ࡱ > Q T N O P _ a bjbj ez b b 6 A J
T ` ` ` $ P L )O 8 L' b' b' b' =( 1 L A7 M M M M M M M $ !P R M ) ` < =( =( < < M ` ` b' b' N FH FH FH < L ` b' ` b' M FH < M FH FH : L , M b' ٗ;E = L
M N 0 )O L R S > S M S ` M d 9 : | FH ; d w; [ 9 9 9 M M G 9 9 9 )O < < < < S 9 9 9 9 9 9 9 9 9 : S T A N D A R D A P P L I C A T I O N
F o r T e a c h i n g P o s i t i o n s i n P e n n s y l v a n i a P u b l i c S c h o o l s
( P l e a s e P r i n t o r T y p e )
P o s i t i o n ( s ) D e s i r e d F O R M T E X T N a m e F O R M T E X T F O R M T E X T L a s t F i r s t M i d d l e P r o f e s s i o n a l P e r s o n n e l I D P r e s e n t A d d r e s s F O R M T E X T F O R M T E X T S t r e e t ( A r e a C o d e ) T e l e p h o n e F O R M T E X T F O R M T E X T F O R M T E X T C i t y S t a t e Z i p C o d e P e r m a n e n t A d d r e s s F O R M T E X T F O R M T E X T S t r e e t ( A r e a C o d e ) T e l e p h o n e F O R M T E X T F O R M T E X T F O R M T E X T C i t y S t a t e Z i p C o d e E - m a i l A d d r e s s ( i f a v a i l a b l e ) F O R M T E X T L i s t , i n o r d e r o f p r e f e r e n c e , t h e g r a d e s , s u b j e c t s a n d / o r p o s i t i o n s f o r w h i c h y o u a r e a p p l y i n g : 1 . F O R M T E X T 2 . F O R M T E X T 3 . F O R M T E X T C E R T I F I C A T I O N ( l i s t a l l a r e a s i n w h i c h y o u h o l d v a l i d P e n n s y l v a n i a a n d / o r o u t - o f - s t a t e t e a c h i n g c e r t i f i c a t e s . N o t e : A p p l i c a n t s h o l d i n g a c e r t i f i c a t e f r o m a n o t h e r s t a t e m u s t o b t a i n a P e n n s y l v a n i a C e r t i f i c a t e i n o r d e r t o t e a c h i n P e n n s y l v a n i a P u b l i c S c h o o l s . ) A r e a o f C e r t i f i c a t i o n I s s u i n g S t a t e D a t e I s s u e d F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T H a v e y o u a c q u i r e d t e n u r e i n P e n n s y l v a n i a ? F O R M T E X T I f y e s , i n w h a t s c h o o l d i s t r i c t ? F O R M T E X T D a t e a v a i l a b l e f o r e m p l o y m e n t F O R M T E X T I f y o u a r e n o t e m p l o y e d f u l l t i m e , a r e y o u i n t e r e s t e d i n b e i n g p l a c e d o n o u r S u b s t i t u t e L i s t ? F O R M C H E C K B O X Y e s F O R M C H E C K B O X N o L o n g - t e r m F O R M C H E C K B O X Y e s F O R M C H E C K B O X N o S h o r t - t e r m F O R M C H E C K B O X Y e s F O R M C H E C K B O X N o
E D U C A T I O N A L B A C K G R O U N D
S c h o o l o r I n s t i t u t i o n a n d L o c a t i o n M a j o r /
M i n o r D i p l o m a s ,
D e g r e e s o r
C r e d i t s E a r n e d G r a d e P o i n t
A v e r a g e
( G P A ) H i g h S c h o o l F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T C o l l e g e / U n i v e r s i t y F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T C o l l e g e / U n i v e r s i t y F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T G r a d u a t e S t u d y F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T G r a d u a t e S t u d y F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T
E X P E R I E N C E
( P r e s e n t o r m o s t r e c e n t f i r s t )
D a t e s N a m e o f E m p l o y e r a n d A d d r e s s Y o u r T i t l e F r o m F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T T o F O R M T E X T F O R M T E X T F O R M T E X T ( A r e a C o d e ) T e l e p h o n e : F O R M T E X T W o r k P e r f o r m e d : R e a s o n f o r L e a v i n g : F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T N a m e & T i t l e o f
S u p e r v i s o r : F O R M T E X T F i n a l Y e a r l y S a l a r y : F O R M T E X T D a t e s N a m e o f E m p l o y e r a n d A d d r e s s Y o u r T i t l e F r o m F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T T o F O R M T E X T F O R M T E X T F O R M T E X T ( A r e a C o d e ) T e l e p h o n e : F O R M T E X T W o r k P e r f o r m e d : R e a s o n f o r L e a v i n g : F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T N a m e & T i t l e o f
S u p e r v i s o r : F O R M T E X T F i n a l Y e a r l y S a l a r y : F O R M T E X T D a t e s N a m e o f E m p l o y e r a n d A d d r e s s Y o u r T i t l e F r o m F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T T o F O R M T E X T F O R M T E X T F O R M T E X T ( A r e a C o d e ) T e l e p h o n e : F O R M T E X T W o r k P e r f o r m e d : R e a s o n f o r L e a v i n g : F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T N a m e & T i t l e o f
S u p e r v i s o r : F O R M T E X T F i n a l Y e a r l y S a l a r y : F O R M T E X T
P l e a s e l i s t a c t i v i t i e s t h a t y o u a r e q u a l i f i e d t o s u p e r v i s e o r c o a c h : F O R M T E X T F O R M T E X T F O R M T E X T
I f y o u h a v e n o t b e e n p r e v i o u s l y e m p l o y e d i n a t e a c h i n g p o s i t i o n , p l e a s e c o m p l e t e t h e f o l l o w i n g :
S T U D E N T O R P R A C T I C E T E A C H I N G
G r a d e o r S u b j e c t T a u g h t N a m e a n d A d d r e s s o f S c h o o l C o l l e g e S u p e r v i s o r
C o o p e r a t i n g T e a c h e r F O R M T E X T F O R M T E X T 1 . F O R M T E X T F O R M T E X T F O R M T E X T 2 . F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 1 . F O R M T E X T F O R M T E X T F O R M T E X T 2 . F O R M T E X T F O R M T E X T S t u d e n t T e a c h i n g R e f e r e n c e s :
P l e a s e a t t a c h p h o t o c o p i e s o f l e t t e r s o f r e f e r e n c e a n d / o r e v a l u a t i o n s f r o m c o l lege/university student teacher supervisor and cooperating teacher(s).
REFERENCES
References should include superintendents, principals or professors who have first-hand knowledge of your professional competence and your personal qualifications. Experienced teachers should include the superintendent and principal of the two most recent schools in which employed. If any person(s) listed should not be contacted for reference at the present time, indicate in the left-hand margin the date contact(s) may be m a d e .
N a m e P o s i t i o n A d d r e s s T e l e p h o n e F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T
O T H E R Q U A L I F I C A T I O N S
S u m m a r i z e s p e c i a l j o b - r e l a t e d s k i l l s a n d q u a l i f i c a t i o n s a c q u i r e d f r o m e m p l o y m e n t o r o t h e r e x p e r i e n c e s ( i n c l u d i n g U . S . m i l i t a r y s e r v i c e ) a n d / o r s t a t e a n y a d d i t i o n a l i n f o r m a t i o n y o u f e e l m a y b e h e l p f u l i n c o n s i d e r i n g y o u r a p p l i c a t i o n , i . e . h o n o r s , a w a r d s , a c t i v i t i e s , t e c h n o l o g y s k i l l s o r p r o f e s s i o n a l d e v e l o p m e n t a c t i v i t i e s : F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T
G E N E R A L B A C K G R O U N D I N F O R M A T I O N
Y o u m u s t g i v e c o m p l e t e a n s w e r s t o a l l q u e s t i o n s . I f y o u a n s w e r " Y e s " t o a n y q u e s t i o n , y o u m u s t l i s t a l l o f f e n s e s , a n d f o r e a c h c o n v i c t i o n p r o v i d e d a t e o f c o n v i c t i o n a n d d i s p o s i t i o n , r e g a r d l ess of the date or location of occurrence. Conviction of a criminal offense is not a bar to employment in all cases. Each case is considered on its merits. Your answers will be verified with appropriate police records.
Criminal Offense includes felonies, misdemeanors, summary offenses and convictions resulting from a plea of "nolo contendere" (no contest).
Conviction is an adjudication of guilt and includes determinations before a court, a district justice or a magistrate, which results in a fine, sentence or probation.
You may omit: minor traffic violations, offenses committed before your 18th birthday which were adjudicated in juvenile court or under a Youth Offender Law, and any convictions which have been expunged by a court or for which you successfully completed an Accelerated Rehabilitative Disposition program.
Were you ever convicted of a criminal offense? FORMCHECKBOX Yes FORMCHECKBOX NoAre you currently under charges for a criminal offense? FORMCHECKBOX Yes FORMCHECKBOX NoHave you ever forfeited bond or collateral in connection with a criminal offense? FORMCHECKBOX Yes FORMCHECKBOX NoWithin the last ten years, have you been fired from any job for any reason? FORMCHECKBOX Yes FORMCHECKBOX NoWithin the last ten years, have you quit a job after being notified that you would be fired? FORMCHECKBOX Yes FORMCHECKBOX NoHave you ever been professionally disciplined in any state?
