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AMERICAN ASSOCIATION OF PETROLEUM GEOLOGISTS

APPLICATION
Application for STUDENT MEMBERSHIP in
The American Association of Petroleum Geologists, Inc.
An International Geological Organization
P.O. Box 979, Tulsa, Oklahoma 74101-0979 USA • Phone: (918) 560-2653 • Fax: (918) 560-2652
e-mail: donathan@aapg.org • Web site: http://www.aapg.org

STUDENT MEMBERSHIP DUES


North America – $10.00 Outside North America – $20.00*
*Includes a mailing surcharge of $10.00 for addresses outside North America
(AAPG operates on a fiscal year: July 1–June 30.)

MEMBERSHIP QUALIFICATIONS FOR STUDENTS (Bylaws, Article I) – SECTION 7. Students


Any student majoring in geology or in a field of study related to or generally associated with geology at a college of acceptable academic
standards may apply for Student membership. Student membership shall terminate upon termination of academic enrollment.
(Note: Membership is automatically advanced to associate member.)
AAPG members are expected to adhere to the Code of Ethics.
The Constitution, which includes the Code of Ethics, and Bylaws are accessible on the AAPG web site at: www.aapg.org.

❑ Mr. ❑ Ms. ________________________________________________________________________________________________________________


Last Name First Middle

Mailing Address_______________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

Phone (______) _____________-_________________________________ Fax (______) _______________- ____________________________________

E-mail address: _______________________________________________________________________________________________________________

Date of Birth_____________________ Place______________________________________ Citizenship ________________________________________


STATEMENT OF COLLEGE WORK
DATES INDICATE
From To COLLEGE OR UNIVERSITY MAJOR FIELD
Month / Year Month / Year (Give Address. No abbreviations.) OF STUDY

Expected Date of Degree: BS_________________________________ MS__________________________________ PhD ______________________________________


(or international equivalent)

Signature of Applicant _____________________________________________________ Date ____________________________________________________________

SIGNATURE OF SPONSOR REQUIRED ON REVERSE SIDE.


IAT
ION
OF PETR
OL
EU
Energy Minerals Division serves geologists M
RON ENTA
Division of Environmental Geosciences furthers
OC
VI
M

involved in non-petroleum energy resources, including


S

the Association’s commitment to protect the environment


AS

L
GE

ISION OF E
AN

GE
OL
AMERIC

OGISTS

coal, coalbed methane, geothermal, oil and gas shales,


OSCIENC

while developing natural resources in a responsible


and tar sands, and geologists using remote sending manner.
IV

ES
D

technologies in their work.


N
N
E

ER IO
GY IS
M IN E R A L S DIV
AAPG

❑ YES I wish to join the EMD. I am enclosing an ❑ YES I wish to join the DEG. I am enclosing an
additional $4.00 for dues required for this division. additional $5.00 for dues in this division.

FOR AAPG USE

Received_________________________ Approved by________________________________________ Notified____________________________________


Attach payment for your MEMBERSHIP DUES AS LISTED ON THE FRONT of this application.
These DUES INCLUDE subscriptions to the AAPG BULLETIN ($6.25) and AAPG EXPLORER ($1.25).
Do not pay these amounts, pay the appropriate amount as reflected on the front of this application.

To apply for membership, complete this application and mail to: AAPG Membership Department
P.O. Box 979
Tulsa, Oklahoma 74101-0979, USA
Fax: 918.560.2652
Sponsor
Prefer Active AAPG member for sponsor; however, endorsement by a faculty sponsor is acceptable.

To the Executive Committee:


As sponsor, I have read the requirements or student membership in the American Association of Petroleum Geologists, and, in my opinion, the applicant
is eligible.
_______________________________________________________________ _______________________________ ________________________
Sponsor's Signature Member Number Date

___________________________________________________________________________________________________________________________
Name (Print or Type)

______________________________________________________________ __________________________________________________________
Position Company or University

___________________________________________________________________________________________________________________________
Address

__________________________________________________________________________________ Phone __________________________________

Dues payments to AAPG are not a charitable contribution for U.S. income tax purposes;
however, membership dues are deductible for many members as an ordinary and necessary business expense.
AAPG operates on a fiscal year: Payment must accompany Application — will
July 1–June 30. be refunded if the application is not accepted.

Payment must be one of the following


methods. To pay by credit card, complete the information below.
1. Check or Draft – drawn in U.S. Dollars on a ❑ Master Card ❑ Visa ❑ American Express
bank located in the United States or (16 numbers) (13 or 16 numbers) (15 numbers)
Canada (usually one can obtain such a
check or draft from a local bank). Name of
2. Direct Bank Transfer – Bank of Oklahoma, Cardholder (print): ______________________________________________________________
N.A. Account #208322877, ABA
#103900036. To ensure you receive proper
credit, send details of transfer to AAPG, Card Number: _____________________________________ Expiration Date: _____________
Accounting Dept., P.O. Box 979, Tulsa, OK
Amount of Payment
74101 USA; Fax (918) 560-2652; E-mail: $
in U.S. Dollars: _________________________________________________________________
postmaster@aapg.org.
3. International Postal Money Order.
4. Credit Card. Signature: ___________________________________________ Date: _____________________

Student Member Benefits


Full-time students in geology and full-time students in related fields The Student Chapter Program offers additional benefits to AAPG
generally associated with geology can join AAPG, an international Student Members and their geology departments:
organization, for $10 (North America) or $20 (outside North America). • Membership Rebate
For this amount the student will receive: • Travel Rebate
• Discounts on short courses ($50 AAPG Student Members – $25 • L. Austin Weeks Undergraduate Grant
AAPG Student Chapter Members) – plus reserved slots • AAPG Student Chapter Book Draw
• The DEG Journal • The quarterly newsletter: Student Outlook
• The AAPG Bulletin (monthly journal) • The opportunity to enhance leadership skills through holding active
• The AAPG Explorer (monthly news magazine) offices within the university chapter.
• Discounts on books and other publications • The opportunity to work the General Store during the annual
• The opportunity to build professional relationships at home and abroad convention to raise money for chapter.
• Access to the Visiting Geologist Program • Interaction with professionals and participation in local affiliated
• Access to the Distinguished Lecture Program geological society activities.
• The opportunity to participate in Student Expos (Job Fairs) • Professional affiliation on resumé,
• Access to student Internet job search database
• Opportunity to apply for Grants-in-Aid, funded and administered by
the AAPG Foundation.
01/00

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