MUST ATTEND COLLEGE TO STUDY GEOLOGY, EARTH SCIENCE OR WATER RESOURCE

A scholarship will be awarded each year to a student from Texas who meets the following qualifications.

A. General Information:

Applicant name ____________________________________________ Age ________

Social Security number ___________________________________________________

Address _______________________________________________________________

City __________________________State _________________________ Zip _______

Telephone ( ) _________________________________

Please check: Single ______ or Married _______

Occupation of parent/guardian, and company employed:

Father ________________________________________________________________

Mother ________________________________________________________________

Estimated family yearly income $__________________

Number of children in family ______ Number of children in college ____________________

Educational background:

School ___________________________________________

SAT score ________________ ACT score _________________

Rank _____________ (Applicant must be in the top 50 % of their class)

(Official transcript of high school record must be attached)

Awards received _________________________________________________________

Goals for the future _______________________________________________________

____________________________________________________________________

Is other scholarship assistance available to you? Yes _____ No _____ Amount $______

D. Educational institution in which enrollment is desired:

Name _______________________________________________________________

Address _____________________________________________________________

City __________________________________ State ___________ Zip __________

Tuition per semester $ _____________________________

A minimum of $1000.00 will be paid to the student upon proof of registration.

E. Character references:

Attach a recommendation from a member of the Abilene Geological Society or from a Science teacher in your school.

Essay:

Attach an essay (no longer than 2 pages) about your desire to study Geology, Earth Science, Hydrology, or Environmental Science.

Attn: Scholarship Committee

P. O. Box 974

Abilene, TX. 79604