Professional disciplined means the annulment, revocation or suspension of your teaching certification or having received a letter of reprimand from an agency, board or commission of state government, such as the Pennsylvania Professional Standards and Practices Commission. FORMCHECKBOX Yes FORMCHECKBOX NoAre you subject to any visa or immigration status, which would prevent lawful employment? FORMCHECKBOX Yes FORMCHECKBOX NoNote: If you answered "Yes" to any of the above questions, please provide a detailed explanation
( * > @ B L N R T h j l v x z ~
"
$
(
*
>
@
B
L
N
P
T
ϲϲ j h)a Uj h)a Uh)a :CJ H* h; h; :CJ
h)a :CJ j h)a Uj, h)a U h)a :j h !F UmH nH u j h)a Uj h)a U h)a 5: h)a 3 * $$If a$ M kdt $$If l 40 |)
c * 4
l af4
! $If $ $If a$ $a$ ( P R z | 6 s kd $$If l 4\ |) L < e * 4
l af4 $$If a$ $If $ $If a$ < kd $$If l 4: |) * * 4
l af4 | ~ S kd $$If l ֈ V
|) L r { O e * 4
l a $$If a$gd $$If a$ &
(
P
R
; s kdt $$If l 4\ V |) t * 4
l af4 $$If a$ $If $If : kd@ $$If l 4 |) * * 4
l af4 R
T
b
d
| | $If s kd $$If l 4\ V |) t * 4
l af4 $$If a$
: @ d f z | ~ " $ 8 : < F ڿڥښڿڏڄj
h)a UjH
h)a Uj h)a UjH h)a Uh)a 5:\
h)a :CJ h)a :jd h)a Uj h)a Uh)a j h !F UmH nH u j h)a Uj| h)a U 4 ( : x o o o o $$If a$ kd $$If l 4r V |) n * 4
l af4 : < > @ d G A $If : kd $$If l 4 |) * * 4
l af4 $$If a$ s kdx $$If l 4\ V |) e
* 4
l af4 $$If a$ s kd2 $$If l 4\ V |) t * 4
l af4 " J L t | | $If $$If a$ s kd $$If l 4\ V |) t * 4
l af4 F H L N b d f p r t x
, . 0 : < > D F Z \ ^ h j l n | յ j h)a Uj h)a Uj( h)a U
h)a CJ j
h)a Uh)a 5:\
h)a :CJ h)a :j h !F UmH nH u j4 h)a Uh)a j h)a U :t v x { r r r r r $$If a$ kd $$If l r V |) t * 4
l a { r 7 1 $If : kd $$If l 4 |) * * 4
l af4 $$If a$ kdD $$If l r V |) t * 4
l a
` Z $If : kd
$$If l 4 |) * * 4
l af4 $$If a$ O kd
$$If l 4)0 |) d * 4
l af4
! $If
$If $$If a$ : kdJ $$If l 4 |) * * 4
l af4
> D l e \ V \ V \ V $If $$If a$ kd $$If l 4ֈ q |) k
* 4
l af4 l n p r e \ ! : kdF $$If l 4 |) * * 4
l af4 $$If a$ kd $$If l 4ֈ q |) k
* 4
l af4 r | ~ } t t t $$If a$ : kd $$If l 4 |) * * 4
l af4 $If : kd $$If l 4 |) * * 4
l af4 $If | ~
" , . 0 2 F H J T V X Z \ p r t ~ j h)a Uj h)a Uj! h)a Uj h)a Ujg h)a Uj h)a Uj h !F UmH nH u j{ h)a Uh)a j h)a Uh)a 5:\ h)a : 6 0 X w n n n $$If a$ kdb $$If l 4F F q|) ,
* 4
l af4p X Z 0 b kd
$$If l 4F F q|) ,
* 4
l af4 $$If a$ b kd $$If l 4F F q|) ,
* 4
l af4 $ L N v b kd= $$If l 4F F q|) ,
* 4
l af4 $$If a$ " $ & : < > H J L N P d f h r t v x $ & ( < > @ J L P ʢʘʋ|ʢ j h !F :UmH nH uj h)a :U j h)a :U
h)a :CJ j h)a Uj h)a Uj h)a U h)a :j h)a Uj h !F UmH nH u jQ h)a Uh)a j h)a U 0 $$If a$ b kdm $$If l 4F F q|) ,
* 4
l af4 & N P 5 M kd5 $$If l 40 i|) * 4
l af4 < $If s kd; $$If l 4\ iU|) ' * 4
l af4 "
( * , 6 J L h j l v x s j! h !F h !F :U jq! h' :U j h !F h !F :U j h !F h !F :U jY h !F h !F :U j{ h)a :U
h)a :CJ j h !F :UmH nH uj h)a :U j h)a :U h)a : , "
. [ P P $< $If a$ M kd $$If l 40 i|) * 4
l af4 < $If M kd $$If l 40 i|) * 4
l af4 . 4 6 J n v g ^ U U U U U ^ $$If a$ $$If a$ kdA $$If l 4r ! #%W'|) k" h % * 4
l af4 $
H < $If a$ H J
$If $$If a$ $a$ : kd% $$If l 4 |) * * 4
l af4 Ff# $$If a$ H J
& ( @ B V X Z d f h j ~ Ǿ̠̕|̠q̠fj( h)a UjI( h)a Uj' h)a Uj h !F UmH nH u j]' h)a Uj h)a U h)a 5: h)a 5:CJ
h)a CJ h)a 5:CJ h)a 5h)a h)a <j h)a 0J <U h)a :j h)a :U jY" h !F h !F :U( & ( kd& $$If l r L4z "(6 F F
2 0 4) 4
l ap2 $$If a$ ( @ h
d d $If [$\$
! d d $If [$\$
" , . 0 2 F H J T V X Z n p r | ~ " 6 8 : D F H J j- h)a UjU- h)a Uj, h)a Uj+ h)a Uj+ h)a Uj* h)a Uj h !F UmH nH u j%* h)a U h)a 5: h)a :h)a j h)a U 7 0 X H ; ; ; ; ;
d d $If [$\$ kd5) $$If l r L4z "( 6 F F
0 4) 4
l ap
H ; ; ;
d d $If [$\$ kd+ $$If l r L4z "( 6 F F
0 4) 4
l ap
H p r ) kd. $$If l r L4z "( 6 F F
0 4) 4
l ap
d d $If [$\$
! d d $If [$\$ J ^ ` b l n r
" , . 2 P R f h j t v x z j?3 h)a Uj2 h)a UjS2 h)a Uj0 h)a Uj0 h)a Uj0 h)a Uj/ h)a U h)a :j h !F UmH nH u j h)a UjA. h)a Uh)a 6 0
d d $If [$\$
! d d $If [$\$ 0 2 P x H ; ; ; ; ;
d d $If [$\$ kdq1 $$If l r L4z "( 6 F F
0 4) 4
l ap
D $ & . 0 D F H R žwj j8 h)a CJ Uj7 h)a CJ Uj6 h)a CJ U j h !F CJ UmH nH u j)6 h)a CJ Uj h)a CJ U
h)a CJ
h)a :CJ h)a :CJ \ h)a :\
h)a CJ j3 h)a Uh)a j h)a Uj h !F UmH nH u)
H T H C A C 8 8 $$If a$ $a$ kd+4 $$If l r L4z "( 6 F F
0 4) 4
l ap
( L kd
5 $$If l 4 F : \( : l " 0 6 4
l a f4p $$If a$ ( * , . V X V M M M M $$If a$ kd7 $$If l 4 n \ : \(< l "
0 6 4
l a f4p
R T ` b v x z
" $ & 0 2 4 }p j-@ h)a CJ U j h !F UaJ mH nH u jF= h)a UaJ
h)a aJ j h)a UaJ h)a CJ fH q
j; h)a CJ Uj; h)a CJ U j h !F CJ UmH nH u j: h)a CJ U
h)a CJ j h)a CJ U *X Z ` V M M M M $$If a$ kdd9 $$If l 4 n \ : \(< l "
0 6 4
l a f4p
4 6 V M M M G M $If $$If a$ kd; $$If l 4 n \ : \(< l "
0 6 4
l a f4p
6 8 X - $ $ $$If a$ kd= $$If l 4 n r : \( < N
" 0 6 4
l a f4p q h h $$If a$ kd1? $$If l 4 0 \( { M 0 6 4
l a f4p " & ( < > @ J L N P d f h r t x z ҸҫҞґ҄ jE h)a CJ Uj~E h)a CJ Uj3D h)a CJ UjC h)a CJ UjrB h)a CJ UjA h)a CJ U
h)a CJ j h !F CJ UmH nH u j h)a CJ Uj@ h)a CJ U / $ $$If a$s kdA $$If l 4 0 \( { M 0 6 4
l a f4 $ & N v $$If a$s kdB $$If l 4 0 \( { M 0 6 4
l a f4 v x $$If a$s kdD $$If l 4 0 \( { M 0 6 4
l a f4 , V ~ } $If $$If a$s kdjF $$If l 4 0 \( { M 0 6 4
l a f4 ( * V X l n p z | ~ & ( * 4 6 8 : N P R \ ^ f h | 뺴}p jK h)a CJ UjK h)a CJ UjJ h)a CJ U j h !F UaJ mH nH u jG h)a UaJ
h)a aJ j h)a UaJ j h !F CJ UmH nH u j?G h)a CJ Uj h)a CJ U
h)a CJ h)a CJ fH q
(~ @ 7 7 7 $$If a$ kd+H $$If l 4 n \ R= \( 5
0 6 4
l a f4p 8 ` U L L L L $$If a$ kdI $$If l 4 F : \( : l " 0 6 4
l a f4p ` b d f V M M M M $$If a$ kdL $$If l 4 n \ : \(< l "
0 6 4
l a f4p
| ~ ! ! ! ! ! B! D! F! Z! \! ^! h! j! l! ! ! ! Ҹҫҝғp j h !F UaJ mH nH u jQ h)a UaJ
h)a aJ j h)a UaJ h)a CJ fH q
jO h)a CJ UjO h)a CJ UjO h)a CJ U
h)a CJ j h !F CJ UmH nH u j h)a CJ UjdM h)a CJ U & ! V M M M M $$If a$ kdM $$If l 4 n \ : \(< l "
0 6 4
l a f4p
! ! ! ! D! l! n! V M M M G M $If $$If a$ kduP $$If l 4 n \ : \(< l "
0 6 4
l a f4p
n! p! ! ! - $ $ $$If a$ kd2R $$If l 4 n r : \( < N
" 0 6 4
l a f4p ! ! !
