%PDF-1.6 % 4 0 obj <>stream 2020-08-25T15:25:25-07:00 Microsoft® Word 2016 2020-08-25T15:28:19-07:00 2020-08-25T15:28:19-07:00 Microsoft® Word 2016 application/pdf CHAFFEY COLLEGE 1 1.1 uuid:e0424a33-b8e3-4379-9605-3be7dec5ba69 uuid:de2e4771-3782-48c9-b1e9-8acb5e1cca99 endstream endobj 7 0 obj <>/Filter/FlateDecode/ID[<426259D72D326F4E9E00028F0DC0ABAF>]/Info 112 0 R /Length 62/Root 114 0 R /Size 113/Type/XRef/W[ 1 2 1]>>stream hbb&F5 0Hۀ_:Hl*"GD0΅@+ endstream endobj 8 0 obj <> endobj 9 0 obj <> endobj 10 0 obj <<>> endobj 11 0 obj <> endobj 12 0 obj <> endobj 13 0 obj [ 14 0 R 15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R 45 0 R 46 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 52 0 R 53 0 R 54 0 R 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R 65 0 R 66 0 R 67 0 R 68 0 R 69 0 R 70 0 R 71 0 R 72 0 R 73 0 R ] endobj 14 0 obj <> endobj 15 0 obj <> endobj 16 0 obj <> endobj 17 0 obj <> endobj 18 0 obj <> endobj 19 0 obj <> endobj 20 0 obj <> endobj 21 0 obj <> endobj 22 0 obj <> endobj 23 0 obj <> endobj 24 0 obj <> endobj 25 0 obj <> endobj 26 0 obj <> endobj 27 0 obj <> endobj 28 0 obj <> endobj 29 0 obj <> endobj 30 0 obj <> endobj 31 0 obj <> endobj 32 0 obj <> endobj 33 0 obj <> endobj 34 0 obj <> endobj 35 0 obj <> endobj 36 0 obj <> endobj 37 0 obj <> endobj 38 0 obj <> endobj 39 0 obj <> endobj 40 0 obj <> endobj 41 0 obj <> endobj 42 0 obj <> endobj 43 0 obj <> endobj 44 0 obj <> endobj 45 0 obj <> endobj 46 0 obj <> endobj 47 0 obj <> endobj 48 0 obj <> endobj 49 0 obj <> endobj 50 0 obj <> endobj 51 0 obj <> endobj 52 0 obj <> endobj 53 0 obj <> endobj 54 0 obj <> endobj 55 0 obj <> endobj 56 0 obj <> endobj 57 0 obj <> endobj 58 0 obj <> endobj 59 0 obj <> endobj 60 0 obj <> endobj 61 0 obj <> endobj 62 0 obj <> endobj 63 0 obj <> endobj 64 0 obj <> endobj 65 0 obj <> endobj 66 0 obj <> endobj 67 0 obj <> endobj 68 0 obj <> endobj 69 0 obj <> endobj 70 0 obj <> endobj 71 0 obj <> endobj 72 0 obj <> endobj 73 0 obj <> endobj 74 0 obj <> endobj 75 0 obj <> endobj 76 0 obj <> endobj 77 0 obj <> endobj 78 0 obj <> endobj 79 0 obj <> endobj 80 0 obj <> endobj 81 0 obj <> endobj 82 0 obj <> endobj 83 0 obj <> endobj 84 0 obj <> endobj 85 0 obj <> endobj 86 0 obj <> endobj 87 0 obj <> endobj 88 0 obj <> endobj 89 0 obj <> endobj 90 0 obj <> endobj 91 0 obj <> endobj 92 0 obj <> endobj 93 0 obj <> endobj 94 0 obj <> endobj 95 0 obj <> endobj 96 0 obj <> endobj 97 0 obj <> endobj 98 0 obj <> endobj 99 0 obj <> endobj 100 0 obj <> endobj 101 0 obj <> endobj 