ࡱ> gjfm @ +P9bjbj t$ lllllll("("("8`\`/,`"~####$V%%4Y%I,......$0R43/QlY&$$Y&Y&/ll##p/'''Y&l#l#I,'Y&I,''ll'#a 4("o&"'u(/0/'3&3'llll3l'u%"%'%%u%u%u%//$ '$PROFESSIONAL REFERENCEState of Michigan Department of Human ServicesDear FORMTEXT      :Our agency is responsible for placing children for adoption with families. FORMTEXT      has/have applied to adopt a child/children and we wish to give him/her/them careful consideration. Please help us by answering some questions and returning this form in the enclosed envelope to the adoption worker listed at the end of this form.How long and how well have you known the family/applicant(s)? FORMTEXT      In what capacity have you worked with the family/applicant(s)? FORMTEXT      What is your professional impression of how the family/applicant(s) is/are meeting the needs of children already placed in the home? List: FORMTEXT      What is your assessment of the family s ability to manage and meet the needs of additional adopted children in the home? FORMTEXT      Do you have any concerns about their ability to care for a child? If so, please explain: FORMTEXT      Would you recommend him/her/them as an adoptive parent(s)? Why or why not? FORMTEXT      Additional comments or concerns: FORMTEXT      Signature of Person Giving ReferenceDate FORMTEXT      Printed Name and Title FORMTEXT 0BTXj l p     r ڽֲڽ֥֩֡~hH|jhxcaUhqjhqUhwh9fhYlhsch Z-5OJQJjhxcaUjh?sUmHnHujfhxcaUh Z-jh Z-UhF;h1% h(36hc1 h(36h(36h(36hc11.0VX+ss+s6<kd$$Ifl4y,y,4 lalf4<kd^$$Ifl4y,y,4 lalf4 $Ifgd(36<kd$$Ifl4y,y,4 lalf4 $Ifgd(369N9Bm+^v:Dbkd$$Ifl4 Fvy,v4    4 lalf4 $IfgdF; $Ifgdc1<kd$$Ifl4y,y,4 lalf4 $Ifgd(,j `W $IfgdwOkdH$$Ifl40y,4 lalf4 $Ifgd Z- $Ifgdu6<kdt$$Ifl4 y,y,4 lalf4   +v:|s+v:6<kd$$Ifl4y,y,4 lalf4 $Ifgd(36<kd"$$Ifl4y,y,4 lalf4 $Ifgdw<kd$$Ifl4y,y,4 lalf4   v<9kd$$Ifly,y,4 lal<kd$$Ifl4y,y,4 lalf4 $Ifgd(369kdd$$Ifly,y,4 lal $Ifgd(36  2Ӣh9fj hGUhGjhGUj hqUhH|jhqUjfhqUhscjh?sUmHnHuj*hqUhqjhqUh(36hc16 v9<kd<$$Ifl4y,y,4 lalf49kd$$Ifly,y,4 lal $Ifgd(36<kd$$Ifl4y,y,4 lalf4 $Ifgd(36v<9kdT $$Ifly,y,4 lal<kdx $$Ifl4y,y,4 lalf4 $Ifgd(369kd $$Ifly,y,4 lal $Ifgd(36vm $Ifgdu69kd $$Ifly,y,4 lal $IfgdF;<kd $$Ifl4y,y,4 lalf4 $IfgdF;&(*,v9<kd, $$Ifl4y,y,4 lalf4 $Ifgd(,9kd $$Ifly,y,4 lal $Ifgd(36<kd $$Ifl4y,y,4 lalf4"$(,2 2 2j2l22222222222222(3*3>3@3B3H3J3N3ληޯޯޯwޯjh6UjJh6Uh6CJOJQJjh6UUjbh6Ujh6Uh6jh ,lUjh ,lUh ,lh^hwh(36jh?sUmHnHujhGUjV hGU.,vxd[[Id8$If^gd6 $Ifgd6kd $$Ifl4\<%y,<Lxy4 lalf4p(dL$If^gdxcak[dL$If^gdxcakd$$Ifl4P\<%y,<Lxy4 lalf4p( $Ifgd622h2j2|l/<kdB$$Ifl4y,y,4 lalf4dL$If^gd6<kd$$Ifl4Py,y,4 lalf4 $Ifgd6<kd$$Ifl4y,y,4 lalf4     Name of Agency/School/Business/Office, etc. FORMTEXT      AddressCityStateZip FORMTEXT      Day time Telephone Number( FORMTEXT    )  FORMTEXT      Thank you for your assistance,Adoption Worker SignatureDate FORMTEXT      Printed Name FORMTEXT      Agency Name FORMTEXT      Agency Address FORMTEXT      Day time Telephone Number( FORMTEXT    )  FORMTEXT      Department of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, sex, sexual orientation, gender identity or expression, political beliefs or disability. