DSHS Form 14-436 "Statement of Adult Acting in Loco Parentis (As a Parent)" - Washington (Korean)

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CLßcJ®dl dksLß tJ∂dLßR] gKå¬p tkSM ß dkEH ∂ EM ƒ DM ƒ DN l gKß (
TANF/SFA)
TANF/SFA FOR CHILDREN LIVING WITH UNRELATED ADULTS
QnahFM ƒ eotLß
gkSM ß tJ∂dLßd; wLßTN ƒ tj
(AS A PARENT)
Statement of Adult Acting in Loco Parentis (as a Parent)
A A A A K K K K ß ß ß ß d d d d L L L L ƒ ƒ ƒ ƒ
R R R R l l N N l l N N g g g g k k k k r r r r k k k k
R R R R l l N N l l N N g g g g k k k k d d d d ] ] ] ]
c c c c L L L L ß ß ß ß c c c c J J J J ® ® ® ® d d d d l l l l
d d d d k k k k s s s s L L L L ß ß ß ß
d d d d j j j j f f f f u u u u D D D D ß ß N N ß ß N N
g g g g U U U U ∂ ∂ ∂ ∂ v v v v U U U U ß ß ß ß d d d d ; ; ; ;
d d d d k k k k d d d d l l l l F F F F ƒ ƒ M M ƒ ƒ M M
E E E E ƒ ƒ H H ƒ ƒ H H q q q q h h h h R R R R h h h h
d d d d L L L L ∫ ∫ ∫ ∫ R R R R h h h h
d d d d l l l l
d d d d k k k k d d d d l l l l F F F F ƒ ƒ M M ƒ ƒ M M
D D D D l l N N l l N N g g g g o o o o
q q q q J J J J œ œ œ œ w w w w J J J J ∂ ∂ ∂ ∂ d d d d l l l l
R R R R l l N N l l N N g g g g k k k k d d d d p p p p r r r r p p p p
G G G G n n n n r r r r U U U U ß ß ß ß w w w w k k k k
R R R R | | | | ß ß ß ß f f f f l l l l F F F F ƒ ƒ M M ƒ ƒ M M
a a a a U U U U ∂ ∂ ∂ ∂ f f f f U U U U ∂ ∂ ∂ ∂ g g g g k k k k w w w w l l l l
d d d d K K K K µ µ µ µ d d d d K K K K ∫ ∫ ∫ ∫ d d d d m m m m a a a a U U U U ß ß ß ß
d d d d l l l l
d d d d I I I I ∂ ∂ ∂ ∂ t t t t L L L L ® ® ® ® D D D D ƒ ƒ M M ƒ ƒ M M
w w w w K K K K ® ® ® ® t t t t J J J J ∂ ∂ ∂ ∂ g g g g k k k k t t t t p p p p d d d d y y y y . . . .
W W W W p p p p 1 1 1 1 g g g g K K K K ∂ ∂ ∂ ∂ . . . . R R R R l l l l R R R R } } } } ß ß ß ß w w w w J J J J ∂ ∂ ∂ ∂ q q q q h h h h ( ( ( ( r r r r l l l l R R R R } } } } ß ß ß ß d d d d ; ; ; ; w w w w L L L L ® ® ® ® D D D D | | | | ß ß ß ß a a a a K K K K ß ß ß ß r r r r l l l l F F F F H H H H ® ® ® ® g g g g k k k k t t t t p p p p d d d d y y y y . . . . ) ) ) )
SECTION 1. AGENCY INFORMATION (COMPLETED BY AGENCY STAFF ONLY)
3. UNRELATED ADULT'S CLIENT ID NUMBER
1. COMMUNITY SERVICES OFFICE (CSO)
2. CASE MANAGER NAME
w w w w p p p p 2 2 2 2 g g g g K K K K ∂ ∂ ∂ ∂ . . . . D D D D k k k k E E E E H H H H ∂ ∂ ∂ ∂ D D D D M M M M ƒ ƒ ƒ ƒ E E E E H H H H ƒ ƒ ƒ ƒ q q q q h h h h S S S S M M M M ß ß ß ß t t t t J J J J ∂ ∂ ∂ ∂ d d d d L L L L ß ß ß ß d d d d p p p p R R R R } } } } ß ß ß ß g g g g K K K K ß ß ß ß w w w w J J J J ∂ ∂ ∂ ∂ q q q q h h h h ( ( ( ( w w w w J J J J ∂ ∂ ∂ ∂ w w w w k k k k f f f f h h h h r r r r l l l l F F F F H H H H ® ® ® ® g g g g k k k k t t t t p p p p d d d d y y y y . . . . ) ) ) )
tJ∂
DlFM å
WN ∂ rKß dI®wk
WJßg] qJßgh(wldU®qJßgh vhgKå)
4.
