STAR FELLOWSHIP APPLICATION

FAMILY INFORMATION
Father’s occupation ____________________________________________________________________________________________________
Mother’s occupation ___________________________________________________________________________________________________
Number & ages of brothers and sisters _____________________________________________________________________________________
Please list any brothers or sisters currently attending university ___________________________________________________________________
Are you currently employed? ❒ Yes ❒ No
Do you plan to work while in university? ❒ Yes ❒ No
With Scholarship? ❒ Yes ❒ No
Without Scholarship? ❒ Yes ❒ No
Please estimate how you will pay for your college expenses:
Parents % __________________ Scholarship % _____________________ Personal Earnings % __________________ Other % _________________
What other scholarships/awards do you expect? Please include the amount.
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Have you previously received a scholarship from an SPE Section or SPE Foundation? ❒ Yes ❒ No
If yes, please describe and include amount. __________________________ Month _______________________ Year ________________________
__________________________________________________________________________________________________________________
Please check the approximate yearly income of your family, and please indicate any extenuating financial difficulties of your family such as medical expenses
or job lay-offs.* ❒ Less than USD 20,000 ❒ USD 20,000 to 50,000 ❒ USD 50,000 to 90,000 ❒ USD 90,000+
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*This information is considered confidential.
Letter of Recommendation
Submit at least one letter of recommendation but not more than three.
SPE Fellowship Program
The SPE Fellowship is contingent on the recipient’s enrollment of 50% of a full time academic course load in the study of courses related to the Oil
& Gas Industry for a minimum of 9 months from the application submission deadline(15 March).
If selected as an SPE Fellow,
• I will abide by the terms and regulations of the fellowship
• I give SPE permission to release my name and photograph for information purposes
• It is my intention to enroll in a _____________________________ curriculum at a _________________________________ university
❒ By checking here I confirm that all information included in this application is accurate to the best off my knowledge, I have read the guidelines,
and I will abide by the rules and regulations of the scholarship.
__________________________________________________________________________________________________________________
Applicant Name (Type)
Date
Application Submission Procedures
Applications must be submitted by email or mail to the attention of SPE Regional Scholarship Program to the appropriate SPE Office. Please do not send by email
and mail. All applications must be typed. No handwritten applications will be accepted. Attach all required documents in one email. In the subject line of the email you
must indicate to which Region you are applying. The subject line should include STAR-Region. Example subject line: STAR- North Sea. Apply to the region where your
permanent address is located. For help in locating your region click here.
Email applications to star@spe.org.
Americas Regional Office
Attn: Erin O'Sullivan,
Regional Scholarships
Mail: P.O. Box 833836
Richardson, TX 75083-3836, USA
Shipping: 222 Palisades Creek Dr.
Richardson, TX 75080-2040, USA
Phone: +1.800.456.6863
(US/Canada toll free)
Fax: +1.972.952.9435
Asia Pacific Office
Attn: Shamalla Mahadevah,
Regional Scholarships
Suite 23-02, Level 23, Centrepoint South
Mid Valley City, Lingkaran Syed Putra
59200 Kuala Lumpur
Malaysia
Tel: +60.3.2288.1233
Fax: +60.3.2282.1220
Europe, Russia, Caspian and
Sub-Saharan Africa Office
Attn: Kamilla Whatling,
Regional Scholarships
First Floor, Threeways House,
40/44 Clipstone Street, London W1W
5DW
United Kingdom
Tel: +44.20.7299.3300
Fax: +44.20.7299.3309
Middle East, North Africa,
and India Office
Attn: May Asmer,
Regional Scholarships
Dubai Knowledge Village
Block 17, Offices S07-S09
PO Box 502217
Dubai, United Arab Emirates
Telephone: +971.4.390.3540
Facsimile: +971.4.366.4648
STAR Fellowship Last Name , 5