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B Education – You must include a professor’s name and email for enrollment verification. Application will be returned if left blank.
Expected Degree: BS MS PhD Field of Study_:_________________________________________________________________________
A professor reference must be received within 60 days of application. If a reference is not received, the application will be canceled. Student application fees are non-
refundable. For more information on our refund policy, visit seg.org/refund-policy.
Please return form with payment to: SEG • P.O. BOX 801501 • KANSAS CITY, MO 64180-1501, USA
PHONE +1-918-497-5581 • FAX +1-918-497-5558 • members@seg.org • www.seg.org