102 0 obj <> endobj 103 0 obj <> endobj 104 0 obj <> endobj 105 0 obj <> endobj 106 0 obj <> endobj 107 0 obj <> endobj 108 0 obj <> endobj 109 0 obj <> endobj 110 0 obj <> endobj 111 0 obj <> endobj 112 0 obj <> endobj 113 0 obj <> endobj 114 0 obj <>/Metadata 4 0 R /Pages 111 0 R /StructTreeRoot 9 0 R /Type/Catalog>> endobj 115 0 obj <>/MediaBox[ 0 0 612 792]/Parent 111 0 R /Resources<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 116 0 obj <>/ProcSet[/PDF]>>>>stream xPpuVr H)SP0434TIS0PHZY@BF zf !)\zʚ !Y\!\\ endstream endobj 117 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x 0~bKmQI!?_glR$.8:JeD蜩=#N4 /C1>/Subtype/Form/Type/XObject>>stream xPpurb& endstream endobj 119 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb& endstream endobj 120 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 121 0 obj <>/ProcSet[/PDF]>>>>stream xPpuVr H)SP0434TIS0PHZY@BF zf !)\zʚ !Y\!\\ endstream endobj 122 0 obj <>/ProcSet[/PDF]>>>>stream xPpuVr H)SP0434TIS0PHZY@BF zf !)\zʚ !Y\!\\ endstream endobj 123 0 obj <>/ProcSet[/PDF]>>>>stream xPpuVr H)SP0434TIS0PHZY@BF zf !)\..@c endstream endobj 124 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb& endstream endobj 125 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb& endstream endobj 126 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 128 0 obj <>stream H[K0)c+4ͥMVv^aA|Jݰ=muVNdyIB9߹pA7H<D@aLɞ /Д$43[sߛj)34վФfѥTF`y Q4l5,aLP@JUq\yge1 ^-nYsxI'bhZ4gEl4+rQ$S PBN kAYhO4IG~ %< -7_Av~8y6yK )4UmU]IN];|T֑8wpaMs2H\"o:lՐ *;XФ[\Nm O=O~qżYQnW}jxۛNDv̿#ɧxA1!&R endstream endobj 129 0 obj <>stream HTR0}CHBBQxrkS=`!(Ô_o7+A/xu^?%47t.i)D-t!*O(2!jO.o3p%\sLU}`4W]ĮE?b O Sec ,wVcG]P5U Zp)0TK2] !J`w6p΀] iwp&ܜx6.>zǸiWmPp"7zѢ7իo6܅B3>stream H0<Rl ja+mU-P@)t @O)I6"ǃgt'. ?P,W ֝Y- MEjc}xu8%:|>h߃3S253`7˔VpfqІ i iv>7BJ/d܃,ӆ`oWf&]'6CLt_ɋ0bмrPOUY)²E+'mU@ Ldphi.ۼ3ݴ6?}BA^¦=ڼ.MB1!Gw{kWW~7 4N[S.X0};sk^*9QEd(QO21VFIU ccD;Sg0*&A*~?)TDCS*0x</Uw1}A_? `*쯀:/ߩImݰf|/Cκ endstream endobj 131 0 obj <>stream HKO@)ؒ01x4hă"R*H6ٝ{Si[Ұ;&o{I;%,;@Wp~w.j{+ƯH504$1,r(GrFe`nK^QgyohJ'uAg>ďqX#?Q)㑄ib4XN8INM E.)<"Zw^܌Еq&rrgU*q`٦fuf}WFt$Ekk'͘4YoHel˕[3 Arpr[^V,xH?F.8|qBoBϏ+}eQ[>?: endstream endobj 132 0 obj <>stream HQK@Sc"t3⃭ >J'Pl` $M:ggAE 4 Vk *<ުNpx= 8::\A`G zXN,|qU7Fx4ı(t[iy<2܈P*v0zm \- U r"3)DC[9h|yV}mB>$'r}>"xT_jwA ]K!!y^%oJ%_ VZo)Ai7E!FePK9N]Jϩ,5;5)W)AKȶZCsLɌ#^If(0di1MVuUWܷEl 5Ta846g=b}70*rOGSOl 5L[t6{Bz)fw,dР-Drɞ [Abm9#gsSO9 endstream endobj 133 0 obj <>stream HK0W܃`Y~iEAa,P_enZ+s? yz&%9#Y+@ѳӫ 8@Ha$1X03 ӔvCvy=$+S!38uvVLEZ[{AF\F$\)H-j|pLge]wK⬤h fKQ`2 5gJ?pUHl^,[~fȓL?