5.
6.
7.
(
)
gUß Wnth(qJßwl, tl, RmflRh DnvUßqJßgh)
WJß Wnth(qJßwl, tl, RmflRh DnvUßqJßgh)
8.
9.
wp 3gK∂. Dkdld; Qnahdp eogKß wJ∂qh(wJ∂wkfh rlFH ® gktpdy.)
dkdl dJåak dlFM å
DJåak wJßg] qJßgh
Djåakd; gUß Wnth, ˚hSM ß dKƒfuwLß akwlaK® Wnth
10.
11.
12.
(
)
dkdl dkqjwl dlFM å
Dkqjwl wJßg] qJßgh
Dkqjwl gUß Wnth, ˚hSM ß dKƒfuwLß akwlaK® Wnth
13.
14.
15.
(
)
w w w w p p p p 4 4 4 4 g g g g K K K K ∂ ∂ ∂ ∂ . . . . D D D D k k k k d d d d l l l l d d d d ] ] ] ] R R R R N N N N l l l l g g g g k k k k d d d d ; ; ; ; R R R R } } } } ß ß ß ß r r r r [ [ [ [ d d d d p p p p e e e e o o o o g g g g K K K K ß ß ß ß w w w w J J J J ∂ ∂ ∂ ∂ q q q q h h h h ( ( ( ( w w w w J J J J ∂ ∂ ∂ ∂ w w w w k k k k f f f f h h h h r r r r l l l l F F F F H H H H ® ® ® ® g g g g k k k k t t t t p p p p d d d d y y y y . . . . ) ) ) )
R R R R N N N N l l l l g g g g k k k k S S S S M M M M ß ß ß ß d d d d l l l l d d d d k k k k d d d d l l l l d d d d ; ; ; ; Q Q Q Q n n n n a a a a h h h h f f f f h h h h Q Q Q Q n n n n x x x x j j j j d d d d k k k k d d d d l l l l F F F F M M M M ƒ ƒ ƒ ƒ E E E E H H H H ƒ ƒ ƒ ƒ Q Q Q Q H H H H ƒ ƒ ƒ ƒ g g g g j j j j f f f f K K K K ® ® ® ® D D D D M M M M ƒ ƒ ƒ ƒ q q q q K K K K ´ ´ ´ ´ d d d d K K K K ∫ ∫ ∫ ∫ T T T T M M M M œ œ œ œ s s s s l l l l ¬ ¬ ¬ ¬ k k k k æ æ æ æ
d[
dksldh, d[dlaUß tjaUßdmfh e/dJ∫skdyæ
d[
dksldh
16.
dkdlrk dj˚J©rp RN l gkd] gKå¬p tKƒrp e/dJ∫SM ß wl tJƒaU∂gktpdy.
17.
R R R R N N N N l l l l g g g g k k k k S S S S M M M M ß ß ß ß d d d d l l l l d d d d k k k k d d d d l l l l r r r r k k k k d d d d J J J J ƒ ƒ ƒ ƒ a a a a k k k k s s s s k k k k R R R R N N N N l l l l g g g g k k k k d d d d ] ] ] ] g g g g K K K K å å å å ¬ ¬ ¬ ¬ p p p p t t t t K K K K ƒ ƒ ƒ ƒ r r r r J J J J † † † † d d d d l l l l f f f f k k k k R R R R h h h h r r r r l l l l e e e e o o o o g g g g k k k k t t t t p p p p d d d d y y y y æ æ æ æ
18.
