Hobbs, New Mexico Section SOCIETY OF PETROLEUM ENGINEERS
APPLICATION FOR SCHOLARSHIP IN PETROLEUM–RELATED FIELD
Please Type or Print (if additional space is needed, attach supplementary pages)
Name: _______________________________________________________ Date:_______________ (Last, First Middle) Home Address: ___________________________ City, State Zip: ____________________________ E-Mail Address: ____________________________________________________________________ Telephone: (school) ___________________, (home) __________________, (cell) _______________ Date of Birth: __________________________, Place of Birth: ___________________________
College/University____________________________, Major(s): _____________________________ Name and Address of Parent or Guardian: ________________________________________________ __________________________________________________________________________________ Name of Department Head/Contact: _______________________________, Phone: _______________ Current Year in School: ______________________, Anticipated Graduation Date: _______________ Current Grade Point Average: _________________, Out of a Maximum GPA of: ________________ *** Include an official transcript from your school *** High School Graduated From: ______________________, Rank in Graduating Class/Of: __________ Outside Activities (Service Projects, Student Organizations, Church, Scouts, etc.):
How much do you plan to contribute to college expenses? ___________________________________ List jobs you have held (Employer, Address, Dates, Position(s) Held):
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1. What are your goals in college and eventual career plans?
2. How and why have you become interested in the petroleum industry?
3. What knowledge do you currently have of the petroleum industry?
Please attach a letter of recommendation completed and mailed under separate cover to the address shown below.
All of the above information is required in order for you to be considered for this scholarship. ________________________ Date ____________________________________________________ Signature of Applicant
Please send completed forms and Letters of Reference to: Robin Terrell Mewbourne Oil Company 701 South Cecil Hobbs, NM 88240 Any scholarship awarded by the Hobbs, New Mexico Section of the Society of Petroleum Engineers, Inc. is contingent upon the recipient’s being officially registered at an accredited university and enrolled in a curriculum leading to the degree of bachelor of science in petroleum engineering or other field of study related to the petroleum industry. All applications are due with attachments by April 1, 2008.
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