To be eligible for a scholarship, the applicant must be sponsored by a bonafide member of the Energy Rubber Group, so defined as a dues paying member in good standing for at least one year and one who has attended at least one meeting during the year.

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Energy Rubber Group members are also eligible for the scholarships if all conditions are met.

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Applications must be received by the Scholarship Chairperson no later than March 27, 2009. In addition to the application form below, applicants must also submit, by certified mail, Social Security number, required transcripts, two letters of recommendation (from applicant sponsor and educational instructor), and any other information useful to the selection process. Any applications (including information sent by mail) received after March 27, 2009 cannot be considered. Scholarship awards will be announced at the Spring, 2008 meeting of the ERG.

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If you have any questions about how to respond to any questions on this application, we suggest that you contact your ERG Sponsor for help. If he or she is unable to provide answers, please contact Melissa Ver Meer, ERG Scholarship Chairperson via email at MVerMeer@lawrence.oilfield.slb.com.

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We encourage all potential applicants to closely read the above criteria in order to prevent any unnecessary delays in processing the applications.

ERG Scholarship Application . Answer all questions that apply to you. Fields with * must be answered by ALL applicants!   Scholarship Applied For:* Memorial Scholarship Merit Scholarship . 1) This Application Is For Academic Year (yyyy):* . Semester:*   Fall  Spring  Summer . 2) First Name:*   Middle Initial:   Last Name:* 3) Student Address(Complete only if you are a student living away from home): . Street    Apt. Number: . City . State or Province Select State Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota North West Territory Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Other Zip or Postal Code . 4) Home Address:* . Street*    Apt. Number: . City* . State or Province* Select State Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota North West Territory Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Zip or Postal Code* . 5) Phone Number:* ( ) - . 6) Social Security Number: . YOU MUST INCLUDE YOUR SOCIAL SECURITY NUMBER WITH YOUR MAILED INFORMATION . 7) Energy Rubber Group Sponsor:* 8) Your Email Address:* 9) Your ERG Sponsor's Email:* . 10) College Classification (period you are applying for):* . Freshman Sophomore Junior Senior Post Graduate Studies . 11) Major:* Minor:* (If you are just starting college, enter the major and minor you intend to declare.) 12) Graduation Date: High School (yyyy):* College (yyyy): (If you are still in high school, enter the year you will graduate.) . 13) Cumulative High School G.P.A.:* Scale Used:* . (If you have not yet graduated, enter 'NA' in Rank and Number of Students.) Rank In Graduating Class:* Number of Students In Class:* . ACT SAT * Composite Score:* . . 14) Transfer Students (submit transcripts) . Cumulative G.P.A.: Scale Used: . Semester Hours Earned: Semester Completed: . . 15) Currently Enrolled Students (submit most current grade report) . Cumulative G.P.A.: Scale Used: . Semester Hours Earned: Semester Completed: . . 16) Work Experience:* . . . 17) Major Activities Participated In (give details, office held, etc.):* . . . 18) Major Awards and Honors Received:* . . . 19) Career Objectives:* . . . 20) Other grants or scholarships and amounts you have been awarded for the year:* . . PLEASE, CAREFULLY CHECK THE INFORMATION ON THIS FORM BEFORE YOU SUBMIT IT! By submitting this form, you certify that all of the information on this form is true and complete to the best of your knowledge. If asked by an authorized official, you agree to provide proof of the information that you have given on this form. When submitted, this form will be emailed to the ERG Scholarship Committe Chairperson, your ERG sponsor, and back to you for your records. To insure the processing of your application, be sure you send, by certified mail, the required documentation (social security number, transcripts, and grade reports) to:   Melissa Ver Meer, ERG Scholarship Chairperson Schlumberger Lawrence Product Center 2400 Packer Road Lawrence, Kansas 66049   This form and the required documemtation must be received by March 27, 2009, in order to be considered. Please click the "Submit" one time only. It may take several seconds to process your application.     .ww