___________________
RN N N N l l l l g g g g k k k k S S S S M M M M ß ß ß ß q q q q J J J J œ œ œ œ w w w w J J J J ® ® ® ® d d d d I I I I ∂ ∂ ∂ ∂ D D D D B B B B ® ® ® ® R R R R | | | | ß ß ß ß d d d d l l l l s s s s k k k k G G G G n n n n r r r r U U U U ß ß ß ß d d d d L L L L ß ß ß ß R R R R | | | | ß ß ß ß D D D D M M M M ƒ ƒ ƒ ƒ d d d d J J J J ´ ´ ´ ´ R R R R h h h h w w w w k k k k g g g g k k k k t t t t L L L L œ œ œ œ s s s s l l l l ¬ ¬ ¬ ¬ k k k k æ æ æ æ
19.
d d d d [ [ [ [
d d d d k k k k s s s s l l l l d d d d h h h h
w w w w p p p p 5 5 5 5 g g g g K K K K ∂ ∂ ∂ ∂ . . . . D D D D k k k k d d d d l l l l F F F F M M M M ƒ ƒ ƒ ƒ E E E E H H H H ƒ ƒ ƒ ƒ q q q q h h h h S S S S M M M M ß ß ß ß d d d d L L L L ƒ ƒ ƒ ƒ R R R R ] ] ] ] R R R R } } } } ß ß ß ß f f f f l l l l g g g g k k k k S S S S M M M M ß ß ß ß d d d d L L L L ƒ ƒ ƒ ƒ d d d d p p p p e e e e o o o o g g g g K K K K ß ß ß ß w w w w J J J J ∂ ∂ ∂ ∂ q q q q h h h h
E E E E k k k k D D D D M M M M å å å å d d d d ; ; ; ; r r r r U U U U ∂ ∂ ∂ ∂ D D D D n n n n d d d d p p p p D D D D n n n n f f f f l l l l S S S S M M M M ß ß ß ß R R R R N N N N l l l l g g g g k k k k r r r r k k k k Q Q Q Q n n n n a a a a h h h h F F F F M M M M ƒ ƒ ƒ ƒ e e e e o o o o t t t t L L L L ß ß ß ß g g g g k k k k S S S S M M M M ß ß ß ß r r r r J J J J † † † † d d d d m m m m f f f f h h h h r r r r K K K K ß ß ß ß W W W W n n n n g g g g K K K K œ œ œ œ s s s s l l l l e e e e k k k k . . . .
" In loco parentis
" fkSM ß ^M † DM ß Qnah wkfldptj, ˚hSM ß QnahFM ƒ eotLßgkdu fkSM ß ^M † dLœslek.
dkdld; Qnahrk dJ≥DM ƒ ˚o,
QhtkQnrk RN l gkFM ƒ QnahFM ƒ eotLßgKßekRh vKßeKßgkrl DN L gkdu, RN l gkSM ß d;ehwJ®dmfh
RN l gkrk qJœwJ® GnrUßdLßdlsk dI∂DB ® dLßdl dksLƒ ˚o, RmflRh
Qnahd; d;AnFM ƒ TngO∂gkdudi gKœslek.
RN l gkrk dkdlFM ƒ aodLƒ EH ƒ qhRh R}ßflgKƒ ˚o.
d d d d k k k k f f f f o o o o S S S S M M M M ß ß ß ß Q Q Q Q n n n n a a a a h h h h F F F F M M M M ƒ ƒ ƒ ƒ e e e e o o o o t t t t L L L L ß ß ß ß g g g g k k k k S S S S M M M M ß ß ß ß t t t t J J J J ∂ ∂ ∂ ∂ d d d d L L L L ß ß ß ß d d d d l l l l g g g g k k k k r r r r p p p p E E E E ? ? ? ? ƒ ƒ ƒ ƒ d d d d ; ; ; ; A A A A n n n n d d d d ; ; ; ; d d d d [ [ [ [ E E E E M M M M ƒ ƒ ƒ ƒ d d d d L L L L œ œ œ œ s s s s l l l l e e e e k k k k . . . .
