ࡱ> tvsa  bjbjZZ 40i0i)99999MMM8MSUUUUUUZ #U9QQQU99jQF99SQSg0uF?0,#v##9Z@*4^UUSQQQQ#Y :  REFEREE FORM University of Vermont College of Medicine Department of _________________ DATE: _______________________ PLEASE RETURN THIS FORM ALONG WITH YOUR LETTER TO: Name Chair, Department of (Department) Address SUBJECT: Relationship to Candidate Form Name of Candidate: __________________________ Relationship to the candidate and his/her work: Present or past colleague (at same institution as a student, Postdoctoral fellow or faculty member) _______ Past mentor _______ Collaborator (worked with, or co-authored papers) _______ None of the above _______ Knowledge of candidates work based primarily on: His/her publications and CV ________ Scientific presentations ________ Personal knowledge and discussions ________ Participated on review panels (study section, advisory ________ Boards, etc.) _________________________________ _____________ Signature of Reviewer Date _________________________________ Printed Name of Reviewer     November 2022 &:GYZ[\{| 8 9 i j  1 2 3 4 S T U V L Y Z [ ƿͷƪ֦֦֦֦֦֦֦hhy h`5hhFY6hh6 hh? hh` h?5hwWh`hyh`5>* hp5>*h jh`'hyUmHnHu@&:[\{| 8 9 i j 8h^8`hgd` & Fgd``gdgd` @ ^@ `gd`$a$gd}9$a$gdy 3 4 U V L Z [ gd}98^8gd` & Fgdygd` ^`gd`       h`hzhrkh|Ph~-hUNhTnjhTnU h`hhhy"     8^8gd`$a$gdrkgdrk21h:prk/ =!"#$% TDdYd  2At?tA close up of a sign Description automatically generatedPicture 1A close up of a sign Description automatically generated"Rr&} t8=xDoFpr&} t8=JFIFC     C  " }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?ע+30((((((ݏ57M'We z'ݏ57M'We z>?S( sy+2hk3FyLם@J8YT`U">Т[~~ٟ =xR]:KƳ \FdPx'85N?u~6ͧkMRt<@匩: + jrIϫ(~n! >ׯw3*h=Ű𴡰հѮNᷡڊ_+K=/n56ι%1T.3ꦛo7/كĺ?O_ 4nJп[UIC1+٫jk~ҟteGBJM~QO^o_]ܤ:rM;]bW5]WO-1 Z\A쒌 S~%F_ zS~%F_ p##2(?B>q~߲K: Lj|#v֞$Ku( P;E@={Wk'; ࿆_%mysu^dp@ΊwJ|QɶxKI7R_J,|?L?z龫~E#GGkm/zD6V3VJ\PX'# >5>/Խ+]3·-Ӵ?0<ݳiXy߯783sJsO~7O?i]{7oZt&4Q86ŎrƿF|K +E~2ۮN !