" q h h $$If a$ kdS $$If l 4 0 \( { M 0 6 4
l a f4p ! ! ! ! ! ! ! ! ! ! " " " " "" $" &" 0" 2" 4" 6" J" L" N" X" Z" ^" `" t" v" x" " " " " " " " " " " " " " " " " " " " ҸҫҞґ҄ jY h)a CJ UjX h)a CJ Uj3X h)a CJ UjV h)a CJ UjrV h)a CJ UjU h)a CJ U
h)a CJ j h !F CJ UmH nH u j h)a CJ UjT h)a CJ U 1
" " 4" \" $$If a$s kdU $$If l 4 0 \( { M 0 6 4
l a f4 \" ^" " " $$If a$s kd^W $$If l 4 0 \( { M 0 6 4
l a f4 " " " # $$If a$s kd Y $$If l 4 0 \( { M 0 6 4
l a f4 " " " " " # # <# ># R# T# V# `# b# # # # # # # # # $ "$ 6$ 8$ :$ D$ F$ H$ J$ ^$ `$ b$ l$ n$ p$ r$ $ ҷҭ}p j_ h)a CJ Uj_ h)a CJ U j h !F UaJ mH nH u j+\ h)a UaJ
h)a aJ j h)a UaJ j[ h)a CJ Uh)a CJ fH q
h)a CJ j h !F CJ UmH nH u j h)a CJ UjjZ h)a CJ U & # # $# <# d# # # } $If $$If a$s kdZ $$If l 4 0 \( { M 0 6 4
l a f4 # # # # $ @ 7 7 7 $$If a$ kd\ $$If l 4 n \ R= \( 5
0 6 4
l a f4p $ $ $ H$ p$ $ U L L L L $$If a$ kd] $$If l 4 F : \( : l " 0 6 4
l a f4p $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ % % % % % % "% 6% 8% :% D% F% P% z% |% ~% % % % ҸҫҞҐ҆s j2f h)a UaJ
h)a aJ j h)a UaJ h)a CJ fH q
jud h)a CJ Ujc h)a CJ Ujc h)a CJ Uja h)a CJ U
h)a CJ j h !F CJ UmH nH u j h)a CJ Uj` h)a CJ U '$ $ $ $ $ $ V M M M M $$If a$ kdw` $$If l 4 n \ : \(< l "
0 6 4
l a f4p
$ $ $ $ % H% V M M M M $$If a$ kdPb $$If l 4 n \ : \(< l "
0 6 4
l a f4p
H% J% L% N% |% % % V M M M G M $If $$If a$ kdd $$If l 4 n \ : \(< l "
0 6 4
l a f4p
% % % % % % &
& & & & & & 0& 2& 4& >& @& D& F& Z& \& ^& h& j& l& n& & & & & & & & & & & & & & & & & & & гڦгڙгڌггrг j#m h)a CJ Ujl h)a CJ Uj^k h)a CJ Ujj h)a CJ Uji h)a CJ U j h !F CJ UmH nH u ji h)a CJ Uj h)a CJ U
h)a CJ
h)a aJ j h)a UaJ j h !F UaJ mH nH u,% % % % - $ $ $$If a$ kdf $$If l 4 n r : \( < N
" 0 6 4
l a f4p % % & B& q h h $$If a$ kd h $$If l 4 0 \( { M 0 6 4
l a f4p B& D& l& & $$If a$s kdj $$If l 4 0 \( { M 0 6 4
l a f4 & & & & $$If a$s kdk $$If l 4 0 \( { M 0 6 4
l a f4 & & & & & ' ' ' ' ' ' &' (' *' 4' 6' F' H' t' v' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ~( ( ( ( }wmw` j5s h)a CJ Uj h)a CJ U
h)a CJ j h !F UaJ mH nH u jp h)a UaJ
h)a aJ j h)a UaJ j5p h)a CJ Uh)a CJ fH q
jn h)a CJ U j h !F CJ UmH nH u jpn h)a CJ U
h)a CJ j h)a CJ U %& & ' 8' $$If a$s kdm $$If l 4 0 \( { M 0 6 4
l a f4 8' :' \' t' ' ' ' } $If $$If a$s kd`o $$If l 4 0 \( { M 0 6 4
l a f4 ' ' ' |( @ > 8 $If kd%q $$If l 4 n \ R= \( 5
0 6 4
l a f4p |( ~( ( ( ( - ^ kds $$If l 4 \( ( 0 6 4
l a f4 $If m kd}r $$If l 4 \( (
0 6 4
l a f4p
( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ) ) ) * * * * * * * * * * * * * + + + + + "+ $+ &+ 0+ 2+ 4+ 8+ :+ ߰ߣߖuj h !F UmH nH u j7x h)a Uj h)a Ujw h)a CJ UjGw h)a CJ Uh)a 5:CJ \ h)a :\ h)a j-u h)a CJ Uj8t h)a CJ U
h)a CJ j h !F CJ UmH nH u j h)a CJ U .( ( ( ( ( ) ) = ; ; ; ^ kdu $$If l 4 \( ( 0 6 4
l a f4 $If ^ kdt $$If l 4 \( ( 0 6 4
l a f4 ) ) ) * 0* f* * *
& F $If $$If a$
(d R * * * + + 4+ X K K K K
d d $If [$\$ kd"v $$If l F D * D
l X 0 + 4
l a p 4+ 6+ 8+ `+ b+ d+ g Z Z H H
! d d $If [$\$
d d $If [$\$ kdx $$If l 4 @\ D < *`D
l ` `` 0 + 4
l a f4 :+ N+ P+ R+ \+ ^+ `+ d+ h+ j+ ~+ + + + + + + + + + + + + + + + + + + + + + + + + , ,
, , , , , ., 0, 2, <, >, @, F, Ϻϯzj h)a CJ Uj h)a CJ Uj~} h)a CJ Uj h !F UmH nH u j{ h)a Uj h)a Ujg{ h)a CJ Uh)a j h !F CJ UmH nH u j h)a CJ Ujy h)a CJ U
h)a CJ 0d+ f+ h+ + + + g Z Z H H
! d d $If [$\$
d d $If [$\$ kdNz $$If l 4 @\ D < * D
l ` 0 + 4
l a f4 + + + + + + g Z Z H H
! d d $If [$\$
d d $If [$\$ kdW| $$If l 4 @\ D < * D
l ` `` 0 + 4
l a f4 + + , @, F, n, g Z Z Z M
d d $If [$\$
d d $If [$\$ kd} $$If l 4 @\ D < * D
l ` 0 + 4
l a f4 F, H, \, ^, `, j, l, n, r, t, , , , , , , , , , , , , , , , , , , , , , , , , , - - - - "- $- (- *- f- F. G. I. ԽʭԠʭԈʭԁ{
h)a CJ h)a 5\ j h)a CJ Ujу h)a UjY h)a CJ U j h !F CJ UmH nH u j h)a CJ Uj h)a CJ U
h)a CJ j h !F UmH nH u j h)a Uh)a j h)a U .n, p, r, , , , g Z Z M M
d d $If [$\$
d d $If [$\$ kdw $$If l 4 @\ D < *`D
l ` `` 0 + 4
l a f4 , , , , , , g Z Z H H
! d d $If [$\$
d d $If [$\$ kd2 $$If l 4 @\ D < * D
l ` 0 + 4
l a f4 , , , $- &- (- g Z Z H H
! d d $If [$\$
d d $If [$\$ kdI $$If l 4 @\ D < * D
l ` `` 0 + 4
l a f4 (- *- f- G. H. I. T. U. 0 0 0 g e e e e c e a e X $$If a$ kd $$If l 4 @\ D < * D
l ` 0 + 4
l a f4
I. T. U. 0 T0 V0 j0 l0 n0 x0 z0 |0 ~0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 41 61 81 B1 D1 F1 H1 \1 ^1 `1 j1 l1 j h)a Uj$ h)a Uj h)a Uj h)a Uj h)a Uj h)a Uj h !F UmH nH u j h)a Uj h)a Uh)a 5:\h)a h)a 5 h)a :\4 0 .0 >0 R0 T0 |0 3 - $If kd $$If l \ $ x!* T / ( 0 4
l a p( $$If a$ |0 0 0 0 0 1 F1 n1 1 d kd $$If l \ $ x!* T / 0 4
l a $If l1 n1 p1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 &2 (2 *2 42 62 :2 <2 P2 R2 T2 ^2 `2 b2 d2 x2 z2 |2 2 2 2 2 2 2 2 2 2 j h)a Uj6 h)a Uj h)a Uj h)a Uj h)a Uj h)a Uj. h)a Uj h !F UmH nH u j h)a Uj h)a Uh)a 81 1 1 1 2 82 j d d d d $If kd $$If l \ $ x!* T / 0 4
l a 82 :2 b2 2 2 2 j d d d d $If kd $$If l \ $ x!* T / 0 4
l a 2 2 2 2 2 2 2 2 2 2 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 (6 *6 ,6 66 86 <6 D6 6 6 N7 T7 ϸũϜũϏũςũ|up h)a >* h)a :\
h)a CJ j͕ h)a 5U jޔ h)a 5U j h)a 5U j h !F 5UmH nH uj h)a 5U j h)a 5U h)a 5
h)a 5CJ j h !F UmH nH u j& h)a Uj h)a Uh)a ,2 2 2 2
3 5 j h c a [ $If $a$ kd $$If l \ $ x!* T / 0 4
l a 5 5 5 5 5 3 [ kdj $$If l \( ( 0 6 4
l a $If j kd@ $$If l \( (
0 6 4
l a p
5 5 6 6 :6 C [ kdV $$If l \( ( 0 6 4
l a $If [ kdg $$If l \( ( 0 6 4
l a :6 <6 >6 B6 D6 6 6 8 8 k9 l9 : : E; F; G; v;
< < $If $a$ [ kdE $$If l \( ( 0 6 4
l a T7 P8 S8 8 8 l9 v9 #: (: v; w; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; < < X< Y< g< h< i< n< o< }< ~< < < < < < < < < < < < _= `= n= o= p= u= v= j h !F Uj h !F Uj h !F Uj4 h !F Uj h !F Uj h !F Uj< h !F Uj0 h !F Uj h !F Uj h)a U h)a >*h)a 7v; ; ; ; ; ; ; ; ; < < u kd $$If l r "%\( 6 4
l a
< < $If
< < X< j< n< < < u u u u u
< < $If kd& $$If l r "%\( 6 4
l a < < < < < < < z p p p p p
< < $If kd $$If l 4Tr "%\(` ` ` 6 4
l a f4 < < < < < < = z p p p p p
< < $If kd[ $$If l 4Tr "%\( 6 4
l a f4 = = _= q= u= = = u u u u u
< < $If kd $$If l r "%\( 6 4
l a v= = = = = > > > > > > > ? ? ? k? l? z? {? |? ? ? ? ? ? ? ? 6 T7 Z7 f7 7 9 9 9
: ^: D< F< rar!hJ hIe B*CJ ^J aJ ph h !F B*CJ ^J aJ ph !hJ h !F B*CJ ^J aJ ph h h !F 5B*^J ph h !F 5B*^J ph Uh)a 5CJ \ j h !F Uj, h !F UjT h !F Ujޟ h !F U
h)a CJ j h)a Uj h !F Uh)a &= = = = = = = z p p p p p
< < $If kd| $$If l 4Tr "%\(` ` ` 6 4
l a f4 = = = > > > ?
