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| Please respond to the sections below as completely as possible to provide the U.S. Department of Energy with a complete view of your background. DO NOT substitute your resume in lieu of a response to the following. Direct questions can be directed to Elena Melchert at 202-586-5600 or
UnconventionalResources@hq.doe.gov
. Top candidates will be contacted for an interview. |
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| Summarize the depth and breadth of your professional experience related to unconventional natural gas or other petroleum resources or related interests, if any. |
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| Describe your educational background (degrees earned, post-graduate work completed, etc.). |
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| List any professional affiliations or awards pertaining to unconventional natural gas or other petroleum resources or related interests. |
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| Indicate specific areas of professional expertise as related to oil, gas, and/or unconventional natural gas or other petroleum resources exploration and production (i.e., reservoir, drilling, production, exploration, evaluation, environmental, safety, regulatory, etc.). |
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| List your personal affiliation with industry/professional associations, societies, or other related groups. |
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Summarize your qualifications, if any, under any of the following membership requirements as listed under Section 999D(b)(2) of the Energy Policy Act of 2005: |
| (A): individuals "...who are employees or representatives of independent producers of natural gas and other petroleum, including small producers;" |
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| (B): "...individuals with extensive research experience or operational knowledge of unconventional natural gas and other petroleum resource exploration and production;" |
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| (C): "...individuals broadly representative of the affected interests in unconventional natural gas and other petroleum resource production, including interests in environmental protection and safe operations;" |
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| (D): "...expertise in the various geographic areas of potential supply of unconventional onshore natural gas and other petroleum in the United States;" |
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| Are you a contractor, subcontractor, consultant, or have any type of financial relationship with the Research Partnership to Secure Energy for America (RPSEA)? If so, please describe the nature of that relationship. |
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Are you a registered lobbyist? If so, what organization do you represent?
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Indicate your availability for advisory committee meetings to be held during June 2010, September 2010, and October 2010.
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