$I~8R8Go­ۢIH%Q@zpr·Bφqc{gh#jns:CUilzuQ>0) .hߗH fƏl0sq_,٢,n*Db\J|WL|mS< endstream endobj 134 0 obj <>stream HKo@|9`1Dmql}GK4,jA lٝ3e(A)"3Np ~B:v;r"^?8-p`2; .p0#}muf@- y|5@nXJZ [NV4 |eE^ >'GDQ?餉 W֞/O-a<[:>Μ;}e O'`Řxa%4JѪh:qL+1y6w06;\/S؀lIqH㯥} й (^0ny6%Z=0/y|m /z, v6[4+5UdV(֮in inyഁm 7[-N1Uw,5V$h^jЪ%\rpLjŸƿ endstream endobj 135 0 obj <>stream Hk0Wܣ]E:I mAYG{{2ҤuR5uR2#>՝$!T$xܣ'PNa!܋Kqs{ wO}0./^;Zj?C3-ʬ(m*9ʳ#ˑz϶٨,6;<:'įҪ"L榛Q?<+9r(iՔwbH . j˟zre=Ϋ@rz> 7Dte;Єn)CX̋d%5j>*Ijgk *d'sS~)? g96g20|q3E7ƍ2 cǞKcI&Go^FR&ؒi0^iL}ä endstream endobj 136 0 obj <>/Filter/FlateDecode/ID[<426259D72D326F4E9E00028F0DC0ABAF>]/Index[ 113 54]/Info 112 0 R /Length 89/Prev 15580/Root 114 0 R /Size 167/Type/XRef/W[ 1 2 1]>>stream hbbd``b`$AD"@j.&%J@@F1"@"LZ >w2012p20?'Q endstream endobj 137 0 obj <>/DA(/Helv 0 Tf 0 g )/DR<>/Font<>>>/Fields[ 139 0 R 143 0 R 144 0 R 146 0 R 147 0 R 149 0 R 150 0 R 152 0 R 153 0 R 142 0 R 145 0 R 148 0 R 151 0 R ]/SigFlags 0>> endobj 138 0 obj [ 139 0 R 142 0 R 143 0 R 144 0 R 145 0 R 146 0 R 147 0 R 148 0 R 149 0 R 150 0 R 151 0 R 152 0 R 153 0 R ] endobj 139 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 115 0 R /Rect[ 149.52 593.16 193.2 607.08]/Subtype/Widget/T(Please deduct)/TU(Please deduct)/Type/Annot/V(#.##)>> endobj 140 0 obj <> endobj 141 0 obj <> endobj 142 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/MK<<>>/P 115 0 R /Rect[ 142.56 509.28 232.44 523.2]/Subtype/Widget/T(Starting Date_es_:date)/TU(Starting Date)/Type/Annot/V(MM/DD/YYYY)>> endobj 143 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 115 0 R /Rect[ 72 454.44 280.08 482.4]/Subtype/Widget/T(Printed Name)/TU(Printed Name)/Type/Annot>> endobj 144 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 115 0 R /Rect[ 293.4 454.44 503.16 482.4]/Subtype/Widget/T(51 ID Number or SSN)/TU(51 ID Number or SSN)/Type/Annot>> endobj 145 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 115 0 R /Rect[ 293.4 412.44 503.16 440.4]/Subtype/Widget/T(Date_es_:date)/TU(Date)/Type/Annot>> endobj 146 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 115 0 R /Rect[ 403.44 278.16 447.36 292.08]/Subtype/Widget/T(I wish to change my Classified Senate Auxiliary contribution from)/TU(I wish to change my Classified Senate Auxiliary contribution from)/Type/Annot/V(#.##)>> endobj 147 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 115 0 R /Rect[ 474 278.16 517.92 292.08]/Subtype/Widget/T(to)/TU(to)/Type/Annot/V(#.