*&!w^W>𿉤u-OO=›y5MA#QZ~_Mg%K_$ti:{tyGC?Ab0F1Җ~ҩ WN1VJ-Ҥ>[x)~%\xGÍhK 5H+(w0۰sֹg\o |#Mi꣩1+6=_?_o~̟&ߵV&6'1)s/L~s$nGa?_JگM΃kxōՐiȄQ/ԬFoҍwGvvO__2<5U[筟/ #e!H<>kENJkIkd0 I~='__k=Wƞ񯊮I\xdhDjH$ʌgv;0j}iJsҼ 69. xzK+_Oh,ۅUH]mȤ ";!"0|E?wg_?m/ hV|PO5>$iڒaFґ:? څAG7 *. | JlڶOIŭutxw]5+ƍrkv)8.w+~ ѱY"PYuos3+t/گ]ǞKOIy !hb$a@B=O/7>xCO 4Y54wLKFTdޟٹW0R'٧ծnk;j=+YDl x>tlϮqY?0&9//|Otw$֠uuR_{ .U/,1¤\?ÏC+<u4_g%cHF%t,I#~-|f$-u?hw[KԼe쯬"iEGF_>BAArI*aCߊI/K>ğ -!Fm iR+TV ,jee ĐI#֤Ex^FIjB`kOYq_~4dQyMrn-MÒ_R~K R &~!"K4b$1ۦ@74IwaB8UniEj۲?]oh+_4cKRzxbpO ~!-u/c}}MF[N,l˚Un~q^?A|ckRo^_il3]<+|xey y߳~C~:xw&WT庳J̛G\*CN Iݴmvo|RkcB_|,Mfںho '̅sԑLC+ =+w߲Z~sN?iibAe%؆OF~M~RdڟQ?WGd62\C@*~@lAZ*Խ;4]+Ϳ=wƞ.>˧Ѹ.ٰ=_˗uMB<#0C|;kwcqmq"ml.xGN?/Y&MPn.FpiDxvxВ6[Ey,?Ə(Zh#S{Gkx0\“#zqK C~jci$sMKeym80!Ԟya9?mu7h?mZ׏kCþ"_[G1,[G͈`m=XSaLMl{ʒ[4Mw?K|s6嬵iFؒVSA9. 5w4vi#B__qgS[VtK\Gk&$E&EX66A<;ӿE_$aoZg꺕ox^Hm-Kal%Vry`u:)1R<;oKnxQEP(+O{RPקҵ]|/Q?jwVJ_d}WEPuQ@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@QY{<a/ #~ LJ ,b0 x 8ujQ4$g0xumWOmxOgMoe`eˉUGǽ}pzwu~Q-ofLѻ~_ݲ${L1*K3IKGcڟ_|Bפ]mJGxtK&#"$QBNMٝ~4;}7hU~d3*uicBmۧjx#~ sMTuK}GMhVA2,VXPpAaJ~ߵͫ||u5-}|.vJ?#M$d8:&x\χ. ma\HQz s_gc<韲oNxgf۾yJGQ=VXIIWWP[yu: H^Id}1_ϗ'A!#ƛ2/{<'apbIagfdP$+ -J-={=;P>iz+%}qv{W3sz$ξ"+Q 4vvK u/k%f^j7]]H<9f8 xU:(>8+c MIe޿ c MIeު'4(jO6؝36 n_яo >< M|̑2 u5![~U I?-?⛭^.߲nd|'犖|u~O?J?*{=_IxaY::VS")>/ݯ>!ڴˉDˎśO.T<II"_7g /ֻQ 7ԛq"M߁MO^5ZߝMFE*5ķ{Xy?_ɦi"$ ?J/u|W ð?覯" 9$3+ Ғ_܂>a"FA%U$ >'d$_j d?ӤUȯA_|3 .ˏ.i.苶c,-\Gn55AOh0O]Xjv2_ŹhdB$zUЬ8?s?!ڶ_53ٲze1sڻm)d}o5f1m۬RjijqgRjuG)WV}ma͏0FXR+gn\=~P]Źo|]ԟ xɟ{FLV0I?G-W'&wxf{ rē[,||͙k9?>k '|1Mu?Im ad:2FEbxIa?mφ ~UoJVӈẼ3nc+"Pv})IhӷMۗ%B<-;?ko!}Fğw͞IabVHD̠NkڗA!|4g]i= _XIgN&&mۃJi/|1ƹsr}OE!Nʤu~1ަQa07p;p=k Oyu%~L݉|3U NwqԌd{Wg~úo:l: G4\n ~~ǟ@aK~(o476\F0*p~^f8u¬Rw[5{z~_p_g??