D D D D l l l l d d d d I I I I ∂ ∂ ∂ ∂ t t t t L L L L ® ® ® ® d d d d p p p p t t t t j j j j a a a a U U U U ∂ ∂ ∂ ∂ g g g g K K K K å å å å d d d d m m m m f f f f h h h h , , , , R R R R N N N N l l l l g g g g k k k k S S S S M M M M ß ß ß ß R R R R m m m m d d d d k k k k d d d d l l l l F F F F M M M M ƒ ƒ ƒ ƒ a a a a o o o o d d d d L L L L ƒ ƒ ƒ ƒ E E E E H H H H ƒ ƒ ƒ ƒ q q q q h h h h R R R R h h h h R R R R } } } } ß ß ß ß f f f f l l l l g g g g k k k k a a a a u u u u Q Q Q Q n n n n a a a a h h h h F F F F M M M M ƒ ƒ ƒ ƒ e e e e o o o o t t t t L L L L ß ß ß ß g g g g K K K K ƒ ƒ ƒ ƒ r r r r J J J J † † † † D D D D M M M M ƒ ƒ ƒ ƒ w w w w L L L L ß ß ß ß T T T T N N N N ƒ ƒ ƒ ƒ g g g g k k k k S S S S M M M M ß ß ß ß r r r r J J J J † † † † d d d d L L L L œ œ œ œ s s s s l l l l e e e e k k k k . . . .
tkcLßg/dp cKåtJ®
rlQH ß wJ® DM å tL®, Wnrj, RmflRh d;QH ® d; wpRH ∂
dkdlFM ƒ wJ∂rlwJ®dmfh d;fy ˚hSM ß clR] wLßfydp eofurKå
dkcLådp dkdlFM ƒ ¬oDnRh WN ß qltlzLå
gK®Ryd; qltK∂ dUßfK®dLßdl E?å
dkdlrk gK®Rysk xK®dkthdp EM ∂ Rygkrp gKå
dkdlFM ƒ R]d/ GH K ƒEH ∂ dp cKådugkehFH ® epflRh eksLå
djfLß dkdlEM ƒ DM ƒ AH ® DY ® tlzlRh DH † DM ƒ dLœgLå
dkdlFM ƒ wlehgkRh GN ß DB ® gKå
dkdlFM ƒ DN l gKß tL®tkFM ƒ WN ß qlgKå
dl dI∂tL®dp tjaU∂gKådmfh, QH ß dLßDM ß dkdld; c/tJßDM ƒ dUåEndp EnRh EH ƒ QH å R] RyDB ® DM ƒ wpRH ∂ gKƒ rJ†DM ƒ wLßTN ƒ gKœslek.
QH ß dLßDM ß qhtkQnrk qorU∂ whtkFM ƒ gkdu dkdlrk QH ß dLßR] gKå¬p tKƒaUßtj g[xO®DM ƒ r[TH ® qK´wl AH † gKƒ dlDbrk dL∫SM ß wl vKßeKßgKƒ rJ†DM ƒ dKƒRh dL∫TM œ slek. QH ß dLßDM ß aKßdLƒ QH ß dLßdl D
\tL∂xJß Wn qJœfU∂ WAC 110-15-4570 wK∂ gkd; wkrk·cLßcJ® xK®dk wpRH ∂ wkfhtj wkrU®DM ƒ rK∑Cnwl AH † gkaUß dkdlEM ƒ dl skd] gKå¬p tKƒ EH ∂ dKß g[xO®DM ƒ qK´wl AH † gKƒ rJ†DM ƒ dlgo
gKœslek. QH ß dLßDM ß ˚hgKß qorU∂ whtkd; rUƒR]rk dkdlD:®srK∂, dKßwJß ˚hSM ß QH ® wldp eogo dUåfugkrp gkaUß, qhtkQnrk dkEH ∂ qhghQn(ª
º)dp d;f/gkdu dl whtkd; rUƒR]FM ƒ
XH ∂ qhgKƒ rJ†eh dlgogKœslek. QH ß dLßDM ß aKßdLƒ QH ß dLßdl Rhd;fh dl dI∂tL®dp wJ∂G}®gkwl dKµDM ß wJ∂qhFM ƒ rlFH ® gkdU∫DM ƒ ˚o, D\tL∂xJß Wn qJœdpSM ß RmrJ†DM ƒ DN l WM ∂ dmfh rKßWngKƒ rJ†eh dKœslek.