? z p [ L p p p
! < < $If $h< < $If ]^ha$
< < $If kd- $$If l 4Tr "%\( 6 4
l a f4
? ? ?
? ? ? ? z p a p p p
! < < $If
< < $If kdʠ $$If l 4Vr "%\(` ` ` 6 4
l a f4 ? ? k? }? ? ? ? z p p p p p
< < $If kd{ $$If l 4r "%\( 6 4
l a f4 ? ? ? ? ? ? ? z p p p p p
< < $If kd $$If l 4Tr "%\(` ` ` 6 4
l a f4 ? ? T7 V7 X7 z e . , 7 kdz $$If l 4 \( ( 6 4
l a f4 $ < < $If ^ `a$ kdɣ $$If l 4Tr "%\( 6 4
l a f4 o n a s e p a r a t e s h e e t o f p a p e r , i n c l u d i n g d a t e s , a n d a t t a c h i t t o t h i s a p p l i c a t i o n . P l e a s e p r i n t a n d s i g n y o u r n a m e o n t h e s h e e t , a n d i n c l u d e y o u r s o c i a l s e c u r i t y n u m b e r .
A C T 3 4 C l e a r a n c e ( P A S t a t e P o l i c e C r i m i n a l B a c k g r o u n d C h e c k )
E a c h a p p l i c a n t m u s t s u b m i t w i t h h i s / h e r e m p l o y m e n t a p p l i c a t i o n a c o p y o f a C r i m i n a l H i s t o r y R e c o r d f r o m t h e P e n n s y l v a n i a S t a t e P o l i c e . P r o s p e c t i v e e m p l o y e e s m u s t s u b m i t O R I G I N A L r e p o r t , w h i c h m a y n o t b e m o r e t h a n o n e ( 1 ) y e a r o l d .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
A C T 1 1 4 ( F e d e r a l C r i m i n a l H i s t o r y R e c o r d )
E a c h a p p l i c a n t m u s t s u b m i t w i t h h i s / h e r e m p l o y m e n t a p p l i c a t i o n a c o p y o f a F e d e r a l C r i m i n a l R e c o r d f r o m t h e F e d e r a l B u r e a u o f I n v e s t i g a t i o n ( F B I ) . P r o s p e c t i v e e m p l o y e e s m u s t s u b m i t O R I G I N A L r e p o r t , w h i c h m a y n o t b e m o r e t h a n o n e ( 1 ) y e a r o l d .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
A C T 1 5 1 C l e a r a n c e ( P A C h i l d A b u s e H i s t o r y C l e a r a n c e )
E a c h c a n d i d a t e m u s t s u b m i t w i t h h i s / h e r e m p l o y m e n t a p p l i c a t i o n a c o p y o f a n o f f i c i a l c l e a r a n c e f r o m t h e P e n n s y l v a n i a D e p a r t m e n t o f P u b l i c W e l f a r e . P r o s p e c t i v e e m p l o y e e s m u s t s u b m i t O R I G I N A L r e p o r t , w h i c h m a y n o t b e m o r e t h a n o n e ( 1 ) y e a r o l d .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
E S S A Y
P l e a s e w r i t e a n e s s a y a s d e s c r i b e d o n p a g e s i x . F o r y o u r c o n v e n i e n c e , y o u m a y a t t a c h a s h e e t ; h o w e v e r , y o u r e s s a y m a y n o t e x c e e d o n e p a g e . A t t h e b o t t o m o f t h e a t t a c h m e n t , p l e a s e p r i n t a n d s i g n y o u r n a m e .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
C E R T I F I C A T I O N A N D R E L E A S E A U T H O R I Z A T I O N
I c e r t i f y t h a t a l l o f t h e s t a t e m e n t s m a d e b y m e a r e t r u e , c o m p l e t e a n d c o r r e c t t o t h e b e s t o f m y k n o w l e d g e a n d b e l i e f , a n d a r e m a d e i n g o o d f a i t h . I f u r t h e r c e r t i f y t h a t I a m t h e s o l e a u t h o r o f t h e e s s a y . I u n d e r s t a n d t h a t a n y m i s r e p r e s e n t a t i o n o f i n f o r m a t i o n s h a l l b e s u f f i c i e n t c a u s e f o r : ( 1 ) r e j e c t i n g m y c a n d i d a c y , ( 2 ) w i t h d r a w i n g o f a n y o f f e r o f e m p l o y m e n t , o r ( 3 ) t e r m i n a t i n g m y e m p l o y m e n t .
I h e r e b y a u t h o r i z e a n y a n d a l l o f m y p r e v i o u s e m p l o y e r s a n d / o r s u p e r v i s o r s t o r e l e a s e a n y a n d a l l o f m y p e r s o n n e l r e c o r d s , a n d t o r e s p o n d f u l l y a n d c o m p l e t e l y t o a l l q u e s t i o n s t h a t o f f i c i a l s o f _ _ _ _ _ _ _ _ _ _ _ _ ( s c h o o l d i s t r i c t ) m a y a s k r e g a r d i n g m y p r i o r w o r k h i s t o r y a n d p e r f o r m a n c e . I w i l l h o l d s u c h p r e v i o u s e m p l o y e r s a n d / o r s u p e r v i s o r s h a r m l e s s o f a n y a n d a l l c l a i m s t h a t I m i g h t o t h e r w i s e h a v e a g a i n s t t h e m w i t h r e g a r d t o s t a t e m e n t s m a d e t o t h i s s c h o o l d i s t r i c t . I f u r t h e r a u t h o r i z e t h e s e o f f i c i a l s t o i n v e s t i g a t e m y b a c k g r o u n d , n o w o r i n t h e f u t u r e , t o v e r i f y t h e i n f o r m a t i o n p r o v i d e d a n d r e l e a s e f r o m l i a b i l i t y a l l p e r s o n s a n d / o r e n t i t i e s s u p p l y i n g i n f o r m a t i o n r e g a r d i n g m y b a c k g r o u n d . H o w e v e r , I d o n o t a u t h o r i z e t h e p r o d u c t i o n o f m e d i c a l r e c o r d s o r o t h e r i n f o r m a t i o n , w h i c h w o u l d t e n d t o a c t u a l l y i d e n t i f y a d i s a b i l i t y n o r d o I a u t h o r i z e i n q u i r i e s w h i c h w o u l d i n c l u d e i n f o r m a t i o n r e l a t e d t o a n y m e d i c a l c o n d i t i o n o r m e d i c a l h i s t o r y . F u r t h e r , I d o n o t w a i v e a n y r i g h t s w h i c h I m a y h a v e u n d e r s t a t e o r f e d e r a l l a w r e l a t e d t o m y r i g h t t o c h a l l e n g e t h e d i s c l o s u r e o f u n l a w f u l o r i n a c c u r a t e i n f o r m a t i o n , w h e t h e r b y t h e s c h o o l d i s t r i c t o r b y e n t i t i e s o r p e r s o n s p r o v i d i n g s u c h i n f o r m a t i o n t o t h e s c h o o l d i s t r i c t , i n c l u d i n g a n y a n d a l l c l a i m s c o n c e r n i n g a l l e g a t i o n s o f e m p l o y m e n t d i s c r i m i n a t i o n b e c a u s e o f r a c e , c o l o r , s e x , r e l i g i o n , n a t i o n a l o r i g i n , a n c e s t r y , a g e o r d i s a b i l i t y .
