39$IfK$L$l!vh5h5z5v5#vh#vz#vv#v:V l65h5z5v5/ / 4vDText36vDText40$IfK$L$l!vh5h5z5v5#vh#vz#vv#v:V l65h5z5v5/ / 4vDText37$IfK$L$l!vh5h5z5v5#vh#vz#vv#v:V l65h5z5v5/ / 4c$IfK$L$l!vh55#v#v:V l65K54vDText41[$IfK$L$l!vh5#v:V l65/ 4$$Ifl!vh555#v#v#v:V l065H55/ / 4alvDText46vDText42vDText45vDText43vDText44$$If!vh5)5c55585T55J#v)#vc#v#v8#vT#v#vJ:V l5)5c5585T55J/ / / 4a<@< NormalCJ_HmH sH tH D@D Heading 1$$@&a$ 5B*CJ8@8 Heading 2$@&5H@H Heading 3$$ @&a$5:<@< Heading 4$@&5CJDA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k(No List `C@` Body Text Indent dd^ 5OJQJ6U@6 Hyperlink >*B*ph4@4 Header  !4 @"4 Footer  !:B@2: Body Text  CJFP@BF Body Text 2 5J p opqt()6`q 129MUin-4HPdei}  (<=>delq36JKRWknz3DEYefghijkl #78;  z { | } < > ? A B D E G H K 0 00 0 000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 00000 0 0 0 0 0 0 0 0 000000000000000000000000000$/  ffHQRVX !%-37h 6 t   h z8 xZQQRRRSSpTX  "#$&'./012456X   &7CILX^r~ )/9EKUagnz %+4@FP\biu{ (4:q}+16BHWcinzz +1EQWv #/5J FtFtFtFtFtFtFtFFtFFFtFtFtFtFtFtFtFtFtFtFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF8@2(  NB  S DoNB  S DoNB  S DoB S  ?qJ -$t-$t-$t<Text3Text6Text4Text5Text11Text10Text1Text47Text7Text48Text63Text15Text13Text14Text16Text17Text12Text18Text19Text20Text21Text22Text25Text28Text31Text23Text26Text29Text32Text24Text27Text30Text33Text49Text50Text51Text57Text52Text58Text53Text59Text54Text60Text55Text61Text56Text62Text34Text38Text35Text39Text36Text40Text37Text41Text46Text42Text45Text43Text448Ms:Vo5Qj )r 7Xo{ Fw$K   !"#$%&'()*+,-./0123456789:;'J_ 0Lh,Gc|;2Ij2X!6K z~ < < > > ? ? A B D E G H K X _ } < < > > ? ? A B D E G H K 33t)29MUin-4HPei}  (>q36KWkn3EYv#} < < > > ? ? A B D E G H K  < < > > ? ? A B D E G H K wRrs% < 0  } j6Rr@a ,IU& ( dZd+RrL8RrOHv_L EN JLPRrU j+bV.Y)Z \ >]{~+dL^ 'd p @qH>(Rrhh^h`CJOJQJo( hh^h`OJQJo( ^`OJQJo(hh^h`CJOJQJo(hh^h`CJOJQJo( hh^h`OJQJo( hh^h`OJQJo( hh^h`OJQJo(hh^h`CJOJQJo(hh^h`CJOJQJo(  ^ `o(- hh^h`OJQJo( hh^h`OJQJo(hh^h`CJOJQJo( hh^h`OJQJo(h ^`OJQJo(h pp^p`OJQJo(oh @ @ ^@ `OJQJo(h ^`OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h PP^P`OJQJo(oh   ^ `OJQJo( hh^h`OJQJo( hh^h`OJQJo(h ^`OJQJo(h pp^p`OJQJo(oh @ @ ^@ `OJQJo(h ^`OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h PP^P`OJQJo(oh   ^ `OJQJo( hh^h`OJQJo( hh^h`OJQJo( hh^h`OJQJo(  ^ `o(-hh^h`CJOJQJo(@qOH>]j+bV)Zs%wJLPL8dZd+( j6_Lp'dENU< 0+dL^@a,IU&\( *-76_$opqt()6`q 129MUin-4HPdei}  (<=>elq36JKRWknz3DEYefghijkl #78 K a@ L! LJ  PUnknownGz Times New Roman5Symbol3& z Arial;Wingdings?5 z Courier New"1hԳ&Գ&j!4d7 7 s-2QHP ?6_2 Airam da SilvaUSERl                   Oh+'0  4 @ L Xdlt| Airam da SilvaNormalUSER3Microsoft Office Word@@ԇ{@Do@IFo՜.