sKƒ∆k
QnahFM ƒ eotLßgkSM ß tJ∂dLßd; tjaU∂
DSHS 14-436 KO (REV. 02/2021) Korean
CLßcJ®dl dksLß tJ∂dLßR] gKå¬p tkSM ß dkEH ∂ EM ƒ DM ƒ DN l gKß (
TANF/SFA)
TANF/SFA FOR CHILDREN LIVING WITH UNRELATED ADULTS
QnahFM ƒ eotLß
gkSM ß tJ∂dLßd; wLßTN ƒ tj
(AS A PARENT)
Statement of Adult Acting in Loco Parentis (as a Parent)
A A A A K K K K ß ß ß ß d d d d L L L L ƒ ƒ ƒ ƒ
R R R R l l N N l l N N g g g g k k k k r r r r k k k k
R R R R l l N N l l N N g g g g k k k k d d d d ] ] ] ]
c c c c L L L L ß ß ß ß c c c c J J J J ® ® ® ® d d d d l l l l
d d d d k k k k s s s s L L L L ß ß ß ß
d d d d j j j j f f f f u u u u D D D D ß ß N N ß ß N N
g g g g U U U U ∂ ∂ ∂ ∂ v v v v U U U U ß ß ß ß d d d d ; ; ; ;
d d d d k k k k d d d d l l l l F F F F ƒ ƒ M M ƒ ƒ M M
E E E E ƒ ƒ H H ƒ ƒ H H q q q q h h h h R R R R h h h h
d d d d L L L L ∫ ∫ ∫ ∫ R R R R h h h h
d d d d l l l l
d d d d k k k k d d d d l l l l F F F F ƒ ƒ M M ƒ ƒ M M
D D D D l l N N l l N N g g g g o o o o
q q q q J J J J œ œ œ œ w w w w J J J J ∂ ∂ ∂ ∂ d d d d l l l l
R R R R l l N N l l N N g g g g k k k k d d d d p p p p r r r r p p p p
G G G G n n n n r r r r U U U U ß ß ß ß w w w w k k k k
R R R R | | | | ß ß ß ß f f f f l l l l F F F F ƒ ƒ M M ƒ ƒ M M
a a a a U U U U ∂ ∂ ∂ ∂ f f f f U U U U ∂ ∂ ∂ ∂ g g g g k k k k w w w w l l l l
d d d d K K K K µ µ µ µ d d d d K K K K ∫ ∫ ∫ ∫ d d d d m m m m a a a a U U U U ß ß ß ß
d d d d l l l l
d d d d I I I I ∂ ∂ ∂ ∂ t t t t L L L L ® ® ® ® D D D D ƒ ƒ M M ƒ ƒ M M
w w w w K K K K ® ® ® ® t t t t J J J J ∂ ∂ ∂ ∂ g g g g k k k k t t t t p p p p d d d d y y y y . . . .
W W W W p p p p 1 1 1 1 g g g g K K K K ∂ ∂ ∂ ∂ . . . . R R R R l l l l R R R R } } } } ß ß ß ß w w w w J J J J ∂ ∂ ∂ ∂ q q q q h h h h ( ( ( ( r r r r l l l l R R R R } } } } ß ß ß ß d d d d ; ; ; ; w w w w L L L L ® ® ® ® D D D D | | | | ß ß ß ß a a a a K K K K ß ß ß ß r r r r l l l l F F F F H H H H ® ® ® ® g g g g k k k k t t t t p p p p d d d d y y y y . . . . ) ) ) )
SECTION 1. AGENCY INFORMATION (COMPLETED BY AGENCY STAFF ONLY)
3. UNRELATED ADULT'S CLIENT ID NUMBER
1. COMMUNITY SERVICES OFFICE (CSO)
2. CASE MANAGER NAME
w w w w p p p p 2 2 2 2 g g g g K K K K ∂ ∂ ∂ ∂ . . . . D D D D k k k k E E E E H H H H ∂ ∂ ∂ ∂ D D D D M M M M ƒ ƒ ƒ ƒ E E E E H H H H ƒ ƒ ƒ ƒ q q q q h h h h S S S S M M M M ß ß ß ß t t t t J J J J ∂ ∂ ∂ ∂ d d d d L L L L ß ß ß ß d d d d p p p p R R R R } } } } ß ß ß ß g g g g K K K K ß ß ß ß w w w w J J J J ∂ ∂ ∂ ∂ q q q q h h h h ( ( ( ( w w w w J J J J ∂ ∂ ∂ ∂ w w w w k k k k f f f f h h h h r r r r l l l l F F F F H H H H ® ® ® ® g g g g k k k k t t t t p p p p d d d d y y y y . . . . ) ) ) )
tJ∂
DlFM å
WN ∂ rKß dI®wk
WJßg] qJßgh(wldU®qJßgh vhgKå)
4.
