{\rtf1\adeflang1025\ansi\ansicpg1252\uc1\adeff31507\deff0\stshfdbch31506\stshfloch31506\stshfhich31506\stshfbi31507\deflang4105\deflangfe4105\themelang4105\themelangfe0\themelangcs0{\fonttbl{\f0\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\f1\fbidi \fswiss\fcharset0\fprq2{\*\panose 020b0604020202020204}Arial;}
{\f2\fbidi \fmodern\fcharset0\fprq1{\*\panose 02070309020205020404}Courier New;}{\f3\fbidi \froman\fcharset2\fprq2{\*\panose 05050102010706020507}Symbol;}{\f10\fbidi \fnil\fcharset2\fprq2{\*\panose 05000000000000000000}Wingdings;}
{\f34\fbidi \froman\fcharset0\fprq2{\*\panose 02040503050406030204}Cambria Math;}{\f36\fbidi \froman\fcharset0\fprq2{\*\panose 02040503050406030204}Cambria;}{\f37\fbidi \fswiss\fcharset0\fprq2{\*\panose 020f0502020204030204}Calibri;}
{\f38\fbidi \fswiss\fcharset0\fprq2{\*\panose 020b0604030504040204}Tahoma;}{\flomajor\f31500\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}
{\fdbmajor\f31501\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\fhimajor\f31502\fbidi \froman\fcharset0\fprq2{\*\panose 02040503050406030204}Cambria;}
{\fbimajor\f31503\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\flominor\f31504\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}
{\fdbminor\f31505\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\fhiminor\f31506\fbidi \fswiss\fcharset0\fprq2{\*\panose 020f0502020204030204}Calibri;}
{\fbiminor\f31507\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\f380\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\f381\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}
{\f383\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\f384\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\f385\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\f386\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}
{\f387\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\f388\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\f390\fbidi \fswiss\fcharset238\fprq2 Arial CE;}{\f391\fbidi \fswiss\fcharset204\fprq2 Arial Cyr;}
{\f393\fbidi \fswiss\fcharset161\fprq2 Arial Greek;}{\f394\fbidi \fswiss\fcharset162\fprq2 Arial Tur;}{\f395\fbidi \fswiss\fcharset177\fprq2 Arial (Hebrew);}{\f396\fbidi \fswiss\fcharset178\fprq2 Arial (Arabic);}
{\f397\fbidi \fswiss\fcharset186\fprq2 Arial Baltic;}{\f398\fbidi \fswiss\fcharset163\fprq2 Arial (Vietnamese);}{\f400\fbidi \fmodern\fcharset238\fprq1 Courier New CE;}{\f401\fbidi \fmodern\fcharset204\fprq1 Courier New Cyr;}
{\f403\fbidi \fmodern\fcharset161\fprq1 Courier New Greek;}{\f404\fbidi \fmodern\fcharset162\fprq1 Courier New Tur;}{\f405\fbidi \fmodern\fcharset177\fprq1 Courier New (Hebrew);}{\f406\fbidi \fmodern\fcharset178\fprq1 Courier New (Arabic);}
{\f407\fbidi \fmodern\fcharset186\fprq1 Courier New Baltic;}{\f408\fbidi \fmodern\fcharset163\fprq1 Courier New (Vietnamese);}{\f720\fbidi \froman\fcharset238\fprq2 Cambria Math CE;}{\f721\fbidi \froman\fcharset204\fprq2 Cambria Math Cyr;}
{\f723\fbidi \froman\fcharset161\fprq2 Cambria Math Greek;}{\f724\fbidi \froman\fcharset162\fprq2 Cambria Math Tur;}{\f727\fbidi \froman\fcharset186\fprq2 Cambria Math Baltic;}{\f728\fbidi \froman\fcharset163\fprq2 Cambria Math (Vietnamese);}
{\f740\fbidi \froman\fcharset238\fprq2 Cambria CE;}{\f741\fbidi \froman\fcharset204\fprq2 Cambria Cyr;}{\f743\fbidi \froman\fcharset161\fprq2 Cambria Greek;}{\f744\fbidi \froman\fcharset162\fprq2 Cambria Tur;}
{\f747\fbidi \froman\fcharset186\fprq2 Cambria Baltic;}{\f748\fbidi \froman\fcharset163\fprq2 Cambria (Vietnamese);}{\f750\fbidi \fswiss\fcharset238\fprq2 Calibri CE;}{\f751\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr;}
{\f753\fbidi \fswiss\fcharset161\fprq2 Calibri Greek;}{\f754\fbidi \fswiss\fcharset162\fprq2 Calibri Tur;}{\f757\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic;}{\f758\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese);}
{\f760\fbidi \fswiss\fcharset238\fprq2 Tahoma CE;}{\f761\fbidi \fswiss\fcharset204\fprq2 Tahoma Cyr;}{\f763\fbidi \fswiss\fcharset161\fprq2 Tahoma Greek;}{\f764\fbidi \fswiss\fcharset162\fprq2 Tahoma Tur;}
{\f765\fbidi \fswiss\fcharset177\fprq2 Tahoma (Hebrew);}{\f766\fbidi \fswiss\fcharset178\fprq2 Tahoma (Arabic);}{\f767\fbidi \fswiss\fcharset186\fprq2 Tahoma Baltic;}{\f768\fbidi \fswiss\fcharset163\fprq2 Tahoma (Vietnamese);}
{\f769\fbidi \fswiss\fcharset222\fprq2 Tahoma (Thai);}{\flomajor\f31508\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\flomajor\f31509\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}
{\flomajor\f31511\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\flomajor\f31512\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\flomajor\f31513\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}
{\flomajor\f31514\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\flomajor\f31515\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\flomajor\f31516\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}
{\fdbmajor\f31518\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fdbmajor\f31519\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fdbmajor\f31521\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}
{\fdbmajor\f31522\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fdbmajor\f31523\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fdbmajor\f31524\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}