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you are invited to make your needs known to a DHS office in your area. DHS-610 (3-09) MS Word  PAGE 2 j2222222dL$If^gd6<kd$$Ifl4y,y,4 lalf4 $Ifgdw2222"3$3C3dL$If^gd6<kd$$Ifl4y,y,4 lalf4 $Ifgdwukdx$$Ifl4\<X &y,< T4 lalf4$3&3v3x3z3|3VM $IfgdOkd$$Ifl40<y,<=4 lalf4 $IfgdwOkd$$Ifl40<y,<=4 lalf4N3P3d3f3h3r3t3x3z333 44"4$4&40424T4V4j4l4n4x4z4444444444444455F5H5\5^5`5f5h5l5n5555555jh6Uj\h6Ujh6Uh6CJOJQJjh6Ujjh6Ujh6U h65jh?sUmHnHuj*h6Uh6jh6U6|3~33333|ss $Ifgd^<kd$$Ifl4y,y,4 lalf4 $Ifgd<kdR$$Ifl4y,y,4 lalf4333344dL$If^gd6Okd$$Ifl40<y,<=4 lalf444 4 44464tkkYkd8$If^gd6 $Ifgd6kd$$Ifl4\<%y,<Lxy4 lalf4p(6484R4T4td'<kd$$Ifl4y,y,4 lalf4dL$If^gd6kd$$Ifl4P\<%y,<Lxy4 lalf4p(T4|4~4444l<kdJ$$Ifl4y,y,4 lalf4dL$If^gd6<kd$$Ifl4Py,y,4 lalf4 $Ifgd64444 5 5ul/<kdP$$Ifl4y,y,4 lalf4 $Ifgd6<kd$$Ifl4y,y,4 lalf4dL$If^gd6<kd$$Ifl4y,y,4 lalf4 5@5B5D5555FOkd:$$Ifl40<y,<=4 lalf4Okd$$Ifl40<y,<=4 lalf4 $Ifgd6dL$If^gd655599994969B9D9F9H9L9N9P9\\\&\(\*\>\@\B\L\N\P\R\f\h\v\x\z\\\\\\\\\\ܽ൱wlj#hYqUj#hYqUjO"hYqUjhYqUmHnHuj!hYqUj hYqUhYqjhYqUh?sh?s0JmHnHu hG0JjhG0JUhGh(V hwh6hB:h6^JaJh6 h65*555999J9L9N9P9(\e`^\\`Z<gd(V<kdT $$Ifl4y,y,4 lalf4$dL$If^a$gdmk<kd$$Ifl4y,y,4 lalf4 $Ifgd(, (&P/ =!"#$%\$$Ifl!vh5y,#vy,:V l4,5y,4alf4V$$Ifl!vh5y,#vy,:V l45y,4alf4V$$Ifl!vh5y,#vy,:V l45y,4alf4V$$Ifl!vh5y,#vy,:V l45y,4alf4vD0Text20$$Ifl!vh5v545#vv#v4#v:V l4 ,5v545/ 4alf4\$$Ifl!vh5y,#vy,:V l4 ,5y,4alf4vD&Text19$$Ifl!vh55#v#v:V l4,55/ 4alf4V$$Ifl!vh5y,#vy,:V l45y,4alf4d$$Ifl!vh5y,#vy,:V l45y,/ 4alf4d$$Ifl!vh5y,#vy,:V l45y,/  4alf4vDText21^$$Ifl!vh5y,#vy,:V l5y,/ 4ald$$Ifl!vh5y,#vy,:V l45y,/  4alf4vDText21^$$Ifl!vh5y,#vy,:V l5y,/ 4ald$$Ifl!vh5y,#vy,:V l45y,/  4alf4vDText21^$$Ifl!vh5y,#vy,:V l5y,/ 4ald$$Ifl!vh5y,#vy,:V l45y,/  4alf4vDText21^$$Ifl!vh5y,#vy,:V l5y,/ 4ald$$Ifl!vh5y,#vy,:V l45y,/  4alf4vDText21^$$Ifl!vh5y,#vy,:V l5y,/ 4ald$$Ifl!vh5y,#vy,:V l45y,/  4alf4vDText22^$$Ifl!vh5y,#vy,:V l5y,/ 4ald$$Ifl!vh5y,#vy,:V l45y,/  4alf4vDText22^$$Ifl!vh5y,#vy,:V l5y,/ 4ald$$Ifl!vh5y,#vy,:V l45y,/ 4alf4$$Ifl!vh5<5L5x5y#v<#vL#vx#vy:V l45<5L5x5y/ / /  / 4alf4p(jD $$Ifl!vh5<5L5x5y#v<#vL#vx#vy:V l4P,5<5L5x5y/ / /  / 4alf4p(d$$Ifl!vh5y,#vy,:V l45y,/  4alf4tD]Text3j$$Ifl!vh5y,#vy,:V l4P,5y,/ 4alf4d$$Ifl!vh5y,#vy,:V l45y,/  4alf4jD]d$$Ifl!vh5y,#vy,:V l45y,/ 4alf4$$Ifl!vh5<5 5T5#v<#v #vT#v:V l45<5 5T5/ / /  / 4alf4jD]d$$Ifl!vh5y,#vy,:V l45y,/ 4alf4$$Ifl!vh5<5=#v<#v=:V l45<5=/  / / / 4alf4jDtDText7$$Ifl!vh5<5=#v<#v=:V l45<5=/ / / / /  4alf4d$$Ifl!vh5y,#vy,:V l45y,/ 4alf4V$$Ifl!vh5y,#vy,:V l45y,4alf4$$Ifl!vh5<5=#v<#v=:V l45<5=/ / 4alf4$$Ifl!vh5<5L5x5y#v<#vL#vx#vy:V l45<5L5x5y/ / /  / 4alf4p(jD $$Ifl!vh5<5L5x5y#v<#vL#vx#vy:V l4P,5<5L5x5y/ / /  / 4alf4p(d$$Ifl!vh5y,#vy,:V l45y,/  4alf4tD]Text3j$$Ifl!vh5y,#vy,:V l4P,5y,/ 4alf4d$$Ifl!vh5y,#vy,:V l45y,/  4alf4jD]d$$Ifl!vh5y,#vy,:V l45y,/ 4alf4d$$Ifl!vh5y,#vy,:V l45y,/  4alf4jD]d$$Ifl!vh5y,#vy,:V l45y,/ 4alf4$$Ifl!vh5<5=#v<#v=:V l45<5=/  / / / 4alf4jDtDText7$$Ifl!vh5<5=#v<#v=:V l45<5=/ / / / /  4alf4d$$Ifl!vh5y,#vy,:V l45y,/ 4alf4d$$Ifl!vh5y,#vy,:V l45y,/ 4alf4DAddress1 UppercasedEnter the Addressee's mail address (street address, PO Box, etc., where the mail will be delivered). ClientCityDBureau#E#8@8 Normal_HmH sH tH B@B Heading 3 $<5CJDA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k(No List @O@ BLANKLINEd CJOJQJJOJ Captions 7pt ^ CJOJQJNON Captions 8pt ^CJOJQJkHNO"N Captions 9pt ^CJOJQJkHJO2J Captions 10pt ^ OJQJkH< @B< Footer   CJOJQJLORL Form Title 10pt$a$ OJQJkHPObP Form Title 11pt$a$CJOJQJkHPOrP Form Title 12pt$a$CJOJQJkH\O\ Form Title 12pt Bld$a$5CJOJQJkHHOH User Input ^5OJQJkHVOV Letter Text 10pt$^a$ OJQJkH@O@ Letter Text 11ptCJZOZ Letter Text 12pt$^a$CJOJQJkH4@4 Header  !.)@. Page NumberVOV (VCaptions 9pt Bold dL CJOJQJXOX (VForm Title 10pt Bld d8( 5OJQJPOP (VUser Input 10pt!d8(OJQJH@"H sc Balloon Text"CJOJQJ^JaJ T+,IJKLQeghijVWkl    VWklCDXYaflpq  )*+89MNZ[op0` 0d 0` 0d 0` 0d 0` 0d 0` 0` 0` 0d 0` 0d 0` 0` 0d 0` 0d 0` 0d 0` 0d 0h 0l 0` 0d 0h 0l 0` 0d 0h 0l 0` 0d 0h 0l 0` 0d 0h 0l 0` 0d 0h 0l 0` 0d 0h 0l 0` 0d 0` 0` 0` 0` 0d 0 0 0 0 0 0` 0d 0h 0l 0 0 0h 0l 0` 0` 0` 0` 0d 0h 0l 0 0 0 0h 0h 0l 0` 0d @0` @0d @0` @0` @0d 0` 0` 0` 0` 0d @0 @0 @0 @0 @0 0` 0d 0h 0l 0` 0d 0h 0l 0` 0d 0h 0l @0 @0 @0 0h 0h 0l 0` 0d @0` @0d 0@0@0006+,IJijVWkl    VWklCDXYfpq*+8MNZ[op@00T,D4,J @00,D4,J @00 ,D0 A00PQ@00 A00kD0 @00rD0 @00rD0 @00,D0 @00,@0@00,D0 @00,@0@00,D0 @00,@0@00,D0 @00,@0@00,D0 @00,@0@00,D0 @00,@0@0"0 ,D4,J @0&0 T,@00dG@00İ @0"0 ,@0&0 @00İr@00r@0/0 4B @0/0 4B2D4,J @004r@00|$ @0#0r@050 B2@00|$ @00|$G@00$% @00$%GD4,J @060 ,@0C @080 L,@080 L,@0C @0<0 ,@0C @0&0 ,@00G@00 @0"0 ,@0&0 @00r@00r@0/0 @0/0 2D4,J @00r@00 @050 2@00G@00 @00GD4,J @060 ,@0 00x& @0C 0XH###&Q]cWci WciDPVq}!'9EK[gmFFFFFFFFFFFFFFFFFFFFF &!8@0(  B S  ?Text20Text19Text21Text22Text3Text7RXdj t # Բ!!))9*urn:schemas-microsoft-com:office:smarttagsplace9*urn:schemas-microsoft-com:office:smarttagsState 3QdWj  WjCDWX @$#w1%(, Z-c1(36u6|.@$AN:QhQ^xcapAe9fmk ,l?sH|5Acsc6F;vq(VqYlG(\#.+,IJKLQeghijVWkl    VWklCDXYaflpq  )*+89MNZ[opV*T*TV*T*T  Spell Check Spell CheckhQ+hQ+hQ+hQ+hQ+ 0 (  Spell CheckForms Spell Check2Module1.FormsSpellCheck2gTemplateProject.MyInfo.Main(TemplateProject.Module1.FormsSpellCheck2TEMPLATEPROJECT.MYINFO.MAIN(TEMPLATEPROJECT.MODULE1.FORMSSPELLCHECK2@^c8k3^^L@ 2UnknownG: Times New Roman5Symbol3& : Arial?5 z Courier New5& zaTahoma"hjÆ@cӆ@cӆGKGKr cq#24da3QH?(V'DHS-0610, Professional Reference LetterCompputmanalL@LNormalOh+'0  8 D P \hpx(DHS-0610, Professional Reference LetterComp0610putmana19Microsoft Word 10.0@Hʎ@3@ @3GK՜.