F O R M T E X T F O R M T E X T D a t e S i g n a t u r e o f C a n d i d a t e ( i n i n k )
[ M u s t b e o r i g i n a l ] P e n n s y l v a n i a s c h o o l d i s t r i c t s s h a l l n o t d i s c r i m i n a t e i n t h e i r e d u c a t i o n a l p r o g r a m s , a c t i v i t i e s o r e m p l o y m e n t p r a c t i c e s b a s e d o n r a c e , c o l o r , n a t i o n a l o r i g i n , s e x , d i s a b i l i t y , a g e , r e l i g i o n , a n c e s t r y o r a n y o t h e r l e g a l l y p r o t e c t e d c l a s s i f i c a t i o n . T h i s p o l i c y i s i n a c c o r d a n c e w i t h s t a t e a n d f e d e r a l l a w s , i n c l u d i n g T i t l e V I o f t h e C i v i l R i g h t s A c t o f 1 9 6 4 , T i t l e I X o f t h e E d u c a t i o n A m e n d m e n t s o f 1 9 7 2 , S e c t i o n s 5 0 3 a n d 5 0 4 o f t h e R e h a b i l i t a t i o n A c t o f 1 9 7 3 , t h e A g e D i s c r i m i n a t i o n A c t o f 1 9 7 5 , t h e A m e r i c a n s w i t h D i s a b i l i t i e s A c t o f 1 9 9 0 a n d t h e P e n n s y l v a n i a H u m a n R e l a t i o n s A c t . I n f o r m a t i o n r e l a t i v e t o s p e c i a l a c c o m m o d a t i o n , g r i e v a n c e p r o c e d u r e , a n d t h e d e s i g n a t e d r e s p o n s i b l e o f f i c i a l f o r c o m p l i a n c e w i t h T i t l e V I , T i t l e I X , a n d S e c t i o n 5 0 4 m a y b e o b t a i n e d b y c o n t a c t i n g t h e s c h o o l d i s t r i c t .
E S S A Y W e a r e i n t e r e s t e d i n y o u r a b i l i t y t o o r g a n i z e a n d e x p r e s s t h o u g h t s o n a s p e c i f i c t o p i c i n a s u c c i n c t m a n n e r . P l e a s e s e l e c t o n e o f t h e f o l l o w i n g t o p i c s a n d w r i t e a n e s s a y i n t h e s p a c e p r o v i d e d o n t h i s p a g e . T h e M o s t I m p o r t a n t Q u a l i t i e s o f a n O u t s t a n d i n g E d u c a t o r .
M y P h i l o s o p h y o f S t u d e n t D i s c i p l i n e .
T h e I m p o r t a n c e o f C o n t i n u i n g P r o f e s s i o n a l D e v e l o p m e n t a n d H o w I P l a n t o I n c o r p o r a t e I t T h r o u g h o u t M y C a r e e r .
E s s e n t i a l E l e m e n t s o f I n s t r u c t i o n , A d m i n i s t r a t i o n o r A r e a o f C e r t i f i c a t i o n .
H o w I n f o r m a t i o n T e c h n o l o g y ( i . e . , c o m p u t e r s , I n t e r n e t ) C a n B e I n t e g r a t e d i n t o t h e I n s t r u c t i o n a l P r o c e s s a n d C u r r i c u l u m .
F O R M T E X T S i g n a t u r e N a m e N o t e t o a p p l i c a n t s : T h i s a p p l i c a t i o n c a n b e d o w n l o a d e d f r o m t h e D e p a r t m e n t o f E d u c a t i o n ' s h o m e p a g e w h i c h i s a c c e s s i b l e a t : h t t p : / / w w w . s t a t e . p a . u s . T h i s a p p l i c a t i o n w a s d e v e l o p e d , i n a c c o r d a n c e w i t h S e c t i o n 1 2 0 4 . 1 o f A c t 1 0 7 o f 1 9 9 6 , b y t h e P e n n s y l v a n i a D e p a r t m e n t o f E d u c a t i o n i s c o n s u l t a t i o n w i t h o r g a n i z a t i o n s r e p r e s e n t i n g s c h o o l a d m i n i s t r a t o r s , i n c l u d i n g p e r s o n n e l a d m i n i s t r a t o r s , t e a c h e r s a n d s c h o o l b o a r d s . Q u e s t i o n s s h o u l d b e r e f e r r e d t o P D E S c h o o l S e r v i c e s O f f i c e a t V o i c e T e l e p h o n e ( 7 1 7 ) 7 8 7 - 4 8 6 0 , T e x t T e l e p h o n e T T Y ( 7 1 7 ) 7 8 3 - 8 4 4 5 o r F A X ( 7 1 7 ) 7 8 3 - 6 8 0 2 . I f y o u n e e d a c c o m m o d a t i o n i n c o m p l e t i n g t h i s a p p l i c a t i o n , i n c l u d i n g a l t e r n a t e f o r m a t , p l e a s e c o n t a c t t h e s c h o o l d i s t r i c t .
P A G E 1
P D E 3 5 3 A ( 1 2 / 0 3 / 1 3 )
P D E - 3 5 3 A ( 1 2 / 0 3 / 1 3 )
X7 7 9 9
: ^: F< H< < = > > b? n? A A fA A A D D O O O ^ gd !F $
0 h1$ ] ^ha$ $
0 1$ ] a$gd !F gd !F $a$gd !F F< H< < = > > > b? l? n? A A dA fA A \F tF O O O O O O O O O O O O xrexUxrxr j h !F CJ UmH nH u jĤ h)a CJ U
h)a CJ j h)a CJ U
h !F CJ
h !F CJ
h)a >*CJ
h)a 5CJ
hIe CJ
h)a CJ h)a h)a 5 hJ h !F B*CJ aJ ph h !F B*CJ ^J aJ ph h h !F 5B*^J ph !hJ h !F B*CJ ^J aJ ph !hJ hIe B*CJ ^J aJ ph O O O O O P
P JP pP w w w $
0 $1$ If ] a$ $If \ kd $$If l F \( .
T 6 4
l ah $
0 $1$ If ] a$ O O O O O
P nP rP U V V V V XX \X z[ |[ ~[ [ [ [ [ [ [ [ [ \ \ t_ _ .a 2a 4a 6a 8a ~mgc_[ h h h)a
h@ CJ !j h !F CJ U\mH nH u jw h)a CJ U\ j h)a CJ U\
h)a CJ \
h)a CJ
h)a 5CJ
h)a CJ
h)a CJ
h)a 6CJ h)a 6CJ ] h)a 5CJ \
h)a CJ j h !F CJ UmH nH u j h)a CJ Uj< h)a CJ U "pP rP V V V y
$ $If ] a$ $ h] ^ha$ $
0 h1$ ] ^ha$Z kd9 $$If l F \( .
T 6 4
l ah V V ZX \X 0 ^ kdS $$If l 4 ( 4) 0 4)6 4
l a f4 $
0 $1$ If ] a$^ kd $$If l 4 ( 4) 0 4)6 4
l a f4 \X X Y Y Z z[ |[ ~[ [ q q $
0 $1$ If ] a$^ kd $$If l 4 ( 4) 0 4)6 4
l a f4 $
& F
0 $1$ If ]^ a$ [ [ [ [ [ [ $
0 $1$ If ]a$` kd $$If l 4 % ( 4) 0 4)6 4
l a f4 [ [ \ h Q $
0 x x $1$ If ] a$ kd $$If l 4 \ 8!( 0 4)6 4
l a f4 \ \ 0a 2a ) ^ kd. $$If l 4 ( 4)0 4)6 4
l a f4 $
0 x x $1$ If ] a$gd@ ^ kd $$If l 4 ( 4)0 4)6 4
l a f4 2a 4a 6a 8a :a a Ba Da Ha Ja Na Pa \a ^a `a ba da xa a a a a a a a a a ̼ h)a
h@ CJ h
hy CJ
h CJ hp 0J mH nH u
h 0J j h 0J Uj h Uh h h 2 P / =!"#$% l Dp / 01h / =!"#$% t D T e x t 2 f $$If !v h#v