{\fdbmajor\f31525\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fdbmajor\f31526\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fhimajor\f31528\fbidi \froman\fcharset238\fprq2 Cambria CE;}
{\fhimajor\f31529\fbidi \froman\fcharset204\fprq2 Cambria Cyr;}{\fhimajor\f31531\fbidi \froman\fcharset161\fprq2 Cambria Greek;}{\fhimajor\f31532\fbidi \froman\fcharset162\fprq2 Cambria Tur;}
{\fhimajor\f31535\fbidi \froman\fcharset186\fprq2 Cambria Baltic;}{\fhimajor\f31536\fbidi \froman\fcharset163\fprq2 Cambria (Vietnamese);}{\fbimajor\f31538\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}
{\fbimajor\f31539\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fbimajor\f31541\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fbimajor\f31542\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}
{\fbimajor\f31543\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fbimajor\f31544\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fbimajor\f31545\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}
{\fbimajor\f31546\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\flominor\f31548\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\flominor\f31549\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}
{\flominor\f31551\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\flominor\f31552\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\flominor\f31553\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}
{\flominor\f31554\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\flominor\f31555\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\flominor\f31556\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}
{\fdbminor\f31558\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fdbminor\f31559\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fdbminor\f31561\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}
{\fdbminor\f31562\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fdbminor\f31563\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fdbminor\f31564\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}
{\fdbminor\f31565\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fdbminor\f31566\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fhiminor\f31568\fbidi \fswiss\fcharset238\fprq2 Calibri CE;}
{\fhiminor\f31569\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr;}{\fhiminor\f31571\fbidi \fswiss\fcharset161\fprq2 Calibri Greek;}{\fhiminor\f31572\fbidi \fswiss\fcharset162\fprq2 Calibri Tur;}
{\fhiminor\f31575\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic;}{\fhiminor\f31576\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese);}{\fbiminor\f31578\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}
{\fbiminor\f31579\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fbiminor\f31581\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fbiminor\f31582\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}
{\fbiminor\f31583\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fbiminor\f31584\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fbiminor\f31585\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}
{\fbiminor\f31586\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}}{\colortbl;\red0\green0\blue0;\red0\green0\blue255;\red0\green255\blue255;\red0\green255\blue0;\red255\green0\blue255;\red255\green0\blue0;\red255\green255\blue0;
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ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
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ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
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84214a8c295284214a84295284214a8c295284214a84295284214a8c295284214a84295284214a8c295284214a84295284214a8c295284214a84295284214a8c
295284214a84295284214a8c295284214affffff84214affffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
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ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff0800000026060f000600544e50500701040000002701ffff030000000000}\par}}}{\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 
\b\f31506\fs40\insrsid14186687\charrsid14092123 \hich\af31506\dbch\af31501\loch\f31506 Request f}{\rtlch\fcs1 \af1\afs40 \ltrch\fcs0 \b\f31506\fs40\insrsid5518942 \hich\af31506\dbch\af31501\loch\f31506 or Chemistry Outreach Activities}{\rtlch\fcs1 
\af1\afs24 \ltrch\fcs0 \b\f31506\fs24\insrsid12002215\charrsid2229356 
\par }\pard\plain \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14092123 \rtlch\fcs1 \af31507\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang4105\langfe1033\cgrid\langnp4105\langfenp1033 
{\rtlch\fcs1 \af31507 \ltrch\fcs0 \i\insrsid14092123\charrsid15487646 Before submitting the completed form, please note the following:
\par {\listtext\pard\plain\ltrpar \s23 \rtlch\fcs1 \af31507\afs22 \ltrch\fcs0 \f3\fs22\insrsid5317612\charrsid15487646 \loch\af3\dbch\af31506\hich\f3 \'b7\tab}}\pard\plain \ltrpar\s23\ql \fi-360\li720\ri0\sa200\sl276\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin720\itap0\pararsid5317612\contextualspace \rtlch\fcs1 \af31507\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang4105\langfe1033\cgrid\langnp4105\langfenp1033 {\rtlch\fcs1 \af31507 
