SOCIETY OF PETROLEUM ENGINEERS, INC

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					                                                        Society of Petroleum Engineers
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                                               Nomination for 2010 SPE International Awards
                        SPE Award                    Select Award
CANDIDATE INFORMATION




                        Candidate’s Name:                                                    SPE Member Number (if known):

                        Job Title:                                                 Company:

                        Address:

                        City, State, Country:                                 Postal Code:

                        Email:                       Phone number:

                        Age: (required for the Uren and Young Member Outstanding Service Awards only)

                        Provide the following documentation. Items 1 and 2 are required. Items 3 and 4 are optional. Nomination must
                        include the information requested in items 1 and 2 or the award selection committee may choose to reject it.
                                 You may enter text in the fields below or submit supporting documents attached to an email to awards@spe.org .
                                 Colleagues may send letters of recommendation supporting this nomination directly to awards@spe.org.
                                 SPE staff will attach support documentation, letters of recommendation, and the candidate’s SPE member record to this nomination.
                                 Once received, SPE International Award nominations, support documents and letters of recommendation are considered confidential.
SUPPORTING DOCUMENTS




                        1.        The primary reasons the candidate should be recognized: Include specific examples that
                                  support the award requirements. View award requirements online at www.spe.org/speawards .


                        2.        Employment History: A resume, abridged CV, or a biographical profile of the candidate, including details on
                                  the candidate’s education, job experience, company affiliations, and organization memberships.


                        3.        Major Accomplishments(optional): A list of any worldwide, national, local, company, academic, or public
                                  service contributions of the candidate that support the award requirements.


                        4.        Publications (optional): A list of five publications that represents the candidate’s best work. Do not include a list
                                  of all publications.
NOMINATOR INFORMATION




                        Nominator:                                                SPE Member Number:

                        Job Title:                                                Company:

                        Address:

                        City, State, Country:                              Postal Code:

                        Email:                       Phone number:

                        Date Nomination Submitted: 9/12/2012

                                                               SUBMIT BY 15 FEBRUARY 2010 TO:
                                                                     SPE International Awards
                                                                  Society of Petroleum Engineers
                                                       P. O. Box 833836, Richardson, TX 75083-3836 U.S.A.
                                 Phone: +1.972.952.9452 ● Phone: +1.800.456.6863 (US/Canada toll free) ● Facsimile: +1.972.952.9435
                                                                     E-mail: awards@spe.org

                        FOR SPE OFFICE USE ONLY                                                                 Date received: __________________

                                                                                                                Years of eligibility: _______________

				
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