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Henry DeWitt Smith Fellowship

Application Deadline 1 June

PERSONAL INFORMATION (MUST BE TYPED)


Name
Last Name (Family Name) First Name (Forename)

SPE Member Number

Middle Name

Email Address Current Home Address

Telephone City Country


Zip/Postal Code

State/Providence University Name Expected Graduation Date


Month

Graduate Level
Year

Select

Are you on a student visa?

Select

Do you plan to secure a student visa?

Select

Completed application and supporting documents must be received by 1 June. Please mail to: SPE Marizza Olivares, HDSF PO Box 833836 Richardson, TX 75083-3836 USA Hard copy applications are preferred; however, in the event of extenuating circumstances applications will be accepted via email at HDS@spe.org. *If selected for this fellowship a recent official transcript and schedule of classes will be required.

CHECKLIST
I am a graduate student pursuing a Master's or PhD in petroleum engineering or a related field. Two letters of recommendation, one must be from a current university faculty member. Letters may be submitted by the applicant or the faculty member via mail or email. Transcripts from all universities attended. One page essay - double spaced, 12 point font, 1 inch margins. Topic: If awarded this fellowship, what would you do with your education to make Henry DeWitt Smith delighted that you are the beneficiary? I certify that this fellowship will not be all of my annual income. Check all that apply: I am currently employed. I will be receiving other fellowships or financial aid. My family will be providing me with financial assistance. Other, please explain: I am aware that I can submit other qualifying information, although it is not a requirement. (Limit 5 pages). I understand that the handwritten applications will not be accepted. My application form is complete and everything on this checklist is included. Type your name and date:

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