\ltrch\fcs0 \insrsid5317612\charrsid15487646 The safety of the participants is paramount. Laborator}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid2229356\charrsid15487646 y}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid5317612\charrsid15487646 
 experiments require long pants, shoes that completely cover feet, and socks. Midriffs may not be exposed. Safety glasses will be provided and must be worn at }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid2229356\charrsid15487646 
all times during an experiment.}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid14092123\charrsid15487646 
\par {\listtext\pard\plain\ltrpar \s23 \rtlch\fcs1 \af31507\afs22 \ltrch\fcs0 \f3\fs22\insrsid2229356\charrsid15487646 \loch\af3\dbch\af31506\hich\f3 \'b7\tab}}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid2229356\charrsid15487646 
Photographs of participants may be taken during outreach activities and used by the university for promotional purposes, online or in print. Participants not wishing to be photographed must inform us prior to the start of the outreach activities.
\par {\listtext\pard\plain\ltrpar \s23 \rtlch\fcs1 \af31507\afs22 \ltrch\fcs0 \f3\fs22\insrsid2229356\charrsid15487646 \loch\af3\dbch\af31506\hich\f3 \'b7\tab}Your application will be processed as quickly as possible, but due to time
, space, resource, or personnel limitations, we may be unable to provide the activities requested.
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts26\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid162216\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3192\clshdrawnil \cellx3084\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3192\clshdrawnil \cellx6276\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3192\clshdrawnil \cellx9468\pard\plain \ltrpar\ql \li0\ri0\sb120\sa120\sl360\slmult1
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15487646\yts26 \rtlch\fcs1 \af31507\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang4105\langfe1033\cgrid\langnp4105\langfenp1033 {\rtlch\fcs1 \af31507 \ltrch\fcs0 
\insrsid162216\charrsid15487646 Contact name}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid2229356\charrsid15487646 
\par }\pard \ltrpar\ql \li0\ri0\sb120\sa120\sl360\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12614710\yts26 {\field{\*\fldinst {\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\insrsid14704124 {\*\bkmkstart Text13}
 FORMTEXT }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\insrsid1531610 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\rtlch\fcs1 \af31507 \ltrch\fcs0 
\b\cf21\lang1024\langfe1024\noproof\insrsid14704124 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\headery706\footery706\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid5518942\sftnbj {\rtlch\fcs1 \af31507 \ltrch\fcs0 
\b\cf21\insrsid162216\charrsid214855 {\*\bkmkend Text13}\cell }\pard \ltrpar\ql \li0\ri0\sb120\sa120\sl360\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15487646\yts26 {\rtlch\fcs1 \af31507 \ltrch\fcs0 
\insrsid162216\charrsid15487646 Email}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid2229356\charrsid15487646 
\par }\pard \ltrpar\ql \li0\ri0\sb120\sa120\sl360\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12614710\yts26 {\field{\*\fldinst {\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\insrsid14704124\charrsid14704124 
{\*\bkmkstart Text15} FORMTEXT }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\insrsid1531610\charrsid14704124 {\*\datafield 00000000140000000654657874313500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text15}}}}}{\fldrslt {
\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\lang1024\langfe1024\noproof\insrsid14704124\charrsid14704124 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\headery706\footery706\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid5518942\sftnbj {\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\insrsid162216\charrsid14704124 {\*\bkmkend Text15}\cell }\pard \ltrpar\ql \li0\ri0\sb120\sa120\sl360\slmult1
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15487646\yts26 {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid162216\charrsid15487646 Phone:}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid20924  }{\field{\*\fldinst {\rtlch\fcs1 
\af31507 \ltrch\fcs0 \b\cf21\insrsid14704124\charrsid14704124 {\*\bkmkstart Text14} FORMTEXT }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\insrsid1531610\charrsid14704124 {\*\datafield 00000000140000000654657874313400000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text14}}}}}{\fldrslt {\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\lang1024\langfe1024\noproof\insrsid14704124\charrsid14704124 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\headery706\footery706\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid5518942\sftnbj {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid2229356\charrsid15487646 {\*\bkmkend Text14}
\par }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid162216\charrsid15487646 Fax:}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid20924   }{\field{\*\fldinst {\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\insrsid20924\charrsid214855 {\*\bkmkstart Text4} FORMTEXT }{
