ࡱ> ) ?bjbj 4Hdddd +++++???8w$?('5555iDa\'''''''E*,v']+ii'++554U(:+5+5''Vn%@2&5P~ % 'k(0(%xq-q-2&q-+2&''(q- : UTHSC INITIAL APPROVAL FORM For recruitment to fill a faculty position with full or partially funded UT salary This form must be completed and submitted to the Dean s office for approval POSITION INFORMATION Hiring Unit/Department:  FORMTEXT       College:  FORMTEXT       Division:  FORMTEXT       Contact Person:  FORMTEXT       Phone:  FORMTEXT       New/Replacement:  FORMDROPDOWN  Position #:  FORMTEXT       Taleo Tracking #:  FORMTEXT       Part-time/Full-time:  FORMDROPDOWN  Tenure Status:  FORMDROPDOWN  Academic Rank:  FORMDROPDOWN  If replacement, who last held position:  FORMTEXT       Area of Primary Duties:  FORMTEXT       Does this position have any paid affiliation with a partner hospital or institution?  FORMDROPDOWN  If yes, Select Practice Plan  FORMDROPDOWN  Proposed percent effort allocation: Education  FORMTEXT      % Research  FORMTEXT      % Clinical  FORMTEXT      % Institutional Svc  FORMTEXT      % COMPENSATION INFORMATION Breakdown of Compensation: Detail Source Amount (Name & Account #) UT State  FORMTEXT        FORMTEXT       UT Other (grants, etc.)  FORMTEXT        FORMTEXT       UT Additional (Endowed Chair)  FORMTEXT        FORMTEXT       Practice Plan  FORMTEXT        FORMTEXT       External  FORMTEXT        FORMTEXT       Start-Up RECRUITMENT ADVERTISEMENT PLAN 1. If a tenure-track faculty search, note the 68 0 2 B Z \ t v x z ￯n\M>hvhyCJOJQJaJhvh/mCJOJQJaJ"hvhy5>*CJOJQJaJ"hvh/m5>*CJOJQJaJh|-5>*CJOJQJaJh|-h6CJOJQJaJh|-h{}46CJOJQJaJh|-hGi6CJOJQJaJh|-hy6CJOJQJaJhvhG 05CJOJQJaJhvh{}45CJOJQJaJhvhy5CJOJQJaJ8x z | ~ : < B F  gd-gdv gd7) gd' ]gd7)]gdygdy$a$gdv$a$gdG 0$a$gd{}4    & ( * 4 6 : > @ T ͽ͓̈́ͽl͓]NhvhZgCJOJQJaJhvhttCJOJQJaJ.jthvh_G>*CJOJQJUaJhvh'CJOJQJaJ"jh|->*CJOJQJUaJ.jhvh_G>*CJOJQJUaJhvh7)>*CJOJQJaJ(jhvh7)>*CJOJQJUaJhvhyCJOJQJaJhvhCJOJQJaJT V j l n x z | ~ 뢓u`P8`.j\hvh_G>*CJOJQJUaJhvh7)>*CJOJQJaJ(jhvh7)>*CJOJQJUaJhvhCJOJQJaJhvhyCJOJQJaJhvhZgCJOJQJaJhvh;-1CJOJQJaJ"jh^>*CJOJQJUaJ.jhvhZg>*CJOJQJUaJhvhZg>*CJOJQJaJ(jhvhZg>*CJOJQJUaJ   " > @ Г{вlWG/.jDhvh/>*CJOJQJUaJhvhb>*CJOJQJaJ(jhvhb>*CJOJQJUaJhvh7)CJOJQJaJ.jhvh_G>*CJOJQJUaJhvh7)>*CJOJQJaJhvhCJOJQJaJhvhyCJOJQJaJhvh'CJOJQJaJ(jhvh7)>*CJOJQJUaJ3jhvh7)>*CJOJQJUaJmHnHu@ B D F H X \ ^ ` b v x z ;ͣoW=-ܲhvh'>*CJOJQJaJ3jhvh7)>*CJOJQJUaJmHnHu.jhvh_G>*CJOJQJUaJhvh7)>*CJOJQJaJ(jhvh7)>*CJOJQJUaJhvh7)CJOJQJaJhvhCJOJQJaJhV%CJOJQJaJhvhttCJOJQJaJhvh;-1CJOJQJaJhvh'CJOJQJaJ(jhvhb>*CJOJQJUaJ    4 6 8 Z \ x z | Жo]P;](jvhhW>*CJOJQJUaJhxO >*CJOJQJaJ"jhxO >*CJOJQJUaJ.jhvh'>*CJOJQJUaJhvhyCJOJQJaJ"jhhW>*CJOJQJUaJ.jXhvh'>*CJOJQJUaJhvh'>*CJOJQJaJ(jhvh'>*CJOJQJUaJhvh'CJOJQJaJh7CJOJQJaJ    . 