<;,lK4vPpY0_$e-W^?&?ſ |?m>?<7oG+I4`[& ,xOh3j5f[[~W/'bR FZ; )=J7nF+h|c|ٚ|c_8w'#9e~ݫ K#u3ßXφv7u Uinf#ܰ3Ȣ"9H 'R>U&&xH׵-kzI87a.#QܘNkn{kVHRG"YHKA ~ mhw;l[r}A4=~[_^z(O?_wg.9Cp&?lKHG #(aE$ UQc|KORo66p<:\318>) {lu9عS"[wm_QEQEWʟOkS^~?4.#( (?~4Gt{#Cn0$grQ՝i7ZG_ ]\HVI#}u@@FQZ(Q@Q@Q@Q@Q@W;;߃^x[HZ;pݗ|g'rQWgEEyGOۣ1({Ӱ[}+Ku37D$kJQE#tAB_p7Zm+P'7TO4#"f)pG AGí7 .EGӤj  >Av\M{E||x^--jMkPorFd F=M}:PmJ:黧( ((() i,ڦ$g{ϋ_Ig֭bՒˏxRYTQ8?K,g>>'| ?/e%5ןG2(V*:q0JRlu^Vo<]^16ԯ#-ǢrOym7-oQG>1V6I+'4ϱ͝ߘ]S཰_=޲j=88<P7%YQY߂|wm-b(⩪pҾhL4~h~;5OxTItH$ª%h*jxznGdgWnٿD>i7}$ͦ|Iᑣ6+rpAڽrԍH)=PQEQEgu G,.RH\208 ezoS\j"6"I[sƼ?%S;QA&¿"C3AKQoYE p3qM[~+xw cͧxhV@Gb~?||S5/[ԼOᾹ"YFfݱ1vg_@ I8gת?/ 16YyWN:@QۼJl=k&xk=BKkXpaLlRxFF<9+k]z^{#n'rՅuG?# 'ƵXyOQIyr|}8_Ru?5bo߲i]oK}54N&=uG~:\Zq#tTU,d8Z~'?:xⷁd^͋xJːcdЯqҽkoj-)OCq^KP|Na6uz7QA#zvkdO *KlXۃƿ g ~64_g/5c-""(TOw"'?O袊+_)⻏^O .cU5B "L r@ G?}QA# COՍ s~Κ5_W`ݨXtķ3Ci8U sD?<8\ר~Ο@^+cGN?i+xMtCy,U**3F-#Ops_RO'ūI-i|9^/>}VEG֠fѕe 6A [ i.G}x&Y#>.I8 X7_ M=CZPԯ 1{9'_^9?cOk~ H.kx\xMؓ`UbH`,9drWkO=+ `Iok]ߌ<q[?C#mM42%e$I?8|xmic2|E)ڷAu.YC3,H> , '5!,ࡾ5_!MGHTm_Ÿ[rY r\8qV1+~M$KNRѵ/$:\s>DhBMA!E~JBpiY^T*/?0c_ kxO־J|? <3>HU/eROq&\ J8rRV^m7 OB >(-aV):Jq*yMdmcNލg`K{XQ~XE >ı(*2<=x@t/J[MB0\A"xO E'/nK}!JݞwװQA8\5vo:Fjd?Z'c55i}yn!:mew eRS>_'O? Y~>*hvA~=Bm:5&˖8q_zW7A_~^WN Hn/ ,o Z,gF/crVRH[$3+>_sGGO^Koi.m̱enxĒ?~4!/:\\i&a+K|Rur=~1?`//"टSIuocof"Oe*ӼQ0FeHM͖DTT(Yє[jwעGj>E+{* }w֨80vZ EEQ@|/Q?jwV?eJ'C^Jr?K_l袊O9Cy8w+@̀`wr3}_/i??W_)aN0U fߎ GK|R3j,`䗒"YyV̮b M5wɝ|DoFn1B9rJp[MZ_=O?jMxOM[ɩL|˖%"I3c}|b KSM^{۪(˕ `~?~:I->&ZǤEv 8q{^ ~ xc\WL\GUOkYeEۏ28pLNbk'U3G/O< O:t2T.jq[[+9+Kav5~z.;񆵶hll"#o>TXɆOl݇R+e;O_*>ibYz89O"Wc{f|PԼ;Ɩ UI⵶I2Ɓ䑋+asRs U:cN ]ok[UK oů: OG֎kO%S{FC`P0#$ o xOK'40kZ"i񏴹 HXC^[#?;SH>h C?j}?TMhR  v86:?i|D>3mtcٖ5Nj`,x.9g#es9a!-bW| oٛ'Mо!WI'Y$y1 WTo9F>W_ =W_??Dգfu_QZ a~ODf>='n߶?