Central Texas Chapter Scholarship Application

( )Mr. ( )Ms. First name: ___________________________________________ Nickname: _______________________________

Middle name: ______________________________________________ Age: ________
Last name: _________________________________________________
Street: ____________________________________ City: ________________________State: _______ Zip code: ______________
Telephone: _______________________________ E-mail: __________________________________________________________
United States of America citizen?
YES ( )
NO ( )
AADE Student Section Member?
YES ( )
NO ( )
Parent/relative in the O&G industry?
YES ( )
NO ( ) If yes, type of business __________________________________
Degree pursuing: BS ( )
MS ( )
PhD ( ) Overall GPA: _____/_____
Prior Semester GPA: _____/_____
Grade level: ( ) Sophomore
( ) Junior
( ) Senior
( ) Post Graduate
Major: _________________________________ Undergraduate hours completed: _______ Graduate hours completed: _________
Married: ( ) NO
YES ( ) If yes, spouses occupation: _________________________________________________
Number of children: _____
Ages: _______________________________________
Parent/Guardian household income:
( ) <$30K
( ) $30K - $50K
( ) $50K - $75K
( ) >$75K
Extracurricular activities and interests: __________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
% of college expenses earned or anticipated to be earned: _____________
How earned: _______________________________________________________________________________________________
Sources of funding for college expenses not earned: ________________________________________________________________
Are you presently holding a job?
NO ( )
YES ( )
Part time ( ) Full time ( )
If yes, where? ______________________________________________________________________________________________
Present scholarships held: __________
Past scholarships held: __________
Indicate amount and source of scholarship; continue on a separate sheet if necessary: _____________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
Reference Letter: Include one reference letters from non-relatives.
Name

Position/Employer

Telephone Number

Application may be mailed to the address below or scanned in PDF and emailed to sharon@gateguardservices.com (preferred)
American Association of Drilling Engineers
Central Texas Chapter
P. O Box 591640
San Antonio, TX 78259
Applicants Signature: ________________________________________________ Date: ________________________
Deadline for filing application: April 7, 2014

Central Texas Chapter PO Box 591640 San Antonio, Texas 78259

www.aade.org/central-texas