0 2 < > @ B D zbH9*hvhR3CJOJQJaJhvh-CJOJQJaJ3jhvh7)>*CJOJQJUaJmHnHu.jfhvh_G>*CJOJQJUaJhvh7)>*CJOJQJaJ(jhvh7)>*CJOJQJUaJhvh5CJOJQJaJhvhyCJOJQJaJhvh'CJOJQJaJ(jbhxO >*CJOJQJUaJhxO >*CJOJQJaJ"jhxO >*CJOJQJUaJD r t v x JLhjlnpӾ|iSiD5hvh;-1CJOJQJaJhvhttCJOJQJaJ+jNhvh_GCJOJQJUaJ%jhvha7CJOJQJUaJ3jhvha7>*CJOJQJUaJmHnHu.jhvh_G>*CJOJQJUaJhvha7>*CJOJQJaJ(jhvha7>*CJOJQJUaJhvha7CJOJQJaJhvhCJOJQJaJhvhyCJOJQJaJ np*0bdtRdh67*8"9:^gdv & Fgdvgdv @ gda7gd{}4 Ogdbgdy,.0DFHRTlnzbH3(jhvha7>*CJOJQJUaJ3jhvhtt>*CJOJQJUaJmHnHu.jZ hvhtt>*CJOJQJUaJhvhtt>*CJOJQJaJ(jhvhtt>*CJOJQJUaJhvhttCJOJQJaJhvhC:CJOJQJaJhvhyCJOJQJaJ(jh) >*CJOJQJUaJh) >*CJOJQJaJ"jh) >*CJOJQJUaJn¨™ueMu3uue3jhvhtt>*CJOJQJUaJmHnHu.jF hvhtt>*CJOJQJUaJhvhtt>*CJOJQJaJ(jhvhtt>*CJOJQJUaJhvhttCJOJQJaJhvhyCJOJQJaJ3jhvha7>*CJOJQJUaJmHnHu(jhvha7>*CJOJQJUaJ.j hvh_G>*CJOJQJUaJhvha7>*CJOJQJaJ (0`bdӹӪwhXhII:I:hhvhR3CJOJQJaJhvh;-1CJOJQJaJhvh{}4>*CJOJQJaJhvh{}4CJOJQJaJ"hvh{}45>*CJOJQJaJ"hvh/m5>*CJOJQJaJhvhyCJOJQJaJhvhttCJOJQJaJ3jhvhtt>*CJOJQJUaJmHnHu(jhvhtt>*CJOJQJUaJ.j hvhtt>*CJOJQJUaJ$&:<>HJLNbdfpr̴ܚ̂ܚs[ܚsC.j hvh_G>*CJOJQJUaJ.j hvh_G>*CJOJQJUaJhvh{}4CJOJQJaJ.j hvh_G>*CJOJQJUaJ3jhvha7>*CJOJQJUaJmHnHu.j2 hvh_G>*CJOJQJUaJhvha7>*CJOJQJaJ(jhvha7>*CJOJQJUaJhvha7CJOJQJaJ024HJLVXZ\prt~ЄlЄTEЄhvh;-1CJOJQJaJ.j hvh_G>*CJOJQJUaJ.j hvh_G>*CJOJQJUaJhvha7>*CJOJQJaJhvh5CJOJQJaJhvha7CJOJQJaJhvhttCJOJQJaJhvh{}4CJOJQJaJ(jhvha7>*CJOJQJUaJ3jhvha7>*CJOJQJUaJmHnHu&(*,@BDNPӹӪӚӹӪӚjӹӪӚRӹ.jXhvh_G>*CJOJQJUaJ.jhvh_G>*CJOJQJUaJ.jlhvh_G>*CJOJQJUaJhvha7>*CJOJQJaJhvh{}4CJOJQJaJ3jhvha7>*CJOJQJUaJmHnHu(jhvha7>*CJOJQJUaJ.j hvh_G>*䴳ϴ6.66666"99::::<~oo`Q`QAQhlph 5CJOJQJaJhlph CJOJQJaJhlphd{CJOJQJaJhlph{\CJOJQJaJhvh{\5CJOJQJaJUhvh/m5CJOJQJaJhlph/mCJOJQJaJ"hvh/m5>*CJOJQJaJhvh;-15CJOJQJaJhvh{}4CJOJQJaJhvh5CJOJQJaJhvh{}4>*CJOJQJaJ following: 2. On the Narrative Summary prepared for OED, you must provide National search advertisement posted for four (4) names of advertising sources and dates the advertisement ran: Weeks is required a. General advertising sources  include at least 2 One advertisement must be a printed advertisement b. Discipline-specific advertising sources  include at least 2 Use of a search committee is expected c. List of professional organizations, committees, websites, e-mail list, mass mailings, and referral sources-include all Request for Exception: With justification, an exception may be granted to post for a minimum