+,0  hp  State of Michigan (DHS-0610, Professional Reference Letter Title  !"#$%&'()*,-./0123456789:;=>?@ABCDEFGHIJKLMNOPQRSTUWXYZ[\]_`abcdehilopqrstuvwxyz{|}~Root Entry Fк4k)Data +V@1Table<oWordDocumenttSummaryInformation(VDocumentSummaryInformation8^Macros44VBA 44dir!MyInfo ny3Module1 __SRP_0 *  !"#$%&'()+,-./0123456789:;<=>?@BCEGIJKLMNOPQRSTUVWYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~0* pHdTemplateProjectQH@  = | AB? J< 9stdole>stdoleP h%^*\G{00020430-C 0046}#2.0#0#C:\WINDOWS\system32\e2.tlb#OLE Automation0MSForms>SFFrms3ED452EE1-E08F-101A-8-02608C4D0BB4EFM20.DLL#Microsoft : ^ Ob Library/;D~1u00}#0#k0 B11B0288-DD3E-49B5-A37E-2A97CC021D66DOCUME~1\bushd2\LOCALS\VBE\T.exd;@!.E .`M OfficOf@ic 12DF8D04C-5BFAgB-BDER5IAA42ggram Files\CommonhShared\ 105Op 8.0p@%5»ThisDocumentG T@i"Dcuen@ 2 (HB1%XB,!T5""+qM@yInfoG MPyIfM2 ' u ! bnodule1Gdnou1r2bΩ"\5x"'5uxME(6 << < `@`Enter Personal InformationgNormal.MyInfo.Main@ >VP1&P ]\P"ngP$y.P&P(P*P,P.P0P2P4P6P8P:P<P>P@PB`P @%8xAB?$*\Rffff*1I4b2b7dd9 " (08@HPX`hpx &((0*X&(&&((&P$x&$$&$@&h&(N$0$X&&*$"(0PT$$(H hx <468H6864(6`846 4@ 2x 2 4 2 4X : : 2 H ` & 4 6 8 6P 8 6 4 60 8h 4 6 42H2424(:`: "0284p2420P2402 0X..0.0H6x6 ":>PB>F2`:>66P.2::02p62BF` 4 2 & (@ *h .  2 4 X ` p ]x]]]]]]] ]8]P]h]]]]]]]](]@DEFINE DIALOG BOXF,MyInfo DB@Fm ^YourName DB@Hm8^ YourTitle DB@HmP^ YourOffice DB@Hmi^ YourAddress DB@H2xYourCity DB@HT( YourState DB@HFYourZip DB@Hn(AreaCode DB@HP YourPhone DB@H<YourExt DB@Hr(FAXAC DB@HPYourFax DB@H(YourCO DB@H(YourDI DB@H(YourSEC DB@HT(YourUN DB@H(YourWKR DB@Hm^BossName DB@Hm^ BossTitle DB@Hk  /Enter the following information about yourself. DB@d#2 Name: DB@dil;2 Title: DB@dR< Office: DB@dkU Address: DB@d City-ST-Zip: DB@d7 Phone: DB@d>% FAX: DB@d-CO-DI-SEC-UN-WKR: DB@dK 6Enter the following information about your supervisor. DB@d2 Name: DB@d 2 Title: DB@d X DB@J"X DB@L- DB@N]XF D!R!T.P6GET USER INFO FROM INI FILE AND PUT IT INTO DIALOG BOX UserInfoName MYINFO.ini D%X P(VUserInfoTitle MYINFO.ini D%X P(ZUserInfoAreaCode MYINFO.ini D%X P("UserInfoPhone MYINFO.ini D%X P(\UserInfoYourExt MYINFO.ini D%X P(&UserInfoFaxAC MYINFO.ini D%X P((UserInfoFax MYINFO.ini D%X P(*UserInfoOffice MYINFO.ini D%X P(^UserInfoAddress MYINFO.ini D%X P(`UserInfoCity MYINFO.ini D%X P(bUserInfoState MYINFO.ini D%X P(dUserInfoZip MYINFO.ini D%X P(fUserInfoCO MYINFO.ini D%X P(hUserInfoDI MYINFO.ini D%X P(jUserInfoSEC MYINFO.ini D%X P(lUserInfoUN MYINFO.ini D%X P(nUserInfoWKR MYINFO.ini D%X P(pUserInfo Boss Name MYINFO.ini D%X P(@UserInfo Boss Title MYINFO.ini D%X P(B6,DISPLAY DIALOG BOX AND RESPOND TO USER INPUTe P D!r%T'  OK BUTTONWRITE NEW USER INFO IN INI FILEUserInfoName P!V MYINFO.ini DB@tUserInfoTitle P!Z MYINFO.ini DB@tUserInfoAreaCode P!" MYINFO.ini DB@tUserInfoPhone P!\ MYINFO.ini DB@tUserInfoYourExt P!