\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\insrsid1531610\charrsid214855 {\*\datafield 000000001400000005546578743400000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text4}}}}}{\fldrslt {\rtlch\fcs1 \af31507 \ltrch\fcs0 
\b\cf21\lang1024\langfe1024\noproof\insrsid20924\charrsid214855 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\headery706\footery706\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid5518942\sftnbj {\rtlch\fcs1 \af31507 
\ltrch\fcs0 \insrsid162216\charrsid15487646 {\*\bkmkend Text4}\cell }\pard\plain \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af31507\afs22\alang1025 \ltrch\fcs0 
\f31506\fs22\lang4105\langfe1033\cgrid\langnp4105\langfenp1033 {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid2229356\charrsid15487646 \trowd \irow0\irowband0\ltrrow\ts26\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid162216\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3192\clshdrawnil \cellx3084\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3192\clshdrawnil \cellx6276\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3192\clshdrawnil \cellx9468\row \ltrrow
}\trowd \irow1\irowband1\ltrrow\ts26\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid20924\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9576\clshdrawnil \cellx9468\pard\plain \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12614710\yts26 \rtlch\fcs1 
\af31507\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang4105\langfe1033\cgrid\langnp4105\langfenp1033 {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid162216\charrsid15487646 Organization }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid3671873 name }{\rtlch\fcs1 
\af31507 \ltrch\fcs0 \insrsid162216\charrsid15487646 and }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid3671873 a}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid162216\charrsid15487646 ddress}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid162216 
\par }{\field{\*\fldinst {\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\insrsid12614710\charrsid12614710 {\*\bkmkstart Text12} FORMTEXT }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\insrsid1531610\charrsid12614710 {\*\datafield 
00000000140000000654657874313200000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text12}}}}}{\fldrslt {\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\lang1024\langfe1024\noproof\insrsid12614710\charrsid12614710 \u8194\'20\u8194\'20
\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\headery706\footery706\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid5518942\sftnbj {\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\insrsid12614710\charrsid12614710 {\*\bkmkend Text12}\cell 
}\pard\plain \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af31507\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang4105\langfe1033\cgrid\langnp4105\langfenp1033 {\rtlch\fcs1 
\af31507 \ltrch\fcs0 \insrsid162216\charrsid15487646 \trowd \irow1\irowband1\ltrrow\ts26\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid20924\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9576\clshdrawnil \cellx9468\row \ltrrow}\pard\plain \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15487646\yts26 \rtlch\fcs1 
\af31507\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang4105\langfe1033\cgrid\langnp4105\langfenp1033 {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid162216\charrsid15487646 Requested activities
\par      }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid15487646\charrsid15487646   }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\insrsid15487646\charrsid721979  }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid721979 {\*\bkmkstart Check7}
 FORMCHECKBOX }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid7546244 {\*\datafield 650000001400000006436865636b3700000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check7}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect
\linex0\headery706\footery706\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid5518942\sftnbj {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid20924 {\*\bkmkend Check7} }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid162216\charrsid15487646 Presentations:}{
\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid15487646\charrsid15487646    }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid20924  }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid20924 {\*\bkmkstart Check4} FORMCHECKBOX }{\rtlch\fcs1 \af31507 
\ltrch\fcs0 \insrsid7546244 {\*\datafield 650000001400000006436865636b3400000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check4}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect
\linex0\headery706\footery706\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid5518942\sftnbj {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid20924 {\*\bkmkend Check4} }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid15487646\charrsid15487646 
states of matter presentation with }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid162216\charrsid15487646 dry ice/liquid nitrogen}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid15487646\charrsid15487646 
\par                                             }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid20924 {\*\bkmkstart Check5} FORMCHECKBOX }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid7546244 {\*\datafield 