of 10 days in 1 general source and either The Human Resources website or higheredjobs.com website. If requesting an exception, provide justification: List exception general ad source:  FORMTEXT       List website ad source:  FORMTEXT       APPROVALS: Department Chair ____________________________ Date _________________________ Dean ______________________________________ Date _________________________ ATTACH A COPY OF AD TO BE POSTED Form History: Initial 11/10/06 | Revised 8/16/10 | Revised 4/4/18     :::;*<<<\=^=t=v=>>>>>z?~????????? ]gd+gd+gd gdv^gdv<<<<<<<=4=6=J=L=N=X=Z=\=^=r=t==뚋sgUE6hvh+CJOJQJaJhvh+>*CJOJQJaJ"hvh+5>*CJOJQJaJh+CJOJQJaJ.jDh h >*CJOJQJUaJh h CJOJQJaJhlph CJOJQJaJ3jh h >*CJOJQJUaJmHnHu.jh h >*CJOJQJUaJh h >*CJOJQJaJ(jh h >*CJOJQJUaJ==>>p>r>>>>x?z?|?????????³h+XMjh+XMUhvhyCJOJQJaJhvh+CJOJQJaJhvh+5CJOJQJaJhvh+5CJOJQJaJhvh+CJOJQJaJhlph+CJOJQJaJ??gdv21h:pv/ =!"#$% tDText1tDText2tDText1tDText3tDText5Df Dropdown6New ReplacementtDText7vDText37Df Dropdown2 Part-time Full-timeD Dropdown4 Tenure-TrackNon Tenure-TrackNot Eligible for TenureDf Dropdown3 InstructorAssistant ProfessorAssociate ProfessorFull ProfessortDText8tDText9Df Dropdown5yesno~DfNoneUT LeBonheur Specialists (ULPS)UT Methodist Physicians (UTMP)"UT Regional One Physicians (UTROP) University Clinical Health (UCH)vDText14vDText13vDText15vDText11vDText18vDText19vDText20vDText21vDText22vDText23vDText24vDText25vDText26vDText27vDText19vDText19w2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@6666_HmH nH sH tH @`@ yNormalCJ_HaJmH sH tH DA D Default Paragraph FontViV  Table Normal :V 44 la (k (No List 44 yHeader  !HH   Balloon TextCJOJQJ^JaJ4 4 GiFooter  !PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VGRU1a$N% ʣꂣKЛjVkUDRKQj/dR*SxMPsʧJ5$4vq^WCʽ D{>̳`3REB=꽻Ut Qy@֐\.X7<:+& 0h @>nƭBVqu ѡ{5kP?O&Cנ Aw0kPo۵(h[5($=CVs]mY2zw`nKDC]j%KXK 'P@$I=Y%C%gx'$!V(ekڤք'Qt!x7xbJ7 o߼W_y|nʒ;Fido/_1z/L?>o_;9:33`=—S,FĔ觑@)R8elmEv|!ո/,Ә%qh|'1:`ij.̳u'k CZ^WcK0'E8S߱sˮdΙ`K}A"NșM1I/AeހQתGF@A~eh-QR9C 5 ~d"9 0exp<^!͸~J7䒜t L䈝c\)Ic8E&]Sf~@Aw?'r3Ȱ&2@7k}̬naWJ}N1XGVh`L%Z`=`VKb*X=z%"sI<&n| .qc:?7/N<Z*`]u-]e|aѸ¾|mH{m3CԚ .ÕnAr)[;-ݑ$$`:Ʊ>NVl%kv:Ns _OuCX=mO4m's߸d|0n;pt2e}:zOrgI( 'B='8\L`"Ǚ 4F+8JI$rՑVLvVxNN";fVYx-,JfV<+k>hP!aLfh:HHX WQXt,:JU{,Z BpB)sֻڙӇiE4(=U\.O. +x"aMB[F7x"ytѫиK-zz>F>75eo5C9Z%c7ܼ%6M2ˊ 9B" N "1(IzZ~>Yr]H+9pd\4n(Kg\V$=]B,lוDA=eX)Ly5ot e㈮bW3gp : j$/g*QjZTa!e9#i5*j5ö fE`514g{7vnO(^ ,j~V9;kvv"adV݊oTAn7jah+y^@ARhW.GMuO "/e5[s󿬅`Z'WfPt~f}kA'0z|>ܙ|Uw{@՘tAm'`4T֠2j ۣhvWwA9 ZNU+Awvhv36V`^PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!g theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] H  T @ D nP<=? !" :??  #*6<O[ajv| -=Qa%5Ue %+-9?O[acouk w } FFFFFS$FFS$S S FFS$S FFFFFFFFFFFFFFFF@ @H 0(  0(  B S  ?Text1Text2Text3Text5 Dropdown6Text7 Dropdown4 Dropdown3Text8Text9 Dropdown5Text13Text18Text19Text20Text21Text22Text23Text24Text25Text26Text27Ok.R%-Oc  b}>b6,@bv  37<->Qb@@UfY Y 7<->Qb@@UfY Y @+*Ƽ|A)_h*! Xm|bQh ^`hH.h ^`hH.h pL^p`LhH.h @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PL^P`LhH.h^h`o(. 8^8`hH. L^`LhH.  ^ `hH.  ^ `hH. xL^x`LhH. H^H`hH. ^`hH. L^`LhH.h ^`hH.h ^`hH.h pL^p`LhH.h @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PL^P`LhH.A)_@+ Xm                           felp(xO IPk 7t^"'@(7)|-G 0 0Ec0;-1]1R3{}4j"7a7/c@j@zEBK+XM-KO]P2RXSJWhWx\X{\eZgVh0i-jUl/mtt?vO z4z46LR3R\5i*gzb s=)#vC:+_G!L<Z'/r/5Z:7sVD% V%-|0^ yWacGi) ~JX+]{#Vd{ @X hh h hhhh6UnknownG.[x Times New Roman5Symbol3. .[x Arial7.*{$ Calibri5. .[`)TahomaC.,*{$ Calibri LightA$BCambria Math"1 h"e6suG6suG# # 5}!4 3QHP?y*!xxr| UTHSCSharon RichardsonWilkinson, Donna   Oh+'0hp   @ L X dpxUTHSCSharon Richardson Normal.dotmWilkinson, Donna6Microsoft Office Word@0@j~ @^ܫ@j~ # GnVT$m' W7  !1.@"Calibri--- 2 >L0 UTHSC    2 >u0   +2 >x0 INITIAL APPROVAL FORM        2 >0    J2 P*0 For recruitment to fill a faculty position   2 P0   2 P0 with ful  :2 P0 l or partially funded UT salary   2 P0   @"Calibri--- &2 b0 This form must be    .2 b80 completed and submitted    2 b0   2 b0 to the D  2 b 0 eans office  2 bH0   2 bJ 0 for approval  2 b0    2 b0   @"Calibri---  2 s`0    )2 `0 POSITION INFORMATION        2 0  @ Calibri---- @ !`- @"Calibri---  2 `0   @"Calibri--- ,2 `0 Hiring Unit/Department   2 0 :  2 0    2 0    2 0    2 0    2 0    2 0    2 0    2 0 C 2 0 ollege  2 0 :  2 0    2 0    2 0    2 0    2 0    2 0    2 0    2 0   2 0    2 0  ' 2 @ 0 Division:   2 s0    2 y0    2 0    2 0    2 0    2 0  @ Calibri---- @ !-- @ !-- @ !s-  0''---  2 `0    0''  2 `0 Contact Person  2 0 :  2 0    2 0    2 0    2 0    2 0    2 0    2 0   2 0 Phone  2 0 :  2 0    2 0    2 0    2 0    2 0    2 0    2 0  - @ !-- @ !-  0''---  2 `0    "2 `0 New/Replacement    2 0 :  2 0    0  02 0 New  '' @ Calibri--@"Calibri- - - @ Calibri- - - - @ !- ---  2 0    2 0    2 0  - 2 0 Position  2 0    2 0 #  2 0 :  2 0    2 0    2 0    2 0    2 0    2 0    2 0   2  0    2 .0 Taleo Tracking  2 ~0    2 0 # 2 0 :   2 0    2 0    2 0    2 0    2 0    2 0    2 0  - @ !$- - @ !-   0''---  2 `0    0'' 2 `0 Part  2 w0 - 2 {0 time/  2 0 Full  2 0 - 2 0 time:   2 0    0  02  0 Part-time  ''- @ !3- ---  2 0  - @ !