& MYINFO.ini DB@tUserInfoFaxAC P!( MYINFO.ini DB@tUserInfoFax P!* MYINFO.ini DB@trUserInfoOffice P!^ MYINFO.ini DB@tUserInfoAddress P!` MYINFO.ini DB@tUserInfoCity P!b MYINFO.ini DB@t!*gUserInfoState P!d MYINFO.ini DB@tUserInfoZip P!f MYINFO.ini DB@tUserInfoCO P!h MYINFO.ini DB@tUserInfoDI P!j MYINFO.ini DB@tUserInfoSEC P!l MYINFO.ini DB@tUserInfoUN P!n MYINFO.ini DB@tLUserInfoWKR P!p MYINFO.ini DB@tUserInfo Boss Name P!@ MYINFO.ini DB@t=*UserInfo Boss Title P!B MYINFO.ini DB@tGet user info from INI fileUserInfoName MYINFO.ini D%X' UserInfoTitle MYINFO.ini D%X' UserInfoAreaCode MYINFO.ini D%X' "UserInfoPhone MYINFO.ini D%X' $UserInfoYourExt MYINFO.ini D%X' &UserInfoFaxAC MYINFO.ini D%X' (GXUserInfoFax MYINFO.ini D%X' *UserInfoOffice MYINFO.ini D%X' ,UserInfoAddress MYINFO.ini D%X' .UserInfoCity MYINFO.ini D%X' 0UserInfoState MYINFO.ini D%X' 2UserInfoZip MYINFO.ini D%X' 4UserInfoCO MYINFO.ini D%X' 6] UserInfoDI MYINFO.ini D%X' 8UserInfoSEC MYINFO.ini D%X' :UserInfoUN MYINFO.ini D%X' <UserInfoWKR MYINFO.ini D%X' >UserInfo Boss Name MYINFO.ini D%X' @UserInfo Boss Title MYINFO.ini D%X' B Update Form with user info WorkerName D%vG workerName  DB@xj WorkerTitle D%vG WorkerTitle  DB@xjWorkerAreaCode D%vGWorkerAreaCode " DB@xj WorkerPhone D%vG WorkerPhone $ DB@xjWorkerExtension D%vGWorkerExtension & DB@xjFaxAC D%vGFaxAC ( DB@xj WorkerFax D%vG WorkerFax * DB@xj Countynumber D%vG Countynumber 6 DB@xjDistrict D%vGDIstrict 8 DB@xjSection D%vGSECtion : DB@xjUnit D%vGUNit < DB@xjWorker D%vGWorker > DB@xj CountyName D%vG CountyName , DB@xj CoAddress D%vG CoAddress . DB@xjCoCity D%vGCoCity 0 DB@xjCoState D%vGCoState 2 DB@xjCoZip D%vGCoZip 4 DB@xjSupervisorName D%vGSupervisorName @ DB@xj|SupervisorTitle D%vGSupervisorTitle B DB@xj. Update other Form Fields on Form & Exit Macro- Selected$=GetFormResult$ ("CurrentDate")! TheSerialDate = Today() + 14$ TheDate$ = Date$(TheSerialDate)& SetFormResult "DueDate", TheDate$) EditGoTo "CreateDate" : UnlinkFields EditGoTo "GranteefirstName"- ToolsProtectDocument .NoReset = 1, .Type = 2/ ToolsProtectSection .Section = 2, .Protect = 0d FileClose 2 SelectName = - 1kpoh`(Attribute VB_Name = "MyInfo" Public Sub Main(X) D.nDescription|Enter Personal rma:zProcDataIInvoke _FuncINoi8l..nADim iRet B  User$ATitleAreaCod-PhonYourExtFax|AC Offic $AddressCitByStat Zip ODILSEB;UN WKRBoss|| 'DEFINE DIALOG BOX WordBasic.BeginDialog 582, 300,} G TextBox 109@ A 5@ 18@ I @ey 56 * 83 _[ 105WDi 2A3321A5r 34 _  | 9 7 @ 1$55E [1 Pi 23` 6i`cV3jFAXAC41e lV1@,CO629 *DI7m pV? UN6z4!l1.yVm23n`~64`'Fz7,, c3z#the followin`g infa@bout ys0elf. ", ׂ !:w5f"bC #1z0@8O$351{1A-ST- u5 abm3r13@? gY  ;"C O-DI-T-U,N-@H47224*; supervisor!a 124f6p6iOKButtY48 8pR21 fCanctel3kEndn ҂dlg!u! As Object: Se$t = CurValues. vGET USER INFO FROMI FILE AND@ PUT I NTOzx.t[GetPrivfileS@@ng$](" "'P:qMY.ini"r hl ? pa"4??>? Mpn_1r &.nAC `axU/-Y??