ࡱ> AC@k bjbj:: kXubXub $&&&Pv$&B)((((((($*-(((^((ri&Ti'>2"\&()0B)&..~..i'i'..}'0((#B)..B :  Application Form Earl & Bess Douglas Endowed Family Scholarship DEADLINE: March 29, 2023 by 11:00 a.m (4) $1,000 scholarships are available for undergraduate students studying Petroleum Engineering. Criteria: NM Tech student enrolled full time pursuing a B.S. in Petroleum Engineering U.S. citizen Making satisfactory progress towards degree Demonstrate financial need Name:___________________________________ ID:____________ _ Address (local):_________________________________________________________________ GPA: ________ Fr _____ Soph _____ Jr______ Sr_______ Expected graduation date:____ ______ Career Interests/Goals:________________________________________________________________ ______________________________________________________________________________ Clubs or Organizations involved with: _____________________________________________ ______________________________________________________________________________ Current Scholarships being received for 2022-23:____________________________________ ______________________________________________________________________________ Have you filed a Free Application for Federal Student Aid for 2022-23:_______ I am a full time student attending ɫ Tech. I certify that the above information is complete and accurate to the best of my knowledge. Misrepresentation in any statement by me will be considered adequate grounds for denial or cancellation of any award. I also give my consent for ɫ Tech to release my academic information to the scholarship donor. _______________________________________________ _______________________ Student Signature Date Please return completed application to: FINANCIAL AID USE Alejandra Correa FAFSA received?___________ MSEC 300A, Petroleum Engineering NMT Scholarship?__________  HYPERLINK "mailto:alejandra.correa@nmt.edu" alejandra.correa@nmt.edu Demonstrated Need?________     &'(*,-3[\]gmoquy{ᷮբ~s~eZLZLZ *hogh [5CJaJ *h [5CJaJ *hogh0 5CJaJ *h/5CJaJ *hW5CJaJ *h2v*5CJaJ *hoghV5CJaJh!>}h!>}5CJ aJ h?!r5CJ(aJ(hBp5CJ(aJ(h!>}h;5CJ(aJ(h8[5CJ(aJ(h!>}h6(5CJ(aJ(h!>}hV5CJ(aJ( h 5CJh h 5CJ-\]> K w + , 6  & Fgd6(gd*O$a$gd  = > K w / 2 : ; ɽɷ}vovfv_vX h6(5CJ hB.5CJh!>}5>*CJ h!>}5CJ hV5CJ hACJ h*OCJh*OhACJaJhq6CJaJhVCJaJhACJaJh*OhVCJaJ h6(CJh hV5>*CJ hVCJ hfCJ h&CJ h8[CJ hACJ h CJ hxgCJh!>}hV5CJaJ!; S X \ ` e f h [ ^   6:U׻´װסyry h!o5CJ hVCJh_hW5CJ *hnh*O5CJ *hnhV5CJhV56>*CJ hV5hV h=h)5CJ hA5CJ hW5CJ hB.5CJ h6{+5CJ hV5CJh!>}h!>}5>*CJ h*O5CJ h!>}5CJ h 5CJ*6 7 1 2 @AU$a$gd*OUVih@`jh@`UhTKRh:LCJaJh hTKRCJ hVCJ hV5CJhMhW0J5CJh_hW5CJ hW5CJjhW5CJU2/R :p / =!0"0#$% 5 0/R :pTKR/ =!"#$% s666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 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@_HmH nH sH tH 8`8 Normal_HmH sH tH DA D Default Paragraph FontViV  Table Normal :V 44 la (k (No List 44  Header  !4 4  Footer  !.).  Page NumberH"H 0 Balloon TextCJOJQJ^JaJN/1N 0Balloon Text CharCJOJQJ^JaJ6U`A6 W0 Hyperlink >*B*phcPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w< ((4 ; U 6  UX8@0(  B S  ?HL\^-3W\  IK333333333333'(*,-3\]g%=;SX\^^`efh  U'(*,-\g%=/2;SX\^^`efh[^  U/$b Y:O^)kxh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hH^`o( ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.^`o( ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.b ^)kO/                          ~V        JFE~K8[a  \ D~c^x #yn%3&6(=h)2v*M+6{+B.;5&6m77;"NpOTKRO'VC\R{`{m!oqHp?!r!>}W2A2*Oxgn 7"~KbBp?og*`:-0 [q6M~f ;+Vg:L@`j/W&U@@@UnknownG.[x Times New Roman5Symbol3.*Cx Arial5..[`)Tahoma?=.Cx Courier New;WingdingsA$BCambria Math"1hSqgG\2G ((Q42QHP?&62!xxQJ" &Chevron/Texaco Scholarship Applicationtmuncyhamid    Oh+'0  < H T `lt|(Chevron/Texaco Scholarship ApplicationtmuncyNormalhamid10Microsoft Office Word@0@8J@+X@ڿ*"\( ՜.+,D՜.+,` hp  ɫ Tech 'Chevron/Texaco Scholarship Application Title 8@ _PID_HLINKSAx} mailto:alejandra.correa@nmt.edu  !"#$%&'()*+,-./12345679:;<=>?BRoot Entry F02"\DData 1TableJ.WordDocumentkSummaryInformation(0DocumentSummaryInformation88CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q