SOCIETY OF PETROLEUM ENGINEERS (SPE), INC.

Southwest Texas SPE Chapter

Application for Scholarship in Petroleum - Related Field

(Please Type or Print)

(If additional space is needed, attach supplementary pages)

DEADLINE IS APRIL 15, 2013

College Preference College Major(s)

1. ______1. ______

2. ______2. ______

Name______Date ______

Last First Middle

Email Address ______

Home Address ______

City ______State ______Zip ______

Telephone ______Social Security No. ______

Date of Birth ______Place of Birth ______

Name of School Counselor ______

High School ______No. in Graduating Class ______

Class Standing ______Grade Point Avg. ______Out of Max. GPA _____

SAT Score ______Math______Crit. Reading ______Writing______

(We require the SAT exam to be considered for this Scholarship)

Outside Activities: Office held in student organizations, church, scouts, etc.

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How much do you plan to contribute to college expenses? ______

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List jobs you have held (part-time and full-time):

Employer Address Business Dates Position

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Number and ages of brothers and sisters ______

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Father’s Occupation ______Company ______

Mother’s Occupation ______Company______

Please indicate below the combined yearly income of your parents (mother and father)

less than $60,000 $60,000 to $100,000 Above $100,000

List any family financial hardships such as medical expenses or job layoffs.

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1. What are your goals in college and eventual career plans?

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2. How and why have you become interested in the petroleum industry?

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3. What knowledge do you currently have of the petroleum industry?

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4. Is any member of your family or any relative a member of SPE?

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Any Scholarship awarded by the Southwest Texas Section of the Society of Petroleum Engineers, Inc. is contingent upon the recipient’s being officially registered in an ABET accredited engineering program 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.

Include an official transcript from your school showing your courses and scores. Have the attached “letter of recommendation” completed and mailed under separate cover to the address shown below. All of the information is required in order for you to be considered for this scholarship.

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Date Signature of Applicant

Mail to: EOG Resources

c/o Roy Galvan

SPE Scholarship Chairman

539 N Carancahua

Suite 1000

Corpus Christi, TX 78401