$MoXIXfe, 1'rn_~+?i_ĝC^{ǤQ nʹffV:WW/^g-/#1tD#"!!? ܼrPo~=O>!x/O_8~8i^'JߵFjg&gAtkGmfa}'՟+~h_Mچ!Ir*Xt8&=?(t' ]aGP3㎱+4|i1qj:Ķ6j,q"\XSCVX%tOס C)+Pմ6gA#_2kX^%F ,Q^8֟usKVYݺUe:_K_'d5iM]_Z$%.-R݋ r6A2ǫ\:[F#w,|g³FzA$m'Fy49cbjrTiY^_=op<h|3<'7Kռ'jii _l{q#P?O8oKNOSsua%J%2`FI&7$?SQY11[q>|XV_Hkڗb٧x~s)w#-IJBFH~7ie8^|,ɯc'?>0nMbKuY7Lq' 8W¤ #@P\R1+6NwW{%}[?g?e*=b_ o{(oe֟{z8'݀yJOٯw~EVz ^}WӬȹi!8:ľ137 8sonċwv;mNZiIg yY^~wZ|3,u S:]rRFۏv+> Fa~-MWZ栲5c}(@K|U:$=ޯ hh#FwvƆ Xw:I?DO%kP2|eg^xc)@Y6$$0=,kſLx{E}Y|>dHɭqF7)s^#|eԾ?~,^?Gn45`aI"eS,-N[^-'kWQ7 _~'Eh~*@l.n:Xy1#je+8myX۷}'A6p̑' ne_@OxSĿWO/1?46QdkV @@M~h>=#EY('' ϵ9ԖVki_s~rEvlH}mǾ+˿n/9GŽJ7BB mtB{~zs__񿇭լxGjw0tFWF}҃_u' ~ᯍ|/G4xvTw"ww W=Ao7uBˠxڅ̂vb+$p\I_l~QKA!BFOx{X~Y?}s-v oX/Oϥ~?f?1M'ËKXoKs9yl{Y#lgRo/{?i?a~>O6=ܓ5ϐeb;`{W &|UAxFV}ŦM en/9܆yͯ!W]ߋg< 4/ׅ艮Dbݔ6TQ=[ C Agk*~kؤẂ#a1%I@r:>&>0</ זT[oFP|[/ W 4'A<}S=|q/>j3G-Fjti,N{ਿ~  ScTԴV&vWpu=:׍|=n⯄,uVbԴB=ο7}@?Q_ǟ\~+i[xu%Kkcy8Rt*Ć7g.M\~*2}Wv,o! ˰slv=Wv߁~Rž#ڠ(^Cvb{\ڐ~_Njz^m1V y= [%ٕ}kmWWFx,w)/nN1{n>y!`r*#zR/JZP9@O%xGu.Kc^-*=,q=0l~?_k_ ~N*Jcs}Zڟ؞oU#~JZhjҩFx&$,P@E9} =U^:(5GӅ#|H_O#xIK.MF(2X@9'ֿ1U[eY68YtCl^Fcrr1|,f{$o08-~J_?lou_)oQ-6\nt83BLAv 7dbC|qLAiA5LJ[QfL|mul 0 i[uwxk?D&ڶh!HcoU/;6=cZ?$C_7 kvf~KL->^`$'zJ $GF٣|QwX#73;?vjz;GFuVD\l+oK]u>VtO&ƿ|j|Qurh}h Gr|tq^>:Dž(<-v.< pP؂ 6 cY?|UO|'ߋ#xE {Smu f $'w?+tdb|6%hׯٿR/op JMhz}ޟ{[v$oOTtelGGGQtt"$@yIW~az#y JE^FvD{Ym=Vi|@K'D:?-k1BDB7N5ԫ7o'[>5~~ߞ<_bN'i>Ѽim4OhNj&@Iֿ!tl;J+ML[?m ĭp DL$,yZ|1&ŷg.PԦ? 1~T~~7L$i8_077\tX4E۫g~|D~.,~̟ .Knf[+ %r2.FX_V,Qhk?;6)%ՄHG_@]$ 0t/ ˣi6?X'wh}­0k*s>dqANU>=?g[\6"=Cv`mndbq۞jٖ J5'=%q#8<~9w|'5~¿ ~;xvįU46 q+6HC|9g шx.~~i>]g@T\4.ܠ"VgeIKV}~G187+rӿgONUHPBj3}{W_'KZc xO&ir+I "^b%TsJk-jMNGii c~3~?t'5?k.Bl5Ϥ;66Xb5oWq}[u Tg?hoMo?߄$[F?!եݱϏۿ+&M;ڳY"w,.T?ŴLq>%,f:ܾ<g߈,r1QH?g[Eմ\ (`U7C+`x{Md8B~|Qrs,4RwZO~3kf?e;ώbտ)ŭ ǒ597?e_w7c!n&vq~u)|U|"o~\5YS2n}hEeX0m;?O)WʟOkS^~?4.