650000001400000006436865636b3500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check5}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect
\linex0\headery706\footery706\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid5518942\sftnbj {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid20924 {\*\bkmkend Check5}  }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid15487646\charrsid15487646 
glassblowing demonstration
\par }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid162216\charrsid15487646  }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid15487646\charrsid15487646                                            }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af31507 \ltrch\fcs0 
\insrsid20924 {\*\bkmkstart Check6} FORMCHECKBOX }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid7546244 {\*\datafield 650000001400000006436865636b3600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check6}\ffdefres0}}}
}{\fldrslt }}\sectd \ltrsect\linex0\headery706\footery706\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid5518942\sftnbj {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid20924 {\*\bkmkend Check6}  }{\rtlch\fcs1 \af31507 \ltrch\fcs0 
\insrsid15487646\charrsid15487646 other (please specify}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid3309078  - }{\field{\*\fldinst {\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\insrsid20924\charrsid214855 {\*\bkmkstart Text6} FORMTEXT }{\rtlch\fcs1 \af31507 
\ltrch\fcs0 \b\cf21\insrsid1531610\charrsid214855 {\*\datafield 000000001400000005546578743600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text6}}}}}{\fldrslt {\rtlch\fcs1 \af31507 \ltrch\fcs0 
\b\cf21\lang1024\langfe1024\noproof\insrsid20924\charrsid214855 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\headery706\footery706\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid5518942\sftnbj {\rtlch\fcs1 \af31507 
\ltrch\fcs0 \insrsid15487646\charrsid15487646 {\*\bkmkend Text6} )}{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \b\fs24\lang1024\langfe1024\noproof\langfenp4105\insrsid15487646\charrsid2229356  }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid162216\charrsid15487646 

\par      }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid15487646\charrsid15487646    }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid20924 {\*\bkmkstart Check2} FORMCHECKBOX }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid7546244 {\*\datafield 
650000001400000006436865636b3200000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check2}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect
\linex0\headery706\footery706\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid5518942\sftnbj {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid20924 {\*\bkmkend Check2} }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid162216\charrsid15487646 
Hands-on experiments
\par }\pard \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid20924\yts26 {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid162216\charrsid15487646      }{\rtlch\fcs1 \af31507 \ltrch\fcs0 
\insrsid15487646\charrsid15487646    }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid20924 {\*\bkmkstart Check3} FORMCHECKBOX }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid7546244 {\*\datafield 
650000001400000006436865636b3300000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check3}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect
\linex0\headery706\footery706\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid5518942\sftnbj {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid20924 {\*\bkmkend Check3} S}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid15487646\charrsid15487646 c
ience fair judges}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid162216\charrsid15487646 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af31507\afs22\alang1025 
\ltrch\fcs0 \f31506\fs22\lang4105\langfe1033\cgrid\langnp4105\langfenp1033 {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid162216\charrsid15487646 \trowd \irow2\irowband2\ltrrow\ts26\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid20924\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9576\clshdrawnil \cellx9468\row \ltrrow}\pard\plain \ltrpar\ql \li0\ri0\sb120\sa120\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15487646\yts26 \rtlch\fcs1 
\af31507\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang4105\langfe1033\cgrid\langnp4105\langfenp1033 {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid15487646\charrsid15487646 Group information}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid162216\charrsid15487646 

\par }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid15487646\charrsid15487646         Number of participants:}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid20924  }{\field{\*\fldinst {\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\insrsid20924\charrsid721979 
{\*\bkmkstart Text7} FORMTEXT }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\insrsid1531610\charrsid721979 {\*\datafield 000000001400000005546578743700000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text7}}}}}{\fldrslt {