##)>> endobj 148 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 115 0 R /Rect[ 142.56 250.2 232.44 264.12]/Subtype/Widget/T(Starting Date_2_es_:date)/TU(Starting Date)/Type/Annot/V(MM/DD/YYYY)>> endobj 149 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 115 0 R /Rect[ 72 197.16 280.08 225.12]/Subtype/Widget/T(Printed Name_2)/TU(Printed Name)/Type/Annot>> endobj 150 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 115 0 R /Rect[ 293.4 197.16 503.16 225.12]/Subtype/Widget/T(51 ID Number or SSN_2)/TU(51 ID Number or SSN)/Type/Annot>> endobj 151 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 115 0 R /Rect[ 293.4 155.16 503.16 183.12]/Subtype/Widget/T(Date_2_es_:date)/TU(Date)/Type/Annot>> endobj 152 0 obj <>/F 4/FT/Tx/MK<<>>/P 115 0 R /Rect[ 72 412.44 280.08 440.4]/Subtype/Widget/T(Signature1_es_:signer:signature)/Type/Annot>> endobj 153 0 obj <>/F 4/FT/Tx/MK<<>>/P 115 0 R /Rect[ 72 155.16 280.08 183.12]/Subtype/Widget/T(Signature2_es_:signer:signature)/Type/Annot>> endobj 154 0 obj <> endobj 155 0 obj <> endobj 156 0 obj [ 250 0 0 0 0 0 0 0 0 0 0 0 0 0 250 278 0 0 0 0 0 0 0 0 0 0 333 0 0 0 0 0 0 722 0 722 722 0 611 0 0 0 0 0 0 0 722 778 611 0 0 556 0 0 0 0 0 0 0 0 0 0 0 0 0 500 556 444 556 444 333 500 556 278 0 0 278 833 556 500 556 0 444 389 333 556 0 722 500 500] endobj 157 0 obj <> endobj 158 0 obj <> endobj 159 0 obj [ 250 0 0 0 500 0 0 0 0 0 0 0 0 0 250 0 0 0 0 0 0 0 0 0 0 0 278 0 0 0 0 0 0 722 0 667 722 0 0 0 0 333 0 0 0 0 722 0 556 0 0 556 0 0 0 0 0 0 0 0 0 0 0 0 0 444 500 444 500 444 333 500 500 278 0 500 278 778 500 500 500 0 333 389 278 500 500 722 500 500] endobj 160 0 obj <> endobj 161 0 obj <> endobj 162 0 obj [ 250] endobj 163 0 obj <> endobj 164 0 obj <> endobj 165 0 obj <> endobj 166 0 obj <>stream hb``e``ZJSP s`@P[BamP+f9_Yb= fa0n՚bd3@hT l P K endstream endobj 167 0 obj <>>>stream x+  endstream endobj 168 0 obj <> endobj 169 0 obj <>>>stream x+  endstream endobj 170 0 obj <> endobj xref 0 1 0000000000 65535 f 4 1 0000000017 00000 n 7 120 0000003707 00000 n 0000004009 00000 n 0000004088 00000 n 0000004215 00000 n 0000004239 00000 n 0000004280 00000 n 0000004534 00000 n 0000005036 00000 n 0000005109 00000 n 0000005182 00000 n 0000005255 00000 n 0000005328 00000 n 0000005400 00000 n 0000005472 00000 n 0000005544 00000 n 0000005616 00000 n 0000005688 00000 n 0000005760 00000 n 0000005833 00000 n 0000005906 00000 n 0000005980 00000 n 0000006054 00000 n 0000006128 00000 n 0000006202 00000 n 0000006276 00000 n 0000006350 00000 n 0000006424 00000 n 0000006498 00000 n 0000006572 00000 n 0000006646 00000 n 0000006720 00000 n 0000006793 00000 n 0000006867 