#( S ihGڵpZΕa{(u}noX|Jj:Yy-aύ9c625ja i]vN U8c#)1=u5c >9#ĺij1g2h8wEzCw i{gg sg.x#ᶱ}rV3H[LDO )jyq mw~yߴ?|oKƚCKᣆel]SUI1/׎`O~ g?^U_n)b3ʜwy#`~߷隇5M;kG6B"rbgPwy 1\~Ds?5M$\E=%InO0' 3Tglz_J_ &›6u6juhY<6JfPو+- 5j604o"[ Hn`: .Om=E~h?A''ឬl/5ץlB1vc9?MO k֞%>f?#(60L!?ŸD}3C4^he>D1"e?&E}wƽ5y%yy1}$~1ǖ]SpB.p{iw p1SWc/Z8TUM4[#/? Q|I l9~??i~ Ѯ MtDzX|Adl31/o}۶#g Q6}Kw`FfvҿrCd v di݇ßA4rh|UpB } kuT$N*otӾ$p/he_J<3y+7@ʧ"?"ࠞ.?h?2ꘁ`խ(=Kr3|f&bۣ\_hnxaX$䪣 $e]7@g Z[o m Z!ăg#nAp[_xOֵ).`mB i (^(-4_Xۘ-t}>cHQ 䜓sA1$Z1qqI;jKu`^yyuEYJt<}|?Ki:׎nx=SVOq6xʑ%ͺƤCd W_O!_|LM}CT58 n!H[/{W ̟<:|8E+$iX ,6pu)QVܴwO{lm5O~Q/eO?$Y$v1~j {K֮[;3⋏hd$k}FS^,x[OK+P _o^IK9w"kV@#xKx^R!6i-7.Xpmp ~|"~oŝ_:x.t p!8qCu_,5X|S6"v֗HmqJKv٧M+g4Rxۏ:I y[/r0xjsRKmoϫm|%ⷋ%| \ن@UQfV?I#aWt_ٷ}k bOxv:׀O xrO>fI~dZ@nn['D"7j?A6I&]a"$ːŽ;/|%? |VskC=kT׊Ѧ,&]l\pKc'iB8{I./ڳgC|D]kZ$;xTRRDy$ab '$qQe~?dfɟDŽl⌹2Hu[H%A\`?|Oė7χoK q=v_?@㼹]SPɾ+,y $ S̰T"wk=J!xGD3bjֺeť1 < ps޿w#?'ڿ¯,|GEQXaq#HvfX784^*Wɿ?-%,ݎ<,Gz:Z/|ѭu[io,?5sI 9P[;N:χlu{XVp*VN;q_ f_.\{BK_LHY>ұSO BϚWmeto"۫eC<-=bmCឋ ~'1[\W_nG+|+ ٟ~&Wеgkwk<1³NB+$,KDU<fO?M4|")5DԞhԅ1׎z8?A|5ԴCP3gVkKyݎY brvo[uiny;w(WԿgٗFW{R׾!h+X4cq.A$܌ _M*W~:^o,/jZ+{+Hg܍_S7ľ Q.te V ^Waak~-x rF{xPkG F;(XueJkAmScg2ᯀ>|L|_7u)Cv.-Z`Cɍ"f( __MO/ŏwzßZ~h~*PFG>5;H1BFG5E'oA zǑoȓju0浼UIk&N= RjQZPKqi01 fJ)c*b%jj[x\_F^淶f;0™#^gIJ8[ϋ?.m- {?wxMM$Ԛ鏻$ᰪٰ<k{D~9>1|zRYm^8 H늭Ns,Fgy+$kr?@J QwQi6dQʟB+ ˮ_/խ^: pnw]ݲg8|,1G_!ƃ xC"6Z%E!#~V9뜷vw1Z|4sC xONXb IS<:'6>k;ྖnKk̫!}|-h_7šd]Q?= [E_0j&+rXt s޾_wG6kWݼ04> 48k5x@-ճ2<>lcIeҚJ5.Uedo# ~[{s׼+Mh/ԭc9UvWi\Z/ o f>%oMc׌,/bf,LH}$*M__oC⇍mh/up]i$f''lx>X8\8f[Omt 9LZKH,d:qQF:]jmՑ,g_ϯ)ڽ?CCǀ~ ^3-.X%D kG[M(Rh0 P:3Ls +U~OXZo$گω,kV񵗪{9ͪSFnVkFs CMPToZ dz!Is,ږ3\~Ss8˥cn5{KZNhZogkkXV8ӞʠV SGq(?qWJb'_?c3_%h ?|U'Rm>38oB3mݜqְ %OUhߴ//oj^"ͤطobIFwAW<9 ]]000(t?7H3_B;K8 Ǘb,ǰtYa&wv ?I>Ӱ=`_Ǻc~h~ y|FK^6(pDOT+޵F=w׌mI5{-~UObC t97IX!gS'>%7H/g#=||ei?Ynm [hLG:5cG&g#gʆJƾIow7ki7 \ZLPվ %5Ow]FmEtsiJ}VQ:~ؓwGju5\_$a"?Jσ>X/(k'[E-UHq_w~_a/Ы,ޙprcbeYb(5.