5.
6.
7.
(
)
gUß Wnth(qJßwl, tl, RmflRh DnvUßqJßgh)
WJß Wnth(qJßwl, tl, RmflRh DnvUßqJßgh)
8.
9.
wp 3gK∂. Dkdld; Qnahdp eogKß wJ∂qh(wJ∂wkfh rlFH ® gktpdy.)
dkdl dJåak dlFM å
DJåak wJßg] qJßgh
Djåakd; gUß Wnth, ˚hSM ß dKƒfuwLß akwlaK® Wnth
10.
11.
12.
(
)
dkdl dkqjwl dlFM å
Dkqjwl wJßg] qJßgh
Dkqjwl gUß Wnth, ˚hSM ß dKƒfuwLß akwlaK® Wnth
13.
14.
15.
(
)
w w w w p p p p 4 4 4 4 g g g g K K K K ∂ ∂ ∂ ∂ . . . . D D D D k k k k d d d d l l l l d d d d ] ] ] ] R R R R N N N N l l l l g g g g k k k k d d d d ; ; ; ; R R R R } } } } ß ß ß ß r r r r [ [ [ [ d d d d p p p p e e e e o o o o g g g g K K K K ß ß ß ß w w w w J J J J ∂ ∂ ∂ ∂ q q q q h h h h ( ( ( ( w w w w J J J J ∂ ∂ ∂ ∂ w w w w k k k k f f f f h h h h r r r r l l l l F F F F H H H H ® ® ® ® g g g g k k k k t t t t p p p p d d d d y y y y . . . . ) ) ) )
R R R R N N N N l l l l g g g g k k k k S S S S M M M M ß ß ß ß d d d d l l l l d d d d k k k k d d d d l l l l d d d d ; ; ; ; Q Q Q Q n n n n a a a a h h h h f f f f h h h h Q Q Q Q n n n n x x x x j j j j d d d d k k k k d d d d l l l l F F F F M M M M ƒ ƒ ƒ ƒ E E E E H H H H ƒ ƒ ƒ ƒ Q Q Q Q H H H H ƒ ƒ ƒ ƒ g g g g j j j j f f f f K K K K ® ® ® ® D D D D M M M M ƒ ƒ ƒ ƒ q q q q K K K K ´ ´ ´ ´ d d d d K K K K ∫ ∫ ∫ ∫ T T T T M M M M œ œ œ œ s s s s l l l l ¬ ¬ ¬ ¬ k k k k æ æ æ æ
d[
dksldh, d[dlaUß tjaUßdmfh e/dJ∫skdyæ
d[
dksldh
16.
dkdlrk dj˚J©rp RN l gkd] gKå¬p tKƒrp e/dJ∫SM ß wl tJƒaU∂gktpdy.
17.
R R R R N N N N l l l l g g g g k k k k S S S S M M M M ß ß ß ß d d d d l l l l d d d d k k k k d d d d l l l l r r r r k k k k d d d d J J J J ƒ ƒ ƒ ƒ a a a a k k k k s s s s k k k k R R R R N N N N l l l l g g g g k k k k d d d d ] ] ] ] g g g g K K K K å å å å ¬ ¬ ¬ ¬ p p p p t t t t K K K K ƒ ƒ ƒ ƒ r r r r J J J J † † † † d d d d l l l l f f f f k k k k R R R R h h h h r r r r l l l l e e e e o o o o g g g g k k k k t t t t p p p p d d d d y y y y æ æ æ æ
18.
