Canadian Society of Petroleum Geologists. GRADUATE SCHOLARSHIPS in PETROLEUM GEOLOGY

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1 Canadian Society of Petroleum Geologists GRADUATE SCHOLARSHIPS in PETROLEUM GEOLOGY

2 CSPG GRADUATE SCHOLARSHIP The Canadian Society of Petroleum Geologists award three scholarships annually to promote advanced education and research in those fields of geology having application to the petroleum industry. One scholarship will be awarded in each of the three regions of Canada: Atlantic Provinces; Ontario/Quebec; and Western Canada. Each of the scholarships has a value of one thousand and five hundred dollars ($ ). Eligibility Criteria CSPG graduate scholarships are open to M.Sc. or Ph.D. students attending Canadian Universities progressing to their second or subsequent year(s) of study in petroleum geology-related disciplines. These disciplines include structural geology, sedimentology, stratigraphic studies involving clastic or carbonate rocks, paleontology and geochemistry. Candidates must hold Canadian Citizenship or Landed Immigrant status and be accepted into their second year as full-time graduate students at a Canadian University. Applicants will be evaluated on the basis of academic standing. Application Procedures Completed applications of the form entitled Application for CSPG Graduate Scholarship should be sent to: Canadian Society of Petroleum Geologists 160, th Avenue S.W. Calgary, Alberta T2P 0M2 Attention: CSPG Regional Scholarship Committee A completed application for scholarship must contain: 1. Completed application form consisting of: a) background information; b) academic program; c) appraisal by academic supervisor and one other academic member of the department. 2. Undergraduate and Graduate transcripts. Questions can be directed to schristensen@petrelrob.com Deadline for submission of complete application is May 31, 2003.

3 Application for CSPG Graduate Scholarship PETROLEUM GEOLOGY LAST NAME GIVEN NAME AND INITIAL(S) 03 DATE OF STREET ADDRESS BIRTH DAY MO. YEAR STREET ADDRESS PREFERRED TITLE: MR. MRS. MISS MS. TOWN/CITY Home: Bus. CONTINUOUS RESIDENT IN CANADA PROV. POSTAL CODE TELEPHONE FROM MO. YEAR 08 CITIZENSHIP STATUS CANADIAN CITIZEN PERMANENT RESIDENT (LANDED IMMIGRANT) 09 STREET ADDRESS STREET ADDRESS SOCIAL INSURANCE NUMBER Home: Bus. TOWN/CITY PROV/COUNTRY POSTAL CODE TELEPHONE CURRICULUM VITAE Post Secondary Education Record PERIOD OF STUDY INSTITUTION GRADUATED From To Name of Institution Discipline Degree Year List Scholarships or distinctions already won: List publications, if any, in refereed journals: List publications, if any, in unrefereed journals:

4 CSPG GRADUATE SCHOLARSHIP ACADEMIC PROGRAM DEGREE FOR WHICH AWARD IS SOUGHT: INSTITUTION/DEPARTMENT: AREA OF SPECIALIZATION: EXPECTED DATE OF COMPLETION: TOPIC OF RESEARCH: Describe your general area of research or study. Explain how your research makes an original contribution to the field of geology. DECLARATION I declare that, to the best of my knowledge, the information provided in this application and attachments is true and that no material has been withheld. Signature of Applicant: Date:

5 CSPG Graduate Scholarship Appraisal Form 1 NAME OF APPLICANT PROGRAM OF STUDY THESIS TOPIC 2 In what capacity have you known the candidate: As the candidate s for years months. PERCENTAGE RATING 3 Out of candidates at this level whom I have known, over years, this applicant ranks in the top... 1% 5% 10% 20% 25% 35% 40% Below 40% I have had inadequate opportunity to observe applicant 4 ASSESSMENT: (Should extra space be required please continue overleaf or append another sheet). Background Preparation Outstanding RATING (Please Circle) Very Good Good Average Inadequate Opportunity to observe Originality Judgment Verbal and Written Skills All-Round Ability Please use reverse side for additional comments. TYPED NAME OF APPRAISER ACADEMIC RANK DEPARTMENT INSTITUTION STREET ADDRESS CITY/COUNTRY POSTAL CODE SIGNATURE OF APPRAISER DATE

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