#vc :V l 4* 5
5c / 4 af4N $$If !v h#v *:V l 4:* 5 *4 af4t D T e x t 3 t D T e x t 1 $$If !v h#v L#v<#ve#v :V l 4* 5 L5<5e5 / / 4 af4 $$If !v h#v L#vr#v{#vO #ve#v :V l * 5 L5r5{5O 5e5 / 4 aJ $$If !v h#v *:V l 4* 5 *4 af4t D T e x t 4 t D T e x t 5 $$If !v h#v #v#vt#v :V l 4* 5 55t5 / / 4 af4t $$If !v h#v #v#vt#v :V l 4* 5 55t5 4 af4t D T e x t 6 t D T e x t 7 t D T e x t 8 $$If !v h#v #v#v#vn#v :V l 4* 5 555n5 / / 4 af4 $$If !v h#v #v#v#ve
:V l 4* 5 555e
/ 4 af4J $$If !v h#v *:V l 4* 5 *4 af4t D T e x t 9 v D T e x t 1 0 $$If !v h#v #v#vt#v :V l 4* 5 55t5 / / 4 af4 $$If !v h#v #v#vt#v :V l 4* 5 55t5 / 4 af4v D T e x t 1 1 v D T e x t 1 2 v D T e x t 1 3 $$If !v h#v #v#v#vt#v :V l * 5 555t5 / / 4 a $$If !v h#v #v#v#vt#v :V l * 5 555t5 / 4 aJ $$If !v h#v *:V l 4* 5 *4 af4v D T e x t 1 4 j $$If !v h#v #vd:V l 4)* 5 5d/ 4 af4J $$If !v h#v *:V l 4* 5 *4 af4J $$If !v h#v *:V l 4* 5 *4 af4 $$If !v h#v #v #v#v #v#vk
:V l 4* 5 5 55 55k
4 af4v D T e x t 1 5 v D T e x t 1 6 v D T e x t 1 7 $$If !v h#v #v #v#v #v#vk
:V l 4* 5 5 55 55k
/ / / 4 af4X $$If !v h#v *:V l 4* 5 */ 4 af4X $$If !v h#v *:V l 4* 5 */ 4 af4f $$If !v h#v *:V l 4* 5 */
/ 4 af4$$If !v h#v ,#v
#v :V l 4F * 5 ,5
5 / / / / / / / 4 af4p v D T e x t 1 8 v D T e x t 1 9 v D T e x t 2 0 $$If !v h#v ,#v
#v :V l 4F * 5 ,5
5 / / / / / / / 4 af4v D T e x t 2 2 v D T e x t 2 1 v D T e x t 2 3 $$If !v h#v ,#v
#v :V l 4F * 5 ,5
5 / / / / / / / 4 af4v D T e x t 2 4 v D T e x t 2 5 v D T e x t 2 6 $$If !v h#v ,#v
#v :V l 4F * 5 ,5
5 / / / / / / / 4 af4v D T e x t 2 7 v D T e x t 2 8 v D T e x t 2 9 $$If !v h#v ,#v
#v :V l 4F * 5 ,5
5 / / / / / / / 4 af4 $$If !v h#v #v#v #v':V l 4* 5 55 5'/ 4 af4v D T e x t 3 0 f $$If !v h#v #v:V l 4* 5 5/ 4 af4v D T e x t 3 1 f $$If !v h#v #v:V l 4* 5 5/ 4 af4v D T e x t 3 2 f $$If !v h#v #v:V l 4* 5 5/ 4 af4t D e C h e c k 1 t D e C h e c k 2 $$If !v h#v k"#v #v#vh#v%:V l 4* 5 k"5 55h5%/ / / / 4 af4t D e C h e c k 3 t D C h e c k 4 t D e C h e c k 5 t D e C h e c k 6 $$If !v h#v a#v#v#v #v#v#v #v #v #v
h#v
%:V l 4*5 a555 555 5 5 5
h5
%/ / / /
4 af4kd" $$If l 4 ! #%W'|) a h % * , , , , 4
l af4J $$If !v h#v *:V l 4* 5 *4 af4L$$If !v h#v 6 #v#vF#vF#v:V l
2 0 4) , 5 6 55F5F5/ / 4 ap2 v D T e x t 3 3 v D T e x t 3 4 v D T e x t 3 5 v D T e x t 3 6 $$If !v h#v 6 #v#vF#vF#v:V l
0 4) 5 6 55F5F5/ / 4 ap
v D T e x t 3 7 v D T e x t 3 8 v D T e x t 3 9 v D T e x t 4 0 $$If !v h#v 6 #v#vF#vF#v:V l
0 4) 5 6 55F5F5/ 4 ap
v D T e x t 4 1 v D T e x t 4 2 v D T e x t 4 3 v D T e x t 4 4 $$If !v h#v 6 #v#vF#vF#v:V l
0 4) 5 6 55F5F5/ 4 ap
v D T e x t 4 5 v D T e x t 4 6 v D T e x t 4 7 v D T e x t 4 8 $$If !v h#v 6 #v#vF#vF#v:V l
0 4) 5 6 55F5F5/ 4 ap
v D T e x t 4 9 v D T e x t 5 0 v D T e x t 5 1 v D T e x t 5 2 $$If !v h#v 6 #v#vF#vF#v:V l
0 4) 5 6 55F5F5/ 4 ap
$$If !v h#v :#vl#v":V l 4 0 6 5 :5l5"/ / / / 4 f4p v D T e x t 5 3 v D T e x t 5 4 v D T e x t 5 5 a$$If !v h#v <#v#vl#v":V l 4n
0 6 + ++, ,5 <55l5"/ / / / / / / / / 4 f4p
v D T e x t 5 6 7$$If !v h#v <#v#vl#v":V l 4n
0 6 + ++, ,5 <55l5"/ / / / / / 4 f4p
v D T e x t 5 7 v D T e x t 5 8 v D T e x t 5 9 E$$If !v h#v <#v#vl#v":V l 4n
0 6 + ++, ,5 <55l5"/ / / / / / / 4 f4p
v D T e x t 6 0 s$$If !v h#v <#v#vN
#v #v":V l 4n 0 6 + ++5 <55N
5 5"/ / / / / / / 4 f4p $$If !v h#v {#vM:V l 4 0 6 5 {5M/
/ / / 4 f4p v D T e x t 6 1 v D T e x t 6 2 $$If !v h#v {#vM:V l 4 0 6 5 {5M/ / / / / / 4 f4v D T e x t 6 3 v D T e x t 6 4 $$If !v h#v {#vM:V l 4 0 6 5 {5M/ / / / / 4 f4v D T e x t 6 5 v D T e x t 6 6 $$If !v h#v {#vM:V l 4 0 6 5 {5M/ / / / / 4 f4v D T e x t 6 7 v D T e x t 6 8 $$If !v h#v {#vM:V l 4 0 6 5 {5M/ / / / / 4 f4v D T e x t 6 9 v D T e x t 7 0 V$$If !v h#v #v5#v#v
:V l 4n 0 6 5 5555
/ / / / / / / 4 f4p $$If !v h#v :#vl#v":V l 4 0 6 5 :5l5"/ / / / 4 f4p v D T e x t 7 1 v D T e x t 7 2 v D T e x t 7 3 a$$If !v h#v <#v#vl#v":V l 4n
0 6 + ++, ,5 <55l5"/ / / / / / / / / 4 f4p
v D T e x t 7 4 7$$If !v h#v <#v#vl#v":V l 4n
0 6 + ++, ,5 <55l5"/ / / / / / 4 f4p
v D T e x t 7 5 v D T e x t 7 6 v D T e x t 7 7 E$$If !v h#v <#v#vl#v":V l 4n
0 6 + ++, ,5 <55l5"/ / / / / / / 4 f4p
v D T e x t 7 8 s$$If !v h#v <#v#vN
#v #v":V l 4n 0 6 + ++5 <55N
5 5"/ / / / / / / 4 f4p $$If !v h#v {#vM:V l 4 0 6 5 {5M/
/ / / 4 f4p v D T e x t 7 9 v D T e x t 8 0 $$If !v h#v {#vM:V l 4 0 6 5 {5M/ / / / / / 4 f4v D T e x t 8 1 v D T e x t 8 2 $$If !v h#v {#vM:V l 4 0 6 5 {5M/ / / / / 4 f4v D T e x t 8 3 v D T e x t 8 4 $$If !v h#v {#vM:V l 4 0 6 5 {5M/ / / / / 4 f4v D T e x t 8 5 v D T e x t 8 6 $$If !v h#v {#vM:V l 4 0 6 5 {5M/ / / / / 4 f4v D T e x t 8 7 v D T e x t 8 8 V$$If !v h#v #v5#v#v
:V l 4n 0 6 5 5555
/ / / / / / / 4 f4p $$If !v h#v :#vl#v":V l 4 0 6 5 :5l5"/ / / / 4 f4p v D T e x t 8 9 v D T e x t 9 0 v D T e x t 9 1 a$$If !v h#v <#v#vl#v":V l 4n
0 6 + ++, ,5 <55l5"/ / / / / / / / / 4 f4p
v D T e x t 9 2 7$$If !v h#v <#v#vl#v":V l 4n
0 6 + ++, ,5 <55l5"/ / / / / / 4 f4p
v D T e x t 9 3 v D T e x t 9 4 v D T e x t 9 5 E$$If !v h#v <#v#vl#v":V l 4n
0 6 + ++, ,5 <55l5"/ / / / / / / 4 f4p
v D T e x t 9 6 s$$If !v h#v <#v#vN
#v #v":V l 4n 0 6 + ++5 <55N
5 5"/ / / / / / / 4 f4p $$If !v h#v {#vM:V l 4 0 6 5 {5M/