-   0''---  2 `0    0'' "2 $`0 Tenure Status:   0  0.2 $0 Not Eligible for Tenure ''- @ !z%- ---  2 $,0  $  2 $P0  0  2 $0  0  2 $0  0 "2 $0 Academic Rank:    0  02 $9 0 Instructor ''- @ !7%9- ---  2 $n0     2 4`0    F2 E`'0 If replacement, who last held position:    2 E20    2 E40    2 E:0    2 E@0    2 EF0    2 EL0    2 ER0  .  2 E0  - @ !F4-   0''---  2 U`0  0  2 U0    ,2 e`0 Area of Primary Duties   2 e0 :  2 e0    2 e0    2 e0    2 e0    2 e0    2 e0    2 e0  - @ !f-  ---  2 v`0    S2 `00 Does this position have any paid affiliation wit  C2 [%0 h a partner hospital or institution?   0  02 0 yes ''---  2 +0     2 `0    2 `0 If yes,  +2 0 Select Practice Plan   0  02 0 None ''- @ !- ---  2  0     2 `0    2 ` 0 Proposed  22 0 percent effort allocation: 2 !0   2 & 0 Education  2 ]0    2 _0    2 e0    2 k0    2 q0    2 w0   2 } 0 % Research   2 0    2 0    2 0    2 0    2 0   2 0 %   2 0   2 0 Clinical  2 0    2 0    2 %0    2 +0    2 10    2 70   +2 =0 % Institutional Svc   2 0    2 0    2 0    2 0    2 0   2 0 %   2 0  - @ !_- - @ !- - @ !- - @ !-   0''---  2 `0    2 T0    2 0    0''--- /2 `0 COMPENSATION INFORMATION         2 0  - @ !`-  ---  2 `0    22 `0 Breakdown of Compensation:    2 0   2   0 Detail Source  2 h0    2 0  0  2 0  0 2 0 Amount   2  0  - @ ! `-  ---  2 `0  0  2 0  0  2 0  0 2 0    2 0 ( 2  0 Name &    2 < 0 Account #) 2 u0    2 0    2 )` 0 UT State   2 )0    2 ) 0    2 )&0    2 ),0    2 )20    2 )80    2 )>0    2 )0    2 )0    2 )0    2 )0    2 )0    2 )0  - @ !* - - @ !*-   0''--- /2 9`0 UT Other (grants, etc.)    2 90  D  2 9 0    2 9&0    2 9,0    2 920    2 980    2 9>0    2 90    2 90    2 90    2 90    2 90    2 90  - @ !: - - @ !:-   0''--- 2 I`0 UT Ad 2 I0 ditional  2 I0   "2 I0 (Endowed Chair)   2 I 0    2 I 0    2 I&0    2 I,0    2 I20    2 I80    2 I>0    2 I0    2 I0    2 I0    2 I0    2 I0    2 I0  - @ !J - - @ !J-   0''--- 2 Y` 0 Practice Plan  2 Y0  x  2 Y 0    2 Y&0    2 Y,0    2 Y20    2 Y80    2 Y>0    2 Y0    2 Y0    2 Y0    2 Y0    2 Y0    2 Y0  - @ !Z - - @ !Z-   0''--- 2 j` 0 External   2 j0    2 j 0    2 j&0    2 j,0    2 j20    2 j80    2 j>0    2 j0    2 j0    2 j0    2 j0    2 j0    2 j0  - @ !k - - @ !k-   0''--- 2 z`0 Start  2 zz0 - 2 z~0 Up  2 z0    0''---@"Calibri- - - ---  2 `0  0- - -   2 0   --------- 82 `0 RECRUITMENT ADVERTISEMENT PLAN     ---  2 40  - @ !`-  ---- - - ---- - - ---- - - ---- - - --- 2 `0 1. If a - - -  2 0 tenure  2 0 - )2 0 track faculty search--- 2  0 , note the  2 60   2 8 0 following:  2 i0    2 0  0 2  0 2. On the - - -  ,2 0 Narrative Summary prep  2 Z 0 ared for OED--- &2 0 , you must provide   2 0   @"Arial- - - --- 2 x0 a.