___________________
RN N N N l l l l g g g g k k k k S S S S M M M M ß ß ß ß q q q q J J J J œ œ œ œ w w w w J J J J ® ® ® ® d d d d I I I I ∂ ∂ ∂ ∂ D D D D B B B B ® ® ® ® R R R R | | | | ß ß ß ß d d d d l l l l s s s s k k k k G G G G n n n n r r r r U U U U ß ß ß ß d d d d L L L L ß ß ß ß R R R R | | | | ß ß ß ß D D D D M M M M ƒ ƒ ƒ ƒ d d d d J J J J ´ ´ ´ ´ R R R R h h h h w w w w k k k k g g g g k k k k t t t t L L L L œ œ œ œ s s s s l l l l ¬ ¬ ¬ ¬ k k k k æ æ æ æ
19.
d d d d [ [ [ [
d d d d k k k k s s s s l l l l d d d d h h h h
w w w w p p p p 5 5 5 5 g g g g K K K K ∂ ∂ ∂ ∂ . . . . D D D D k k k k d d d d l l l l F F F F M M M M ƒ ƒ ƒ ƒ E E E E H H H H ƒ ƒ ƒ ƒ q q q q h h h h S S S S M M M M ß ß ß ß d d d d L L L L ƒ ƒ ƒ ƒ R R R R ] ] ] ] R R R R } } } } ß ß ß ß f f f f l l l l g g g g k k k k S S S S M M M M ß ß ß ß d d d d L L L L ƒ ƒ ƒ ƒ d d d d p p p p e e e e o o o o g g g g K K K K ß ß ß ß w w w w J J J J ∂ ∂ ∂ ∂ q q q q h h h h
E E E E k k k k D D D D M M M M å å å å d d d d ; ; ; ; r r r r U U U U ∂ ∂ ∂ ∂ D D D D n n n n d d d d p p p p D D D D n n n n f f f f l l l l S S S S M M M M ß ß ß ß R R R R N N N N l l l l g g g g k k k k r r r r k k k k Q Q Q Q n n n n a a a a h h h h F F F F M M M M ƒ ƒ ƒ ƒ e e e e o o o o t t t t L L L L ß ß ß ß g g g g k k k k S S S S M M M M ß ß ß ß r r r r J J J J † † † † d d d d m m m m f f f f h h h h r r r r K K K K ß ß ß ß W W W W n n n n g g g g K K K K œ œ œ œ s s s s l l l l e e e e k k k k . . . .
" In loco parentis
" fkSM ß ^M † DM ß Qnah wkfldptj, ˚hSM ß QnahFM ƒ eotLßgkdu fkSM ß ^M † dLœslek.
dkdld; Qnahrk dJ≥DM ƒ ˚o,
QhtkQnrk RN l gkFM ƒ QnahFM ƒ eotLßgKßekRh vKßeKßgkrl DN L gkdu, RN l gkSM ß d;ehwJ®dmfh
RN l gkrk qJœwJ® GnrUßdLßdlsk dI∂DB ® dLßdl dksLƒ ˚o, RmflRh
Qnahd; d;AnFM ƒ TngO∂gkdudi gKœslek.
RN l gkrk dkdlFM ƒ aodLƒ EH ƒ qhRh R}ßflgKƒ ˚o.
d d d d k k k k f f f f o o o o S S S S M M M M ß ß ß ß Q Q Q Q n n n n a a a a h h h h F F F F M M M M ƒ ƒ ƒ ƒ e e e e o o o o t t t t L L L L ß ß ß ß g g g g k k k k S S S S M M M M ß ß ß ß t t t t J J J J ∂ ∂ ∂ ∂ d d d d L L L L ß ß ß ß d d d d l l l l g g g g k k k k r r r r p p p p E E E E ? ? ? ? ƒ ƒ ƒ ƒ d d d d ; ; ; ; A A A A n n n n d d d d ; ; ; ; d d d d [ [ [ [ E E E E M M M M ƒ ƒ ƒ ƒ d d d d L L L L œ œ œ œ s s s s l l l l e e e e k k k k . . . .
