The Energy Think Tank | Membership Application 

Welcome to The Energy Think Tank! We are excited to have you join our global community and connect with like-minded energy professionals together, collaborating to provide input on how new technological innovations will solve global challenges meeting the demands of energy output. To provide you with the best services to meet your personal needs. Please take a few minutes to answer the below questions.

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First Name  *

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Last Name  *

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Company

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Title

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Email  *

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Phone  *

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Mobile

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Address  *

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Zip Code  *

 

Social Channel Accounts

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LinkedIn Profile Link:

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Twitter Username:

Energy Sector(s) of Interest (check all that apply):

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Petroleum Oil

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Natural Gas

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Geothermal

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Solar

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Hydroelectric

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Wind

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Biomass

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Nuclear

What are your primary objectives of applying for membership to The Energy Think Tank (check all that apply):

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Peer Collaboration

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Learning Energy Innovations

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Continuing Education Courses/Workshops

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Join New Venture/Start Up Community

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Networking

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Change of Career

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Seeking Employment Opportunities

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Other

How Did You Hear About The Energy Think Tank? (check all that apply)

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Petroleum ETC Event/Course

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Colleague/Referral

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Word of Mouth

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Station Houston

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Facebook

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LinkedIn

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Twitter

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Instagram

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Web Search

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Other

Professional Information | Current Industry Sector (check all that apply):

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Petroleum Oil

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Natural Gas

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Geothermal

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Solar

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Hydroelectric

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Wind

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Biomass

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Nuclear

Professional Information | Stage:

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Current Status  *

Please Choose Undergraduate Student Graduate Student Active Professional Retired Professional

Professional Information | Degree(s):

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Please select highest completed degree(s).  *

Please Choose High School College Credit Trade/Technical Training Associate Degree Bachelor Degree Masters Degree Professional Degree Doctorate Degree

Professional Information | Years of Energy Industry Experience:

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Please Choose less than 1 year 1-5 years 6-10 years 11-15 years 16-20 years 21+ years

Professional Information | Employment Status:

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Please select the best category of your current employment status.  *

Please Choose Full-time Student Part-time Employee Full-time Employee Independent Contractor Business Owner/Partner Unemployed Retired

Professional Information | Energy Industry Roles and Responsibilities:

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Please describe your job role and responsibilities.  *

Professional Information | Associations/Organizations:

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Please provide a list of the organization names you are currently involved.  *

Professional Aspirations

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Please briefly tell us what you would like to accomplish in the energy industry in the next 10 years.  *

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