00000 n 0000006941 00000 n 0000007015 00000 n 0000007088 00000 n 0000007161 00000 n 0000007234 00000 n 0000007307 00000 n 0000007380 00000 n 0000007453 00000 n 0000007526 00000 n 0000007599 00000 n 0000007672 00000 n 0000007745 00000 n 0000007818 00000 n 0000007891 00000 n 0000007964 00000 n 0000008037 00000 n 0000008110 00000 n 0000008183 00000 n 0000008256 00000 n 0000008330 00000 n 0000008403 00000 n 0000008476 00000 n 0000008549 00000 n 0000008622 00000 n 0000008695 00000 n 0000008768 00000 n 0000008841 00000 n 0000008915 00000 n 0000008988 00000 n 0000009061 00000 n 0000009139 00000 n 0000009217 00000 n 0000009295 00000 n 0000009373 00000 n 0000009451 00000 n 0000009767 00000 n 0000009837 00000 n 0000009907 00000 n 0000010013 00000 n 0000010108 00000 n 0000010211 00000 n 0000010306 00000 n 0000010409 00000 n 0000010488 00000 n 0000010567 00000 n 0000010646 00000 n 0000010725 00000 n 0000010804 00000 n 0000010891 00000 n 0000010970 00000 n 0000011049 00000 n 0000011128 00000 n 0000011207 00000 n 0000011286 00000 n 0000011365 00000 n 0000011471 00000 n 0000011569 00000 n 0000011675 00000 n 0000011773 00000 n 0000011878 00000 n 0000011957 00000 n 0000012037 00000 n 0000012117 00000 n 0000012197 00000 n 0000012277 00000 n 0000012365 00000 n 0000012445 00000 n 0000012525 00000 n 0000012605 00000 n 0000012685 00000 n 0000012765 00000 n 0000012845 00000 n 0000012905 00000 n 0000013095 00000 n 0000013178 00000 n 0000013324 00000 n 0000013708 00000 n 0000013936 00000 n 0000014240 00000 n 0000014441 00000 n 0000014642 00000 n 0000014846 00000 n 0000015074 00000 n 0000015302 00000 n 0000015535 00000 n 0000015736 00000 n 0000015937 00000 n 128 43 0000016141 00000 n 0000016656 00000 n 0000017191 00000 n 0000017780 00000 n 0000018297 00000 n 0000018854 00000 n 0000019336 00000 n 0000019868 00000 n 0000020496 00000 n 0000020853 00000 n 0000021132 00000 n 0000021272 00000 n 0000021526 00000 n 0000021622 00000 n 0000022819 00000 n 0000023095 00000 n 0000023335 00000 n 0000023618 00000 n 0000023854 00000 n 0000024213 00000 n 0000024443 00000 n 0000024714 00000 n 0000024957 00000 n 0000025243 00000 n 0000025482 00000 n 0000025644 00000 n 0000025807 00000 n 0000025867 00000 n 0000026109 00000 n 0000026378 00000 n 0000026553 00000 n 0000026790 00000 n 0000027061 00000 n 0000027231 00000 n 0000027483 00000 n 0000027510 00000 n 0000027690 00000 n 0000027768 00000 n 0000028965 00000 n 0000029170 00000 n 0000029328 00000 n 0000029367 00000 n 0000029525 00000 n trailer <]>> startxref 29564 %%EOF