- - -   2 0  --- U2 10 National search advertisement posted for four (4)   2 0  + 2 0   g2 =0 names of advertising sources and dates the advertisement ran:    2 0    %2 0 Weeks is required   2 0    2 0  0  2  0  0  2 P0  0  2 0  0 2  0   :2 0 a. General advertising sources   2 c0   2 i0   &2 k0 include at least 2  2 0   --- 2 x0 b.- - -   2 0  --- U2 10 One advertisement must be a printed advertisement     2 0   2  0   2  0 b. Discipline  2  0 - 72  0 specific advertising sources   2 0   2 0   &2 0 include at least 2  2 0   --- 2 x0 c.- - -   2 0  --- C2 %0 Use of a search committee is expected   2 O0    2 P0  0  2 0  0 2  0   2 0 c. 2 0   a2 90 List of professional organizations, committees, websites,    2 0     2 0  0  2 0  0  2 0  0  2  0  0  2 P0  0  2 0  0 #2 0    2 0 e  2 0 - P2 .0 mail list, mass mailings, and referral sources     2 0 - 2  0 include all  2 0     2 `0   - - - ---- - - ---- - -  .2 `0 Request for Exception: --- 2 o0 With justification, an exception may be granted to post for a minimum of 10 days in 1 general source and either       2 0    A2 `$0 The Human Resources website or highe   )2 $0 redjobs.com website.    2 0    V2 ,`20 If requesting an exception, provide justification:  2 ,L0     2 :`0   --------------- >2 J`"0 List exception general ad source: ---  2 J0    2 J 0    2 J0    2 J0    2 J0  ---  2 J#0    2 J&0  *  2 JP0  0  2 J0  0 /2 J0 List website ad source:  ---  2 J$0    2 J*0    2 J00    2 J60    2 J<0  ---  2 JB0  - @ !K- - @ !K$-  ---  2 [`0   --------- 2 k` 0 APPROVALS: ---  2 k0  - @ !Fl`-  ---  2 {`0    O2 `-0 Department Chair ____________________________   2 y0    2 0  0 ,2 0 Date _________________ 2 9 0 ________   2 v0    0''  2 `0    0''  2 `0    0'' L2 `+0 Dean ______________________________________  2 w0    2 0  0 82 0 Date _________________________  2 n0    0''  2 `0    0''---- - - @"Calibri- - - - - - --- ;2 ` 0 ATTACH A COPY OF AD TO BE POSTED      2 /0  !- - -   2 P0  0- - -  m2 A0 Form History: Initial 11/10/06 | Revised 8/16/10 | Revised 4/4/18 ---  2 0   "System0 0 l--  00//.. {R ՜.+,0 hp  UTHSC  UTHSC Title  !"#$&'()*+,-/0123456789:;<=>?@ABCDFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}Root Entry Fp~ @Data %1Table.-WordDocument 4HSummaryInformation(EpDocumentSummaryInformation8~MsoDataStoreT~ P~ BZZGKWC==2T~ P~ Item  PropertiesUCompObj r   F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q