SIPES Houston, Membership Application

Before you begin

This takes about 10 minutes, and nothing is final until you sign at the end.

There is no rush. Your answers save as you type, so you can stop, take a call, and come back to this page later on the same computer.

Nothing needs printing. You sign on the screen with your mouse or finger, and we email you a signed copy.

If a question stumps you, skip it. Almost everything is optional. We will follow up on anything we need, or fill it in with you over the phone.

Handy to have nearby: the names of your sponsors (current SIPES members) and their email addresses, plus rough years for your degrees and past positions. Approximate dates are fine.

Which membership are you applying for?

Choose one. If you're not sure, pick the closest, we'll help you sort it out.

Full MemberEarth scientist, independent or self-employed, free to choose your own clients, with 12 or more years of experience counting your education. Joins both SIPES Houston and SIPES National. Limited MemberThe same as Full, except you are employed rather than working for yourself. Still an earth scientist with 12 or more years counting your education. Joins both SIPES Houston and SIPES National. Junior MemberEarth scientist with at least 8 years of experience counting your education, but not yet 12. Joins both SIPES Houston and SIPES National. Chapter AffiliateSIPES Houston only, no National membership. The shortest application, approved quickly by the Houston board.

How can we reach you?

We'll use this to send your confirmation and keep you posted.

Your full name

Name for your certificate (optional)

Leave blank to use the name above.

Email address

Mobile phone (optional)

Yes, text me about my application, chapter dues, and SIPES Houston luncheons and events Enter a mobile number above first.

Optional, you do not need to agree to this to apply. Message frequency varies; most people receive fewer than one message a month. Message and data rates may apply. Reply HELP for help, or STOP at any time to stop texts. We never send advertising and never share your number. See our Mobile Terms & Conditions and Privacy Policy.

Business address (optional)

Home mailing address

Where SIPES mails your certificate and correspondence. Your browser may offer to fill this in for you.

Send SIPES mail to

Spouse's name (optional)

Your professional background

This is what the membership committee reviews. Everything on this page is optional, answer what's easy and skip the rest.

Profession

For example: Geologist, Geophysicist, Petroleum Engineer.

Specialty (optional)

For example: Exploration, Prospect Generation.

How is your practice organized? (check any that apply)

Sole proprietor Partner Corporate officer

Consulting status

Who pays your Social Security? (optional)

What kind of work do you do? (check any that apply) Anything else (optional) Other areas of competence and regions worked (optional)

Place of birth (optional)

Date of birth (optional)

Citizenship

Education and work history

Approximate years are perfectly fine, nobody is checking transcripts. Add as many entries as you like, or just the highlights.

Colleges and universities

Work experience

Independent since (year, optional) Other societies, certifications and licenses (optional)

Include grade of membership, offices held, and license numbers.

Publications (optional)

Titles only, a long list isn't necessary.

Your sponsors

I'm a current DPA (AAPG) or SPEE member, no sponsors needed

Look up your sponsors by name

Type the first few letters of a last name, a list will appear, and you just click the right person. You don't need their email address; we send them the form ourselves.

Give us each sponsor's email and we'll send them their form automatically, you won't have to chase anybody. Don't know their SIPES number? Leave it blank. Only have one or two sponsors so far? Enter who you have and submit, the membership chair will help you find the rest.

Photo and documents

Optional, you can skip this and send them later if it's easier.

A photograph of yourself (optional)

Used for your membership record. A clear phone photo is fine.

A paper application you've already filled out (optional)

If you have one, attach it here. If not, this form replaces it.

Review and sign

Please check your answers. You can go back and change anything.

The affidavit

In plain terms: you're confirming your answers are truthful, that you'll follow the Society's rules, and that the board decides on admission. The full official wording is below.

I have read the affidavit and everything in my application is true and correct.

Your signature

No printing or scanning. Sign with your mouse (or your finger on a touchscreen), or switch to Type and type your name.

Draw your signature above using your mouse, hold the button down and write. On a touchscreen, use your finger.

✓ Signature captured, you can redo it any time with "Clear and start over".

By checking the box below and signing, I agree that my electronic signature is the legal equivalent of my handwritten signature, and I consent to conduct this transaction electronically under the federal ESIGN Act and the Texas Uniform Electronic Transactions Act. I understand I may request a paper copy at any time by contacting the membership chair. I agree to sign electronically, and the signature above is mine.

Do not send any payment with this application. Dues are payable only after you're notified by the SIPES Treasurer.

SIPES Houston Membership Application