ࡱ> BDAk &bjbj:: k XubXub $&&&Pv$&)!)#)#)#)#)#)#)$L+.G)G)\)R!)!)r&T' 5u "\' )r)0)'..''.'HG)G)M).B :  Application Form for the Fagan Scholarship DEADLINE: March 29, 2023 by 11:00 a.m Through the generous support of Ken Fagan (NMT alum, B.S. Petr Engr, 1961), two (2) $2,000 scholarships and two (2) $3,000 scholarships are available for undergraduate students studying Petroleum Engineering. Criteria: NM Tech student enrolled full time pursuing a B.S. in Petroleum Engineering U.S. citizen Demonstrate financial need Must be taking junior level courses in petroleum engineering Name: ___________________________________ ID: ____________ _ Address (local):_________________________________________________________________ GPA: ________ Jr___ Expected graduation date:____ ______ Career Interests/Goals:________________________________________________________________ ______________________________________________________________________________ Clubs or Organizations involved with:_____________________________________________ ______________________________________________________________________________ Current Scholarships being received for 2022-23:____________________________________ ______________________________________________________________________________ Have you filed a Free Application for Federal Student Aid for 2022-23: ( Yes ( No I am a full time student attending ɫ Tech. I certify that the above information is complete and accurate to the best of my knowledge. Misrepresentation in any statement by me will be considered adequate grounds for denial or cancellation of any award. I also give my consent for ɫ Tech to release my academic information to the scholarship donor. _______________________________________________ _______________________ Student Signature Date Please return signed completed application to: FINANCIAL AID USE Alejandra Correa FAFSA received?___________ MSEC 300A, Petroleum Engineering NMT Scholarship?__________  HYPERLINK "mailto:alejandra.correa@nmt.edu" alejandra.correa@nmt.edu Demonstrated Need?________     &'(*45FGHRXZ\_`dfjklmմtf[M[M[ *hogh}*5CJaJ *h}*5CJaJ *hNIh0 5CJaJ *hz5CJaJ *hNIhI5CJaJ *hhB5CJaJ *hNIh 5CJaJ *hNIhV5CJaJh!>}h!>}5CJ aJ h!>}h;5CJ(aJ(h8[5CJ(aJ(h!>}h6(5CJ(aJ(h!>}hV5CJ(aJ( h 5CJh h 5CJ5GHnoB C O   H I 1 2  & Fgd6(gd*O$a$gd mno  ? A B C K N O r     罷籪vpjc h}v5CJ hACJ h*OCJh*Oh/CJaJh/CJaJhVCJaJhACJaJh*OhVCJaJ h6(CJ hV5CJ hVCJ hfCJ h&CJ hKCJ hCJ hpCJ h8[CJ h/CJ h!>}CJ hACJ hxgCJh!>}hV5CJaJ% 1 5 6 B F G H 2 N Q R T U          񇕎tktkgb hV5hVh+#h+#CJ jh+#h+#CJ h+#5CJ hA5CJ hhB5CJ h5CJhzh!>}>*CJhzh*OCJ h/5CJ h*O5CJ h6(5CJ h}v5CJhChVCJhCh!>}5>*CJhChV5CJ hC5CJ hV5CJ h!>}5CJ& % & { |  9k !#$$a$gd*O !$&9:CDIKPkt!"%&ƼƼͯͯƼƜͯ|tptptptp|hRjhRUhTKRh:LCJaJh hTKRCJhMhhB0J5CJjhhB5CJU h5CJ hVCJ h*O5CJh_hhB5CJ hhB5CJ hV5CJ *h/5CJ *hnh*O5CJ *hnhV5CJhV56>*CJ($%&2/R :p / =!0"0#$% 5 0/R :pTKR/ =!"#$% s666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH 8`8 Normal_HmH sH tH DA D Default Paragraph FontViV  Table Normal :V 44 la (k (No List 44  Header  !4 4  Footer  !.).  Page NumberH"H 0 Balloon TextCJOJQJ^JaJN/1N 0Balloon Text CharCJOJQJ^JaJ6U`A6 hB0 Hyperlink >*B*phcPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w< &, ,4  m &  $& &X8@0(  B S  ?jm !#'Hm;I!$^` '3333333333'(*45;FGHRmnABBCOr  1156BFNU  !!$$9Ikt''(*45;FGRmnABBr  1156BFNU  !!$$9Ikt !#'/$b Y:O^)kxh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hH^`o( ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.^`o( ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.b ^)kO/                          ~V        JLK7~K/8[a \ }vD~cIz^x #yn%6(M+J2&6m77$:;#@hBE[M5NTKRO'VC\%d1s*x!>}A+#2Z*O`xgn }*7"~K?*`0 zCfR@a<';+Vgp:Lj K&l{UNI@VVVV&`@UnknownG.[x Times New Roman5Symbol3.*Cx Arial;Wingdings5..[`)Tahoma?=.Cx Courier NewA$BCambria Math"1hq'Gcg 55!42QHP?&62!xxa+ &Chevron/Texaco Scholarship Applicationtmuncyhamid    Oh+'0  < H T `lt|(Chevron/Texaco Scholarship ApplicationtmuncyNormalhamid12Microsoft Office Word@NZ@`v@\4@"\5 ՜.+,D՜.+,` hp  ɫ Tech 'Chevron/Texaco Scholarship Application Title 8@ _PID_HLINKSAx} mailto:alejandra.correa@nmt.edu  !"#$%&'()*+,-./02345678:;<=>?@CRoot Entry F`u "\EData 1Table.WordDocumentk SummaryInformation(1DocumentSummaryInformation89CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q