\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\lang1024\langfe1024\noproof\insrsid20924\charrsid721979 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\headery706\footery706\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid5518942\sftnbj {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid15487646\charrsid15487646 {\*\bkmkend Text7}
\par         Grade and age range of participants:}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid20924  }{\field{\*\fldinst {\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\insrsid20924\charrsid721979 {\*\bkmkstart Text8} FORMTEXT }{\rtlch\fcs1 \af31507 \ltrch\fcs0 
\b\cf21\insrsid1531610\charrsid721979 {\*\datafield 000000001400000005546578743800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text8}}}}}{\fldrslt {\rtlch\fcs1 \af31507 \ltrch\fcs0 
\b\cf21\lang1024\langfe1024\noproof\insrsid20924\charrsid721979 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\headery706\footery706\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid5518942\sftnbj {\rtlch\fcs1 \af31507 
\ltrch\fcs0 \insrsid15487646\charrsid15487646 {\*\bkmkend Text8}
\par         Period of time requested:}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid20924  }{\field{\*\fldinst {\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\insrsid20924\charrsid14704124 {\*\bkmkstart Text9} FORMTEXT }{\rtlch\fcs1 \af31507 \ltrch\fcs0 
\b\cf21\insrsid1531610\charrsid14704124 {\*\datafield 000000001400000005546578743900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text9}}}}}{\fldrslt {\rtlch\fcs1 \af31507 \ltrch\fcs0 
\b\cf21\lang1024\langfe1024\noproof\insrsid20924\charrsid14704124 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\headery706\footery706\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid5518942\sftnbj {\rtlch\fcs1 
\af31507 \ltrch\fcs0 \insrsid15487646\charrsid15487646 {\*\bkmkend Text9}
\par         Dates requested:}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid20924  }{\field{\*\fldinst {\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\insrsid20924\charrsid721979 {\*\bkmkstart Text10} FORMTEXT }{\rtlch\fcs1 \af31507 \ltrch\fcs0 
\b\cf21\insrsid1531610\charrsid721979 {\*\datafield 00000000140000000654657874313000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text10}}}}}{\fldrslt {\rtlch\fcs1 \af31507 \ltrch\fcs0 
\b\cf21\lang1024\langfe1024\noproof\insrsid20924\charrsid721979 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\headery706\footery706\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid5518942\sftnbj {\rtlch\fcs1 \af31507 
\ltrch\fcs0 \insrsid15487646\charrsid15487646 {\*\bkmkend Text10}\cell }\pard\plain \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af31507\afs22\alang1025 \ltrch\fcs0 
\f31506\fs22\lang4105\langfe1033\cgrid\langnp4105\langfenp1033 {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid162216\charrsid15487646 \trowd \irow3\irowband3\ltrrow\ts26\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid20924\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9576\clshdrawnil \cellx9468\row \ltrrow}\pard\plain \ltrpar
\ql \li0\ri0\sb120\sa120\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15487646\yts26 \rtlch\fcs1 \af31507\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang4105\langfe1033\cgrid\langnp4105\langfenp1033 {\rtlch\fcs1 \af31507 
\ltrch\fcs0 \insrsid15487646\charrsid15487646 Other comments}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid162216 
\par }{\field{\*\fldinst {\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\insrsid20924\charrsid214855 {\*\bkmkstart Text11} FORMTEXT }{\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\insrsid1531610\charrsid214855 {\*\datafield 
00000000140000000654657874313100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text11}}}}}{\fldrslt {\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\lang1024\langfe1024\noproof\insrsid20924\charrsid214855 \u8194\'20\u8194\'20\u8194
\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\headery706\footery706\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid5518942\sftnbj {\rtlch\fcs1 \af31507 \ltrch\fcs0 \b\cf21\insrsid7621592\charrsid214855 {\*\bkmkend Text11}\cell 
}\pard\plain \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af31507\afs22\alang1025 \ltrch\fcs0 \f31506\fs22\lang4105\langfe1033\cgrid\langnp4105\langfenp1033 {\rtlch\fcs1 
\af31507 \ltrch\fcs0 \insrsid162216\charrsid15487646 \trowd \irow4\irowband4\lastrow \ltrrow\ts26\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid20924\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9576\clshdrawnil \cellx9468\row }\pard \ltrpar\ql \li0\ri0\sb360\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5597982 {\rtlch\fcs1 
\af31507 \ltrch\fcs0 \insrsid5597982 S}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid15487646\charrsid15487646 end the completed application and any questions or comments to chemoutreach@uwo.ca.}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid5597982 
 Please include Outreach Request and the name of your organization in the subject line.}{\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid15487646\charrsid15487646 
\par }\pard \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2229356 {\rtlch\fcs1 \af31507 \ltrch\fcs0 \insrsid15487646\charrsid15487646 Thank you for your int
erest in our outreach program.
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