D D D D l l l l d d d d I I I I ∂ ∂ ∂ ∂ t t t t L L L L ® ® ® ® d d d d p p p p t t t t j j j j a a a a U U U U ∂ ∂ ∂ ∂ g g g g K K K K å å å å d d d d m m m m f f f f h h h h , , , , R R R R N N N N l l l l g g g g k k k k S S S S M M M M ß ß ß ß R R R R m m m m d d d d k k k k d d d d l l l l F F F F M M M M ƒ ƒ ƒ ƒ a a a a o o o o d d d d L L L L ƒ ƒ ƒ ƒ E E E E H H H H ƒ ƒ ƒ ƒ q q q q h h h h R R R R h h h h R R R R } } } } ß ß ß ß f f f f l l l l g g g g k k k k a a a a u u u u Q Q Q Q n n n n a a a a h h h h F F F F M M M M ƒ ƒ ƒ ƒ e e e e o o o o t t t t L L L L ß ß ß ß g g g g K K K K ƒ ƒ ƒ ƒ r r r r J J J J † † † † D D D D M M M M ƒ ƒ ƒ ƒ w w w w L L L L ß ß ß ß T T T T N N N N ƒ ƒ ƒ ƒ g g g g k k k k S S S S M M M M ß ß ß ß r r r r J J J J † † † † d d d d L L L L œ œ œ œ s s s s l l l l e e e e k k k k . . . .
tkcLßg/dp cKåtJ®
rlQH ß wJ® DM å tL®, Wnrj, RmflRh d;QH ® d; wpRH ∂
dkdlFM ƒ wJ∂rlwJ®dmfh d;fy ˚hSM ß clR] wLßfydp eofurKå
dkcLådp dkdlFM ƒ ¬oDnRh WN ß qltlzLå
gK®Ryd; qltK∂ dUßfK®dLßdl E?å
dkdlrk gK®Rysk xK®dkthdp EM ∂ Rygkrp gKå
dkdlFM ƒ R]d/ GH K ƒEH ∂ dp cKådugkehFH ® epflRh eksLå
djfLß dkdlEM ƒ DM ƒ AH ® DY ® tlzlRh DH † DM ƒ dLœgLå
dkdlFM ƒ wlehgkRh GN ß DB ® gKå
dkdlFM ƒ DN l gKß tL®tkFM ƒ WN ß qlgKå
dl dI∂tL®dp tjaU∂gKådmfh, QH ß dLßDM ß dkdld; c/tJßDM ƒ dUåEndp EnRh EH ƒ QH å R] RyDB ® DM ƒ wpRH ∂ gKƒ rJ†DM ƒ wLßTN ƒ gKœslek.
QH ß dLßDM ß qhtkQnrk qorU∂ whtkFM ƒ gkdu dkdlrk QH ß dLßR] gKå¬p tKƒaUßtj g[xO®DM ƒ r[TH ® qK´wl AH † gKƒ dlDbrk dL∫SM ß wl vKßeKßgKƒ rJ†DM ƒ dKƒRh dL∫TM œ slek. QH ß dLßDM ß aKßdLƒ QH ß dLßdl D
\tL∂xJß Wn qJœfU∂ WAC 110-15-4570 wK∂ gkd; wkrk·cLßcJ® xK®dk wpRH ∂ wkfhtj wkrU®DM ƒ rK∑Cnwl AH † gkaUß dkdlEM ƒ dl skd] gKå¬p tKƒ EH ∂ dKß g[xO®DM ƒ qK´wl AH † gKƒ rJ†DM ƒ dlgo
gKœslek. QH ß dLßDM ß ˚hgKß qorU∂ whtkd; rUƒR]rk dkdlD:®srK∂, dKßwJß ˚hSM ß QH ® wldp eogo dUåfugkrp gkaUß, qhtkQnrk dkEH ∂ qhghQn(ª
º)dp d;f/gkdu dl whtkd; rUƒR]FM ƒ
XH ∂ qhgKƒ rJ†eh dlgogKœslek. QH ß dLßDM ß aKßdLƒ QH ß dLßdl Rhd;fh dl dI∂tL®dp wJ∂G}®gkwl dKµDM ß wJ∂qhFM ƒ rlFH ® gkdU∫DM ƒ ˚o, D\tL∂xJß Wn qJœdpSM ß RmrJ†DM ƒ DN l WM ∂ dmfh rKßWngKƒ rJ†eh dKœslek.
sKƒ∆k
QnahFM ƒ eotLßgkSM ß tJ∂dLßd; tjaU∂
DSHS 14-436 KO (REV. 02/2021) Korean