>OMA\C$$a&gp Op | DIpp/-UN0 | {p y QaserInfo", "Boss Name`MYINFO.ini") dlgU.Title = WordBasic.[GetPrivateProfileString$]("t| 'DISPLAY DIALOG BOX AND RESPOTO USER INPUT iRet Dialog.p (If 3-1 Then 'OK BUTTON ?WRI@TE NEW3FO6I FILE xSx wYour ?, - -AreaCod|PhonEExtE@FaxACL+@OfficZ|Address0$ L+gCity ? : |StP  z Zo%  CoCity  ! CoStat$c b CoZip  "Supervi8sor<`, Boss! /Titl% b ' Upd. other  FieldsH on& t Macro Rem" SelA}ed$=G$ ("Curre8ntD9'`Serial = Today() + 14$5()lDure",a"GEditGoTo 0"Cre : Unlink'Grante@efirst3"ToolsProtDocum! .No@et`1, .Type@2/ .8= 2 `0 Else#FileClose D c.@- 1$nd #Sub ME(<<< <h ~ Xat%"  .@Pp &x  (((P X h]@'If document is protected, Unprotect it.e ! cladd87 B@cenkPerform Spelling/Grammar check. (  ! !( !B@  ReProtect the document. ! cladd87 l B@koAttribute VB_Name = "Module1" Sub FormsSpellCheck2() Dim x As wdNo Then  9ZPassword:="c@ladd87E nd If'P(erf ing/Gramma8r clK.Op2tBs.vWi thFalse EachIn JsZx.Range.iof>$;;5AlwaysSuggest :=Tru; Next: 'Re the=&EW, n orese&, o:=wdAllowOnlyAbAAeK*srU~~~~~~~~k (0Cê    iQ  ThisDocumentMyInfoTemplateProjectF@C:\Program Files\Common Files\Microsoft Shared\VBA\VBA6\VBE6.DLLVBA ! I0 F5C:\Program Files\Microsoft Office\Office10\MSWORD.OLBWord Ai@0FC:\WINDOWS\system32\stdole2.tlbstdole QyP.E .`M C:\WINDOWS\system32\FM20.DLLMSForms aa`>ݵI~*d 0C:\DOCUME~1\bushd2\LOCALS~1\Temp\VBE\MSForms.exd AaipL-[DR?C:\Program Files\Common Files\Microsoft Shared\Office10\MSO.DLLOffice 1YMain Module1 rU Enter Personal InformationNormal.MyInfo.MainfrU~| krU $`an__SRP_1A__SRP_2 DT__SRP_3FoThisDocumentH55#xME (SLSS<N0{00020906-0000-0000-C000-000000000046}8(%HxAttribute VB_Name = "ThisDocument" Bas0{00020P906-0C$0046} |GlobalSpacFalse dCreatablPredeclaIdTru BExposeTemplateDerivBustomizD2_VBA_PROJECTXPROJECTPROJECTwmVCompObjjas  *\G{000204EF-0000-0000-C000-000000000046}#4.0#9#C:\Program Files\Common Files\Microsoft Shared\VBA\VBA6\VBE6.DLL#Visual Basic For Applications*\G{00020905-0000-0000-C000-000000000046}#8.2#0#C:\Program Files\Microsoft Office\Office10\MSWORD.OLB#Microsoft Word 10.0 Object Library*\G{00020430-0000-0000-C000-000000000046}#2.0#0#C:\WINDOWS\system32\stdole2.tlb#OLE Automation*\G{0D452EE1-E08F-101A-852E-02608C4D0BB4}#2.0#0#C:\WINDOWS\system32\FM20.DLL#Microsoft Forms 2.0 Object Library*\G{011B0288-DD3E-49B5-A37E-2A97CC021D64}#2.0#0#C:\DOCUME~1\bushd2\LOCALS~1\Temp\VBE\MSForms.exd#Microsoft Forms 2.0 Object Library.E .`M &*\G{2DF8D04C-5BFA-101B-BDE5-00AA0044DE52}#2.2#0#C:\Program Files\Common Files\Microsoft Shared\Office10\MSO.DLL#Microsoft Office 8.0 Object Library  AB?5ThisDocument0?4afec77bThisDocument5% MyInfo1I4b2b7dd9 MyInfou'Module11K4b2b7df1|Module18bX8c|C#kKX$3Km嚵GH @YCmPQD0WordkVBAWin16~Win32MacVBA6#TemplateProjectEstdole`MSFormsCOfficeu ThisDocument< _EvaluateMyInfo@Main,iRet,pUserName\ UserTitleV9AreaCode UserPhoneYourExthLFaxACjYourFaxrN