-xxf~-fsl#z5_ ⧇{m?eq yOz7N4p/8%÷-#TB}sʨ_;y9:  {cǁ_\oXIw,DA-~v5{~ y<;Vz!2c}R-]<23ޯo*φ/66hJu+Bgql1S7WU+c!,~J¿"߃R?q7M4OY}cmTlBNϺft= z?_>x𞿯O6o[Pj!>~HFx/QfDYO >q S?nwO.O7'm&ӽHS~$j>(%O)eհ>*6y_ Ek|+g~&OΝ_ ̑iZ^,CE # Ϸ;>}se0˺f9xn^dm^]T##޼ cFQe\=<9g۶k]OW>sOQ- ; C6Wpi֫ rL|/@8k?_ >5ʒ@ڷܲ-<@˻1$I9E)k &/ɾqT2gep)?h1xA֯"ŕ8RI_ d/z'i=ςtUM4331$k h#ZqDJ+gJ? ?C hyLceg_࿄?T-67S6v˶8., fP:nLv.q_G O=ϏRI]oΫqxԟVh~:Fzx_R_fL ؋z ^5şijճss/Q9Ҵ=4'^<|ɭmΛ 8.n&7`2AL?>Xd۩~ /GZݻ2x~1t4/rM_ > }Z٬y,; ع#+8-Oud?ܴ2Oҙ%h?[4xY7p_'p?!^R(D̿s|Wsu!D?=7dƟL tybp1WOG;Ǜ*[S"_AEPz_*~Oڇ<O{RPקҴR#((((((((((((((+iO؃S &{T)iyu Ku=BL]G5PL 嚺ϕ<KbZtkKѷ[ëjWzSJɟ¾?cG4k 8vvpqBaW(t(RIQAQEQEQEQEQEQEQEQEQEQEQEQEQER6HR@9I? uNO/,;ӮJB @>1~ɟ__)&i3O ygIUc?L_QσxoĐǤxK𗋡-&J!gr@4N_ǃvG8y9Kۢ e"nIaҹ׃WVTW/2o fMFK?kOȐC"xzx2G#ymx?նp "eҩ&f3 S2o`[ owEk^ri2CmH˖f*q5V~+&'L"ȶL1Ƹű <= > z]5͜Z^Z42)Y"C+<@PT5ڲ^O ~|/|{xOĐ~5湧 y.vƬ@,A$03w 2x/rO x.|mlfCln[_ߠ}0A#"O`9][%ŸV 'U We!r# EMz9^22Xj-ޚyQT{_rO _k uth#ba[~T:eIjVP[̅&:H Gaʔgg*]G?k?2CwmHh^cʿl_>-ѳn,;)/пȅ*j'|?Ǥ:ѭyL*'ܚ2a#Ɗ?oڗ[֣տ5>ڭFϽ~x&/ Xj2s%h\¹~_G`x#ܷ>E>qJݏ*Oԗkr],?|ua>=9į(Oտ+IugqoL1uppU+s C9~Wˤ7MP4nS\ "4b#Ic'&6hՑ 20. (CԫXjsz۽sEb<:|:|Xx["7l62\|s}gg/ B֞o53ajg,rGgលy|;Э!moB\+WQҴbM7Vືvoq7_B#Mx<>#RvVNֵe_7o O֚kYb"sVpK d~*خ?x{NW᝴3I "6ّϝfB~?IwIoU74hn-E]Goċ2u_{)-.Yb_ڦ忻fo3R厁i髬Y&H#" vN'~<ிدP?.oƊث;q}ÿ$V_ZX~˼Lu.rx9`e.*un{w^`?q>/>CZf壷*3*tf1• G>I< ?[|osLU+$~D)C2ʄBeGJ>& ÿ$*xZY.|1/MU #XXG p:P АYf# WQ>wy.]]7??7 6x7E0oredi (28=5Q6g>4A|kkL/C6 mpG'-iRh^+,KPI U?<)kue康>rV8jFZ٫O7{ qF1~޿4-*oAuhJOulcGlDV%캞CMqq#z*I?Z},RGjv۾U7 ⯇<-?'Ɲmj:N'X.RGEYTyyC`@?q'G? xc76QXYG{.HT2?GMTj}g׀Gzڟ< \k2)\ne&4rUUUgz;o?o!/_4#:|CCZYYN[wT|9rw_|4֧oCjVK9 d3w.@}O. -ݖ Z[hB #HM.u)%k~~?඿?5_>XZ}CAHH :J~l(((((((((((((((((((((?eJ'C^Ju)DiZ\G)m]QAQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQE4#$WQ'[gx~Ѯumk)eZ=ʑ-EEJ(9qԡi[Gxo ~#tUv QERJ*Z( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( y?