certificate programs
diploma program
application form
about us
contact us
Application Form
- IHRDC Online
Certificate Programs in Oil and Gas Management
Note: Red labeled fields are required.
1. Personal Information
Last/Family Name:
First or Given Name:
Middle Name or Initial:
Gender:
Male
Female
Nationality:
Date of Birth:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Language Skills:
Language Name
Read?
Write?
Speak?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
2. Company Information
Company:
Department / Division:
Office Address:
Number/Street Line 1:
Number/Street Line 2:
City:
State/Prov:
Postal Code:
Country:
Select Your Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Canary Islands, The
Cape Verde
Caroline Islands
Cayman Islands
Centrafrique
Central African Republic
Chad
Channel Islands
Chile
China, People's Republic
Christmas Island
Chuuk Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic, The
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ebeye Island
Ecuador
Egypt
Eire
El Salvador
England
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Federated States of Micronesia
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Great Britain
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea Republic
Guinea-Bissau
Guyana (British)
Haiti
Holland
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Ireland, Northern
Ireland, Republic Of
Islas Malvinas
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kingdom of Cambodia
Kiribati
Korea, D.P.R Of
Korea, Republic Of
Koror Island
Kosrae Island
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Libya Arab Jamahiriya
Liechtenstein
Lithuania
Lord Howe Island
Luxembourg
Macau
Macedonia, Republic of (FYROM)
Madagascar
Majuro Island
Malawi
Malaysia
Maldives
Mali
Malta
Manua Island
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova, Republic Of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru, Republic Of
Nepal
Netherlands, The
Nevis
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Ireland
Northern Marianas
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines, The
Pohnpei Island
Poland
Portugal
Puerto Rico
Qatar
Reunion, Island Of
Romania
Rota Island
Russian Federation, The
Rwanda
Saipan
Samoa
Sao Tome and Principe
Saudi Arabia
Scotland
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland, Rep of (North Somalia)
South Africa
South Korea
Spain
Sri Lanka
St Croix
St John
St Thomas
St. Barthelemy
St. Eustatius
St. Kitts
St. Lucia
St. Maarten
St. Vincent
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Tahiti
Taiwan
Tajikistan
Tanzania
Thailand
Tinian Island
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tutuila Island
Tuvalu
Uganda
Ukraine
Ulster
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (US)
Wales
Wallis and Futuna Islands
Western Samoa
Yap Island
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Phone:
Fax
Email Address:
Current Job Information:
Job Title:
Date Assigned:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Current Supervisor Name:
Current Supervisor Title:
Previous Enrollment in IHRDC International Energy Management Institute Certificate Program(s)?
Yes
No
IHRDC Mentor Name:
Company Mentor Name:
3. Career Experience
From
(Year)
To
(Year)
Company
Location
Responsibilities, Activities
Brief Statement of Professional Goals:
4. Educational Background
From
(Year)
To
(Year)
Institution
Location
Degree
Attained
Honors, Awards
5. Admission Request
Please enroll me in the following Certificate Program(s):
Credits
CEUs
Price
Formation Evaluation
200 Hours
5 Credits
20 CEUs
$3,500.00
Reservoir Engineering Practices
200 Hours
5 Credits
20 CEUs
$3,500.00
Reservoir Management and Exploitation Strategies
200 Hours
5 Credits
20 CEUs
$3,500.00
Drilling and Well Completion Practices
200 Hours
5 Credits
20 CEUs
$3,500.00
Production and Operating Practices
200 Hours
5 Credits
20 CEUs
$3,500.00
Petroleum Technology for Non-Technical Professionals
80 Hours
2 Credits
8 CEUs
$1,400.00
Upstream Petroleum Technology for Non-Petroleum Engineers
80 Hours
2 Credits
8 CEUs
$1,400.00
Reservoir Rock and Fluid Properties
80 Hours
2 Credits
8 CEUs
$1,400.00
Reservoir Performance
80 Hours
2 Credits
8 CEUs
$1,400.00
Reservoir Characterization
80 Hours
2 Credits
8 CEUs
$1,400.00
Well Test Planning and Analysis
120 Hours
3 Credits
12 CEUs
$2,100.00
Open Hole Logging Methods
80 Hours
2 Credits
8 CEUs
$1,400.00
Well Log Interpretation
80 Hours
2 Credits
8 CEUs
$1,400.00
Subsurface Mapping
80 Hours
2 Credits
8 CEUs
$1,400.00
Reservoir Simulation
80 Hours
2 Credits
8 CEUs
$1,400.00
Improved Recovery Methods
80 Hours
2 Credits
8 CEUs
$1,400.00
Reservoir Management of Mature Fields
80 Hours
2 Credits
8 CEUs
$1,400.00
Well Planning and Design
80 Hours
2 Credits
8 CEUs
$1,400.00
Drilling Operations
120 Hours
3 Credits
12 CEUs
$2,100.00
Well Completion and Workover Operations
120 Hours
3 Credits
12 CEUs
$2,100.00
Producing Well Performance
80 Hours
2 Credits
8 CEUs
$1,400.00
Well Stimulation and Sand Control
80 Hours
2 Credits
8 CEUs
$1,400.00
Surface Production Operations
120 Hours
3 Credits
12 CEUs
$2,100.00
6. How did you hear about this site? (Check all that apply)
Advertisement
Internet Search
Select One
Google
Yahoo
MSN Search
AOL Search
AllTheWeb.com
Ask Jeeves
HotBot
Lycos
Teoma
Inktomi
LookSmart
Open Directory
Overture
AltaVista
Netscape Search
WiseNut
About.com
Britannica.com
Excite
iWon
WebWombat
WebCrawler
PepeSearch
Aeiwi
Links2Go
SearchKing
My Octopus
HotLinks
Hotrate.com
Zeal
Qango.com
Xoron
Other
Recommendation by Colleague
IHRDC Catalog/Brochure
IPIMS User
Recommendation by Company
IHRDC Email
Previously Attended IHRDC Course
Training Department
IHRDC Regional Sales Person
Select an IHRDC Regional Sales Person
Rodrigo Brandt (Latin America)
George Evans (North America)
David Koes (Far East)
Cherry Locke (Europe, India and Former Soviet Union Countries)
Ayman Meneassy (North Africa and Middle East)
Robert Taylor (Sub-Sahara Africa, Asia Pacific and Corporate Sales)
Other
7. Send this Application Form to IHRDC for Review:
Thank you for completing your application. Upon acceptance to the program an invoice will be generated and you will be advised of payment options. You will be hearing from us shortly.
Cancel Submission
|
Submit Application Form