UserOffice0 UserAddressFUserCity UserStateUserZipDUserCOUserDIUserSEC4UserUN0UserWKR,BossNamef BossTitleH WordBasic BeginDialogFTextBoxQOKButton| CancelButton EndDialogmP dlgUserInfo2" CurValuesȤ UserDialogYourName;RGetPrivateProfileString$x YourTitleA# YourPhone YourOffice YourAddressYourCity YourStateYourZipYourCOYourDIYourSECvYourUNVYourWKRnDialogfSetPrivateProfileString=ExistingBookmark SetFormResultDocumentjModule1bFormsSpellCheck2gzxo FormFieldActiveDocument\ProtectionTypewdNoProtection Unprotect?PasswordOptionsCheckGrammarWithSpelling FormFields-|Range  NoProofing] CheckSpellingW AlwaysSuggestProtectfnoresetgwdAllowOnlyFormFields!l }6ID="{A759276E-4AF9-4834-A198-8B64660F4F31}" Document=ThisDocument/&H00000000 Module=MyInfo Module=Module1 Name="TemplateProject" HelpContextID="0" VersionCompatible32="393222000" CMG="5153951399139913991399" DPB="2321E737B838B838B8" GC="F5F73169D13AD23AD2C5" [Host Extender Info] &H00000001={3832D640-CF90-11CF-8E43-00A0C911005A};VBE;&H00000000 [Workspace] ThisDocument=0, 0, 0, 0, C MyInfo=44, 44, 437, 473, C Module1=0, 0, 0, 0, C ThisDocumentThisDocumentMyInfoMyInfoModule1Module1  FMicrosoft Word Document MSWordDocWord.Document.89q @ \Bmbjbj t3^"3^" V V V V V4VXV_``\`4VQl,adeeeee.Hijkkkkkkk$}mRok- Vkeekkk V Vee lkkkk Ve Vekkkkkk V VF[tkea 4XVkkk !l0Qlkokok4V4V V V V Vo Vkkkkkkkkkkk4V4V$XVk4V4VXV FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTE(\P\x\\\\]:]^]]]]] ^H^j^^^^_(_P_x___SRQPOkNMLKJIHGFEDCBA@?>=\\\\\\\]]]]](]*]8]:]<]P]R]T]Z]\]^]`]t]v]]]]]]]]]]]]]]]]]]]^^^ ^"^6^j)hYqUj(hYqUjH(hYqUj'hYqUj&'hYqUjhYqUmHnHujp&hYqUj%hYqUj$hYqUjD$hYqUhYqjhYqU16^8^F^H^J^^^`^b^f^h^j^l^^^^^^^^^^^^^^^^^^^^^^^_______$_&_޽vkj.hYqUjUmHnHuj-U jUj,hYqUjhYqUmHnHuj2,hYqUj+hYqUjhYq5UmHnHuj*hYq5U hYq5jhYq5UhYqjhYqUjF*hYqU*&_(_*_>_@_N_P_R_f_h_v_x_z________________`jjj jjjjj.j0j>j@jBjVjXjfjhjjj~jjjjjh4hYqUj3hYqUj,3hYqUjhYqUmHnHujl2hYqUUj1hYqUj1hYqUj"0hYqUjY/hYqUj.hYqUjhYqUhYq2__j@jhjjjjk*kLkpkkkk l,lPlxllllm@mBmjihgfedcba`_^]\[ZYXWVUTXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       jjjjjjjjjjjjjjkkkkk(k*k,k@kBkDkHkJkLkNkbkdkfklknkpkrkkkkkkkkkkkkkkkkkj/:hYqUjw9hYqUj8hYqUj 8hYqUjhYqUmHnHuj[7hYqUj6hYqUjT6hYqUj5hYqUj5hYqUhYqjhYqU3kllll l l l"l$l(l*l,l.lBlDlFlLlNlPlRlflhlvlxlzllllllllllllllllllmmmmm.m0m2mhYqUj=hYqUj`=hYqUj<hYqUj<hYqUjT;hYqUhYqjhYqUmHnHujhYqUj:hYqU3mBmhYqjhYqU/ =!"#$%nter your Bureau/Office/Unit name.DCareOf UppercaseUEnter the Addressee's Supplemental Address (Example: Suite or Apartment Number, C/O)Address1D CaseNumber Uppercase/Enter the Case Number (Example: V1234567A,B,C)D ClientCity UppercaseEnter the Addressee's City. ClientStateD ClientState Uppercase1Enter the Addressee's 2 digit State Abbreviation. ClientZipD ClientZip UppercaseKEnter the Addressee's Zip Code (+4 if known) (Example: 48909 or 48909-7537)D CoAddress UppercaseaEnter the County's mail address (street address, PO Box, etc., where the mail will be delivered).D CoAreaCodeEnter the County's Area CodeDCoCity UppercaseEnter the County's City.D CoExtensiond8(OJQJ_HmH sH tH XOX CaseNumber1?d8(OJQJ_HmH sH tH XOX ClientCity1@d8(OJQJ_HmH sH tH ZOZ ClientState1Ad8(OJQJ_HmH sH tH ZO"Z ClientZip1BdtCJOJQJ_HmH sH tH VO2V CoAddress1Cd8(OJQJ_HmH sH tH XOBX CoAreaCode1 Dd`CJOJQJ_HmH sH tH PORP CoCity1Ed8(OJQJ_HmH sH tH ZObZ CoExtension1Fd8(OJQJ_HmH sH tH ^Or^ CoPhoneNumber1Gd8(OJQJ_HmH sH tH ROR CoState1Hd8(OJQJ_HmH sH tH ^O^ CoSuppaddress1Id8(OJQJ_HmH sH tH XOX CountyName1Jd8(OJQJ_HmH sH tH \O\ CountyNumber1 Kd`CJOJQJ_HmH sH tH ROR CoZip1LdtCJOJQJ_HmH sH tH NON Date11 Md`CJOJQJ_HmH sH tH TOT District2 Nd`CJOJQJ_HmH sH tH LOL FaxAC Od`CJOJQJ_HmH sH tH VOV FirstName1Pd8(OJQJ_HmH sH tH XOX FirstName21Qd8(OJQJ_HmH sH tH `O"` GranteeAddress1 Rd`CJOJQJ_HmH sH tH \O2\ GranteeCareof Sd`CJOJQJ_HmH sH tH XOBX GranteeCity Td`CJOJQJ_HmH sH tH `OR` GranteeClientID Ud`CJOJQJ_HmH sH tH dObd GranteeFirstName2 Vd`CJOJQJ_HmH sH tH bOrb GranteeLastName1Wd8(OJQJ_HmH sH tH ZOZ GranteeState Xd`CJOJQJ_HmH sH tH VOV GranteeZip Yd`CJOJQJ_HmH sH tH TOT LastName1Zd8(OJQJ_HmH sH tH VOV LastName21[d8(OJQJ_HmH sH tH ROR OtherID1\d8(OJQJ_HmH sH tH ROR Section2 ]d`CJOJQJ_HmH sH tH ^O^ SuperAreaCode1 ^d`CJOJQJ_HmH sH tH `O` SuperExtension1_d8(OJQJ_HmH sH tH dOd SuperPhoneNumber1`d8(OJQJ_HmH sH tH `O` SupervisorName1ad8(OJQJ_HmH sH tH LO"L Unit2 bd`CJOJQJ_HmH sH tH PO2P Worker2 cd`CJOJQJ_HmH sH tH `OB` WorkerAreaCode1 dd`CJOJQJ_HmH sH tH bORb WorkerExtension1ed8(OJQJ_HmH sH tH TObT WorkerFax fd`CJOJQJ_HmH sH tH XOrX WorkerName1gd8(OJQJ_HmH sH tH \O\ WorkerName2hd8(5OJQJ_HmH sH tH ZOZ WorkerPhone1id8(OJQJ_HmH sH tH ^O^ WorkerTitle1jd8(5OJQJ_HmH sH tH LOL Emailkd8(OJQJ_HmH sH tH  t@0$ 0Address1BureauCareOf CaseNumber ClientCity ClientState ClientZip CoAddress CoAreaCodeCoCity CoExtension CoPhoneNumber CoState CoSuppaddress CountyName CountyNumberCoZipDate1DistrictEmail/FaxAC FirstName FirstName2GranteeAddress1 GranteeCareof GranteeCityGranteeClientIDGranteeFirstNameGranteeLastName GranteeState GranteeZipLastName LastName2OtherID Section! SuperAreaCode"SuperExtension#SuperPhoneNumber$SupervisorName%Unit&Worker'WorkerAreaCode(WorkerExtension) WorkerFax* WorkerName+ WorkerName2, WorkerPhone- WorkerTitle.0Address1BureauCareOf CaseNumber ClientCity ClientState ClientZip CoAddress CoAreaCodeCoCity CoExtension CoPhoneNumberCoState CoSuppaddress CountyName CountyNumberCoZipDate1DistrictFaxAC FirstName FirstName2GranteeAddress1 GranteeCareof GranteeCityGranteeClientIDGranteeFirstName1GranteeLastName GranteeState GranteeZipLastName LastName2OtherIDSection SuperAreaCodeSuperExtensionSuperPhoneNumberSupervisorNameUnitWorkerWorkerAreaCodeWorkerExtension WorkerFax WorkerName WorkerName2 WorkerPhone WorkerTitleUser Input 10pt(<Pdu$5I]n  4EYm(<Pdx N35\6^&_jk