/ / / 4 f4p v D T e x t 9 7 v D T e x t 9 8 $$If !v h#v {#vM:V l 4 0 6 5 {5M/ / / / / / 4 f4v D T e x t 9 9 x D T e x t 1 0 0 $$If !v h#v {#vM:V l 4 0 6 5 {5M/ / / / / 4 f4x D T e x t 1 0 1 x D T e x t 1 0 2 $$If !v h#v {#vM:V l 4 0 6 5 {5M/ / / / / 4 f4x D T e x t 1 0 3 x D T e x t 1 0 4 $$If !v h#v {#vM:V l 4 0 6 5 {5M/ / / / / 4 f4x D T e x t 1 0 5 x D T e x t 1 0 6 V$$If !v h#v #v5#v#v
:V l 4n 0 6 5 5555
/ / / / / / / 4 f4p $$If !v h#v (:V l 4
0 6 5 (/ / 4 f4p
x D T e x t 1 0 7 $$If !v h#v (:V l 40 6 5 (/ 4 f4x D T e x t 1 0 8 { $$If !v h#v (:V l 40 6 5 (4 f4x D T e x t 1 0 9 { $$If !v h#v (:V l 40 6 5 (4 f4#$$If !v h#v D
#vl#vX:V l 0 + 5 D
5l5X/ / / / / 4 p x D T e x t 1 1 0 x D T e x t 1 1 1 x D T e x t 1 1 3 %$$If !v h#v D
#vl#v#v` :V l 4@0 + + ++5 D
5l55` / / / / / / / / 4 f4x D T e x t 1 1 2 $$If !v h#v D
#vl#v#v` :V l 4@0 + + ++5 D
5l55` / / / / / / / 4 f4x D T e x t 1 1 6 x D T e x t 1 1 4 %$$If !v h#v D
#vl#v#v` :V l 4@0 + + ++5 D
5l55` / / / / / / / / 4 f4x D T e x t 1 1 5 $$If !v h#v D
#vl#v#v` :V l 4@0 + + ++5 D
5l55` / / / / / / / 4 f4x D T e x t 1 1 7 x D T e x t 1 1 8 x D T e x t 1 1 9 A$$If !v h#v D
#vl#v#v` :V l 4@0 + + ++5 D
5l55` / / / / / / / / / / 4 f4x D T e x t 1 2 0 %$$If !v h#v D
#vl#v#v` :V l 4@0 + + ++5 D
5l55` / / / / / / / / 4 f4x D T e x t 1 2 1 x D T e x t 1 2 2 A$$If !v h#v D
#vl#v#v` :V l 4@0 + + ++5 D
5l55` / / / / / / / / / / 4 f4x D T e x t 1 2 3 $$If !v h#v D
#vl#v#v` :V l 4@0 + + ++5 D
5l55` / / / / / / / 4 f4 $$If !v h#v #vT#v/#v:V l ( 0 5 5T5/54 p( x D T e x t 1 2 4 x D T e x t 1 4 0 x D T e x t 1 2 6 x D T e x t 1 2 7 $$If !v h#v #vT#v/#v:V l 0 5 5T5/5/ 4 x D T e x t 1 2 8 x D T e x t 1 2 9 x D T e x t 1 3 0 x D T e x t 1 3 1 $$If !v h#v #vT#v/#v:V l 0 5 5T5/54 x D T e x t 1 3 2 x D T e x t 1 3 3 x D T e x t 1 3 4 x D T e x t 1 3 5 $$If !v h#v #vT#v/#v:V l 0 5 5T5/5/ 4 x D T e x t 1 3 6 x D T e x t 1 3 7 x D T e x t 1 3 8 x D T e x t 1 3 9 $$If !v h#v #vT#v/#v:V l 0 5 5T5/54 $$If !v h#v (:V l
0 6 5 (/ / 4 p
x D T e x t 1 4 1 $$If !v h#v (:V l 0 6 5 (/ 4 x D T e x t 1 4 2 u $$If !v h#v (:V l 0 6 5 (4 x D T e x t 1 4 3 u $$If !v h#v (:V l 0 6 5 (4 x D T e x t 1 4 4 u $$If !v h#v (:V l 0 6 5 (4 t D e C h e c k 7 t D e C h e c k 8 $$If !v h#v #v#v#v#v:V l 6 5 5555/ / 4 t D e C h e c k 9 v D e C h e c k 1 0 $$If !v h#v #v#v#v#v:V l 6 5 5555/ / 4 v D e C h e c k 1 1 v D e C h e c k 1 2 $$If !v h#v #v#v#v#v:V l 4T 6 + ++5 5555/ / 4 f4 $$If !v h#v #v#v#v#v:V l 4T 6 + ++5 5555/ / 4 f4v D e C h e c k 1 3 v D e C h e c k 1 4 $$If !v h#v #v#v#v#v:V l 6 5 5555/ / 4 v D e C h e c k 1 5 v D e C h e c k 1 6 $$If !v h#v #v#v#v#v:V l 4T 6 + ++5 5555/ / 4 f4 $$If !v h#v #v#v#v#v:V l 4T 6 + ++5 5555/ / 4 f4v D e C h e c k 1 7 v D e C h e c k 1 8 $$If !v h#v #v#v#v#v:V l 4V 6 + ++5 5555/ / 4 f4 $$If !v h#v #v#v#v#v:V l 4 6 + ++5 5555/ / 4 f4v D e C h e c k 1 9 v D e C h e c k 2 0 $$If !v h#v #v#v#v#v:V l 4T 6 + ++5 5555/ / 4 f4 $$If !v h#v #v#v#v#v:V l 4T 6 + ++5 5555/ / 4 f4H $$If !v h#v (:V l 4 6 5 (4 f4x D T e x t 1 4 5 x D T e x t 1 4 6 $$If h!v h#v "
#v#v=:V l 6 5 .
55T/ / 4 ah $$If h!v h#v "
#v#v=:V l 6 5 .
55T/ / 4 ah $$If !v h#v 4):V l 40 4)6 5 4)/ / 4 f4 $$If !v h#v 4):V l 40 4)6 5 4)/ / 4 f4 $$If !v h#v 4):V l 40 4)6 5 4)/ 4 f4x D T e x t 1 4 7 $$If !v h#v 4):V l 4%0 4)6 5 4)/ / 4 f4$$If !v h#v #v#v #v:V l 40 4)6 5 55 5/ / / / / / / / 4 f4 $$If !v h#v 4):V l 40 4)6 5 4)/ 4 f4 $$If !v h#v 4):V l 40 4)6 5 4)/ 4 f4 ^ 6 6 6 6 6 6 6 6 6 v v v v v v v v v 6 6 6 6 6 6 > 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 h H 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 2 0 @ P ` p 2 ( 0 @ P ` p 0 @ P ` p 0 @ P ` p 0 @ P ` p 0 @ P ` p 0 @ P ` p 8 X V ~ _HmH nH sH tH @ ` @ N o r m a l CJ _HaJ mH sH tH D @ D H e a d i n g 1 $$@& a$
5CJ \D @ D H e a d i n g 2 $$@&a$ 5:\ > @ > H e a d i n g 3 $@& 5:\ > @ > H e a d i n g 4 $@&
5:CJ D @ D H e a d i n g 5 $$@&a$
5:CJ B @ B H e a d i n g 6 $$@&a$ 5CJ P @ P H e a d i n g 7 $
0 1$ @&] 5CJ ^ @ ^ H e a d i n g 8 ) $$
0 h1$ @&] ^ha$ 6CJ X @ X H e a d i n g 9 ! $$
0 1$ @&] a$
5CJ \D A` D D e f a u l t P a r a g r a p h F o n t V i@ V T a b l e N o r m a l :V 4 4
l a ( k ( N o L i s t > @ >
F o o t n o t e T e x t CJ aJ @ &`@ F o o t n o t e R e f e r e n c e H* 4 @ 4 H e a d e r
! 4 @ "4 F o o t e r
! 6 >@ 26 T i t l e $a$
5CJ \. )@ A. P a g e N u m b e r 4 B@ R4 B o d y T e x t $a$ R T@ bR
B l o c k T e x t # $
0 h1$ ] ^ha$ PK ! [Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;r ØJB+$G]7O٭V$ !)O^rC$y@ /yH*)UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSe bORD۫qu gZo~ٺlAplxpT0+[}`j zA V2Fi@qv֬5\|ʜ̭NleXd sjcs7f
W+Ն7` g ȘJj|h(KD-
dXiJ؇(x$( :;˹! I_TS 1?E ??ZBΪmU/ ?~xY'y5g&/ɋ>GMGeD3Vq%'#q$8K )fw 9:ĵ
x}rxwr:\TZaG*y8IjbRc|XŻǿI
u3KGnD 1NIBs
RuK>V.E L+M2#'fi ~V vl{u8z H
* :( W ☕
~JTe\O*tHGHY }KNP*ݾ˦ TѼ9/#A7qZ $*c?qUnwN%Oi4 =3N)cbJ
uV4(Tn
7_?m-ٛ{UBwznʜ"Z xJZp; {/<P;,)''KQk5 qpN8KGbe
Sd̛\17 pa>SR!
3 K4'+rzQ
TTIIvt]Kc⫲K#v5+|D~ O@%\w_nN[L9KqgVhn
R!y+Un;*&/HrT >>\
t=.Tġ
S; Z~!P9giCڧ!# B,;X=ۻ,I2UWV9$lk=Aj;{AP79|s*Y ; ̠[MCۿhf]o{oY=1kyV V5E8Vk+֜\80X4D)!!?*|fv
u"xA@T_q64)kڬuV7 t '%;i9s9x,ڎ-45xd8?ǘd/Y|t &LILJ`& -Gt/ PK !
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 0 _rels/.relsPK- ! ky theme/theme/themeManager.xmlPK- ! 0C) theme/theme/theme1.xmlPK- !
ѐ ' theme/theme/_rels/themeManager.xml.relsPK ]
6 V1 6 z 4z + + + + + + @ @ @ C
F | J R | ! " $ % & ( :+ F, I. l1 2 T7 v= F< O 8a a & + 3 7 : > A E H L Q V Z _ c g k p u z ~ | R
: t
l r X . ( 0 ( X 6 $ v ~ ` ! n! !