( m$Nh p0=1EO_l袊(((((((((((((((((((((((((((((x002 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@66666_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph FontRiR  Table Normal4 l4a (k (No List 4@4 rk0Header  H$6/6 rk0 Header CharCJaJ4 @4 rk0Footer  H$6/!6 rk0 Footer CharCJaJH2H p Balloon TextCJOJQJ^JaJN/AN pBalloon Text CharCJOJQJ^JaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V (BO)MBT.$@0H!A>풠Uc-zD[&!rX=}zC0` ި%.]Ssd--7 +fOZեrŵVœ\lji2ZGwm-3˵j7\ Uk5FҨ-:xRkcr3Ϣ+9kji9OP Et-j|#p;E=Ɖ5Z2sgF=8 K}*7c<`*HJTcB<{Jc]\ Ҡk=ti"MGfIw&9ql> $>HmPd{(6%z:"'/f7w0qBcF6f Iöi1(\}B5ҹ~Bcr6I;}mY/lIz1!) ac 1fm ƪN^I77yrJ'd$s<{uC>== Ƌ(uX=WA NC2>GK<(C,ݖm: &-8j^N܀ݑ$4:/x vTu>*ٞn{M.Ǿ0v4<1>&ⶏVn.B>1CḑOk!#;Ҍ}$pQ˙y')fY?u \$/1d8*ZI$G#d\,{uk<$:lWV j^ZơSc*+ESa1똀 k3Ģxzjv3,jZU3@jWu;z \v5i?{8&==ϘNX1?  O4׹ӧCvHa01 %xz24ĥ=m X\(7Xjg !Ӆqd? cG7.`~w*?, 2 nN*"Fz_&n &\ F:l[+%f ? $&(+      8@0(  B S  ?++++++&&1%%-999*urn:schemas-microsoft-com:office:smarttagsplace=*urn:schemas-microsoft-com:office:smarttags PlaceType=*urn:schemas-microsoft-com:office:smarttags PlaceName  96V GYw_T808^8`0o(.^`o(. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.w_Tǖ.Z       z> AFYa|z$4FP;?|PwWrk&oy-TnUN`uc#v?-*py~-}9@@UnknownG.[x Times New Roman5Symbol3. .[x Arial9. . Segoe UIC. Aptos Display3. AptosA$BCambria Math"hLJLJKRR!r03Q@P ?`2!xxEy EXTERNAL REFEREE FORMm220127Counos, Vicki L Oh+'0  4 @ L Xdlt|EXTERNAL REFEREE FORMm220127NormalCounos, Vicki L2Microsoft Office Word@F#@T5@@R ՜.+,0 hp  Fletcher Allen Health Care EXTERNAL REFEREE FORM Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPRSTUVWXYZ[\]^_`abdefghijlmnopqruRoot Entry F0uwData  T1TableQ#WordDocument4SummaryInformation(cDocumentSummaryInformation8kCompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q