+,0 hp  User Company7   Title  !"#$%&'()*+,-./012345678:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{}~Root Entry FP{\o@Data 9j1Table|8JWordDocument*pSummaryInformation(DocumentSummaryInformation8Macros pbm\opbm\oVBA pbm\opbm\odirThisDocument *_VBA_PROJECT! PROJECT N  "#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMOPQRSTXᲀ0* pHdProjectQ(@= l > J< rstdole>stdoleP h%^*\G{00020430-C 0046}#2.0#0#C:\WINDOWS\System32\e2.tlb#OLE Automation`ENormalENCrmaQF  * \C m>!OfficgOficg!G{2DF8D04C-5BFA-101@B-BDE5gAjAe42ggram Files\MicrosPoft 62\\MSO9.DLL#  9.0 Ob LibraryEMSF?s>AMSF?s$3@BaD452EE1-E0D8FA-A-8-02608C4D0BB4YaFM260 'B n&/;"1By{ }#0# 50 A61496348-BF4A-49f9894-F@115E58B56DOCUME ~1\Aie\L OCALSTemp\Word8 .0bB7.exdcU<".E .`PM BDThisDocum@entGTAisDlcDuen 2 ` Hբ1wc ",2""+]2 >J^(a|Z@km kǥM? _xME PS"SS"<<<<<(1Normal.ThisDocument00(%(* 80@  ei % %``H" `ophðAttribute VB_Name = "ThisDocument" Bas1Normal.VGlobal!SpaclFalse CreatablPre declaIdTru BExposeTemplateDeriv$CustomlizC1P Sub CheckBox1_Click()  End am  *\G{000204EF-0000-0000-C000-000000000046}#4.0#9#C:\PROGRA~1\COMMON~1\MICROS~1\VBA\VBA6\VBE6.DLL#Visual Basic For Applications*\G{00020905-0000-0000-C000-000000000046}#8.1#0#C:\Program Files\Microsoft Office2000\Office\MSWORD9.OLB#Microsoft Word 9.0 Object Library*\G{00020430-0000-0000-C000-000000000046}#2.0#0#C:\WINDOWS\System32\stdole2.tlb#OLE Automation*\CNormal*\CNormalm>*\G{2DF8D04C-5BFA-101B-BDE5-00AA0044DE52}#2.1#0#C:\Program Files\Microsoft Office2000\Office\MSO9.DLL#Microsoft Office 9.0 Object Library*\G{0D452EE1-E08F-101A-852E-02608C4D0BB4}#2.0#0#C:\WINDOWS\System32\FM20.DLL#Microsoft Forms 2.0 Object Library *\G{61496348-BF4A-494C-9894-F115E5815EB5}#2.0#0#C:\DOCUME~1\Airam\LOCALS~1\Temp\Word8.0\MSForms.exd#Microsoft Forms 2.0 Object Library.E .`M  >ThisDocument0E3ee8a32dThisDocument2c xgR-VTL<``D&WordkVBAWin16~Win32MacVBA6#Project1 stdole`Project- ThisDocument< _EvaluateNormalOfficeuDocumentjMSFormsC CheckBox1CheckBox1_Clickl`  ID="{0CE8B91E-9F4D-4123-A3BA-5ABE6F821C92}" Document=ThisDocument/&H00000000 Name="Project" HelpContextID="0" VersionCompatible32="393222000" CMG="4143464E4A4E4A4E4A4E4A" DPB="4341444A474B474B47" GC="4547424C464F474F47B0" [Host Extender Info] &H00000001={3832D640-CF90-11CF-8E43-00A0C911005A};VBE;&H00000000 &H00000002={000209F2-0000-0000-C000-000000000046};Word8.0;&H00000000 [Workspace] ThisDocument=66, 87, 738, 535, C @ҋB `ThisDocumentThisDocument  FMicrosoft Office Word Document PROJECTlk UPROJECTwmV)CompObjWqMSWordDocWord.Document.89q