" \" " # # $ $ $ H% % % B& & & 8' ' |( ( ) * 4+ d+ + + n, , , (- 0 |0 1 82 2 5 5 :6 v; < < < = = =
? ? ? ? X7 O pP V \X [ [ \ 2a a ! " # $ % ' ( ) * , - . / 0 1 2 4 5 6 8 9 ; < = ? @ B C D F G I J K M N O P R S T U W X Y [ \ ] ^ ` a b d e f h i j l m n o q r s t v w x y { | } x & J V \ ^ j p s # & 2 8 r ~ " . 4 p |
$ ' 3 9 ; G M O [ a o $ * , 8 > @ L R h t z | ( 4 : < H N P \ b d p v
#
)
0
<
B
D
P
V
X
d
j
% ' 3 9 < H N P \ b ( . 3 ? E L X ^ ` l r t
&
,
/
;
A
C
O
U
X
d
j
l
x
~
" $ 0 6 8 D J O [ a h t z |
" . 4 6 B H K W ] _ k q t ? K Q T ` f i u { [ g m o {
# / 5 9 E K Q ] c h t z ~ * 6 < > J P R ^ d f r x { ) / 1 = C E Q W Y e k v X h n ~ _ o u k { - - - - - - 3 3 3 6 FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFG G G G G G FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFG G G G G G G G G G G G G G FFF C ! 8 @ 0 (
B
S ? D r o p d o w n 1 T e x t 2 D r o p d o w n 2 D r o p d o w n 3 T e x t 3 T e x t 1 T e x t 4 T e x t 5 T e x t 6 T e x t 7 T e x t 8 T e x t 9 T e x t 1 0 T e x t 1 1 T e x t 1 2 T e x t 1 3 T e x t 1 4 T e x t 1 5 T e x t 1 6 T e x t 1 7 T e x t 1 8 T e x t 1 9 T e x t 2 0 T e x t 2 2 T e x t 2 1 T e x t 2 3 T e x t 2 4 T e x t 2 5 T e x t 2 6 T e x t 2 7 T e x t 2 8 T e x t 2 9 T e x t 3 0 T e x t 3 1 T e x t 3 2 C h e c k 1 C h e c k 2 C h e c k 3 C h e c k 4 C h e c k 5 C h e c k 6 T e x t 3 3 T e x t 3 4 T e x t 3 5 T e x t 3 6 T e x t 3 7 T e x t 3 8 T e x t 3 9 T e x t 4 0 T e x t 4 1 T e x t 4 2 T e x t 4 3 T e x t 4 4 T e x t 4 5 T e x t 4 6 T e x t 4 7 T e x t 4 8 T e x t 4 9 T e x t 5 0 T e x t 5 1 T e x t 5 2 T e x t 5 3 T e x t 5 4 T e x t 5 5 T e x t 5 6 T e x t 5 7 T e x t 5 8 T e x t 5 9 T e x t 6 0 T e x t 6 1 T e x t 6 2 T e x t 6 3 T e x t 6 4 T e x t 6 5 T e x t 6 6 T e x t 6 7 T e x t 6 8 T e x t 6 9 T e x t 7 0 T e x t 7 1 T e x t 7 2 T e x t 7 3 T e x t 7 4 T e x t 7 5 T e x t 7 6 T e x t 7 7 T e x t 7 8 T e x t 7 9 T e x t 8 0 T e x t 8 1 T e x t 8 2 T e x t 8 3 T e x t 8 4 T e x t 8 5 T e x t 8 6 T e x t 8 7 T e x t 8 8 T e x t 8 9 T e x t 9 0 T e x t 9 1 T e x t 9 2 T e x t 9 3 T e x t 9 4 T e x t 9 5 T e x t 9 6 T e x t 9 7 T e x t 9 8 T e x t 9 9 T e x t 1 0 0 T e x t 1 0 1 T e x t 1 0 2 T e x t 1 0 3 T e x t 1 0 4 T e x t 1 0 5 T e x t 1 0 6 T e x t 1 0 7 T e x t 1 0 8 T e x t 1 0 9 T e x t 1 1 0 T e x t 1 1 1 T e x t 1 1 3 T e x t 1 1 2 T e x t 1 1 6 T e x t 1 1 4 T e x t 1 1 5 T e x t 1 1 7 T e x t 1 1 8 T e x t 1 1 9 T e x t 1 2 0 T e x t 1 2 1 T e x t 1 2 2 T e x t 1 2 3 T e x t 1 2 4 T e x t 1 4 0 T e x t 1 2 6 T e x t 1 2 7 T e x t 1 2 8 T e x t 1 2 9 T e x t 1 3 0 T e x t 1 3 1 T e x t 1 3 2 T e x t 1 3 3 T e x t 1 3 4 T e x t 1 3 5 T e x t 1 3 6 T e x t 1 3 7 T e x t 1 3 8 T e x t 1 3 9 T e x t 1 4 1 T e x t 1 4 2 T e x t 1 4 3 T e x t 1 4 4 C h e c k 7 C h e c k 8 C h e c k 9 C h e c k 1 0 C h e c k 1 1 C h e c k 1 2 C h e c k 1 3 C h e c k 1 4 C h e c k 1 5 C h e c k 1 6 C h e c k 1 7 C h e c k 1 8 C h e c k 1 9 C h e c k 2 0 T e x t 1 4 5 T e x t 1 4 6 T e x t 1 4 7 e y K _ t ' s # q ( < P p - A i } ) = Q e
1
E
Y
( = Q 4 M a u
0
D
Y
m
% 9 P i } # 7 L ` u @ U j \ p
$ : R i + ? S g | 2 F Z
w Y o ` v l - - 3 6
! " # $ % & ' ( ) * + , - . / 0 1 2 3 4 5 6 7 8 9 : ; < = > ? @ A B C D E F G H I J K L M N O P Q R S T U V W X Y Z [ \ ] ^ _ ` a b c d e f g h i j k l m n o p q r s t u v w x y z { | } ~ x ' ] q $ 9 5 % : N b + ? S { ; O c w
*
C
W
k
& : O c / F _ s
-
B
V
k
# 7 K b { 5 I ^ r R g | n 6 L d { = Q e y 0 D X l i p | - - 3 6 |
| | |
| | | | | | |
|
p p & 6 6 6
| | & 6 6 6
? *urn:schemas-microsoft-com:office:smarttags stockticker 9 *urn:schemas-microsoft-com:office:smarttagsplace B *urn:schemas-microsoft-com:office:smarttagscountry-region 9 *urn:schemas-microsoft-com:office:smarttagsState } 6 6 6 6 6 6 6 6 6 6 6 6 o r q t ) , t w O! R! n" q" # # [$ d$ % % % % @& C& l' o' ' ' ) ) ;* >* + + , , ,/ // {0 ~0 1 1 3 3 5 5 6 6 6 6 6 6 6 6 6 6 6 6 6 6 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 x ' J ] ^ q s $ & 9 r " 5 p % ' : ; N O b o + , ? @ S h { | ( ; < O P c d w
*
0
C
D
W
X
k
& ' : < O P c / 3 F L _ ` s t
-
/
B
C
V
X
k
l
# $ 7 8 K O b h { |
" 5 6 I K ^ _ r t ? R T g i | [ n o # 6 9 L Q d h { ~ * = > Q R e f y { 0 1 D E X Y l v X i n _ p u k | ! % % % & & & & & & - - - - - - 3 3 3 5 5 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 5 5 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 P~'̄ z\5* h ^` . h ^` . h pL p^p`L . h @ @ ^@ ` . h ^` . h L ^`L . h ^` . h ^` . h PL P^P`L . h ^` . h ^` . h pL p^p`L . h @ @ ^@ ` . h ^` . h L ^`L . h ^` . h ^` . h PL P^P`L . z\ P~' @ Q\ 2b Sa, !F >X )a ; Ie } > =O ? A y p ' 6 6 @
$
6 X X
X X X X X X X X X X X $ X & X ( X * X , X \ @ X 0 X 2 X 4 X 6 X p @ X 6 U n k n o w n G * Ax T i m e s N e w R o m a n 5 S y m b o l 3. * Cx A r i a l A $ B C a m b r i a M a t h " h Sdž G.W
& s. c & s. c ,9 24 ~6 ~6 3Q HX ? > * ! x x I C : \ D O C U M E ~ 1 \ j r o c k e y \ L O C A L S ~ 1 \ T e m p \ S t a n d a r d A p p l i c a t i o n - - u n p r o t e c t e d . d o t S T A N D A R D A P P L I C A T I O N j r o c k e y S u z a n n e T a l l m a n Oh +'0 $ < H
h t
STANDARD APPLICATION jrockey ( Standard Application -- unprotected.dot Suzanne Tallman 10 Microsoft Office Word @
@ /x@ 8@ @0E & s. P u b l i s h i n g S t a r t D a t e P u b l i s h i n g E x p i r a t i o n D a t e C a t e g o r y
_ S o u r c e U r l _ S h a r e d F i l e I n d e x 5 7 1 3 0 0 . 0 0 0 0 0 0 0 0 0 ns:ds="http://schemas.openxmlformats.org/officeDocument/2006/customXml"/>as.microsoft.com/office/2006/metadata/longProperties"/>
<
! " # $ % & ' ( ) * + , - . / 0 1 2 3 4 5 6 7 8 9 : ; < = > ? @ A B C D E F G H I J K L M N O P Q R S T U V W X Y Z [ \ ] ^ _ ` a b c d e f g h i j k l m n o p q r s t u v w x y z { | } ~
! " # $ % & ' ( ) * + , - . / 0 1 2 3 4 5 6 7 8 9 : ; < = ? @ A B C D E b H I J K L M Z R S W V Y X i [ \ ] ^ _ ` a F R o o t E n t r y F psLU D a t a
1 T a b l e S W o r d D o c u m e n t
ez S u m m a r y I n f o r m a t i o n ( > D o c u m e n t S u m m a r y I n f o r m a t i o n 8 M s o D a t a S t o r e psLpsL 1 5 B Z B 1 E 4 X E A = = 2 psLpsL I t e m
P r o p e r t i e s C o m p O b j
r K W N S Y W 2 D Y A = = 2 psLpsL
& ! " # $ % ' ) * +
ds:itemID="{BBE86A29-8D3C-449F-BFBF-9B98A1670360}" xmlDocumentLibraryFormDocumentLibraryFormDocumentLibraryFormorg/officeDocument/2006/bibliography"
F Microsoft Word 97-2003 Document
MSWordDoc Word.Document.8 9q
ds:itemID="{431D0DEA-5E75-49C9-83CD-64CDFFC4E383}" xmlI t e m
P r o p e r t i e s 3 Q V 4 U D W T N T = = 2 psLpsL I t e m
P r o p e r t i e s X 4 X 2 D E W 5 W X M D Y = = 2 psLpsL I t e m
G P r o p e r t i e s ( A6D2FE-AA40-4A62-8DC4-85D427CB2F58}" xml
This value indicates the number of saves or revisions. The application is responsible for updating this value after each revision.
cumentation>
This value indicates the number of saves or revisions. The application is responsible for updating this value after each revision.
1" type="xsd:string"/>
( Pennsylvania Department of Education c ~6 STANDARD APPLICATION Title
p @ L X d p
|
M i g r a t i o n S o u r c e U R L
x d _ S i g n a t u r e O r d e r T e m p l a t e U r l
x d _ P r o g I D