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Home
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Membership
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Seminars / CE
Indiana Optometry CE Requirements
About Us
About Us
Mission and Vision
History
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Awards Criteria & Nomination Forms
Officers
Trustees
IOA Society Presidents
IOA Society Map
Staff
Disclaimer and Privacy Notice
Advocacy-PAC
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Optometric Educator of the Year Nomination Form - Indiana Optometric Association
Please scroll down the page to complete the form. Optometric Educator of the Year: The Optometric Educator of the Year Award recognizes a deserving individual member educator for performance of outstanding services on behalf of the profession, optometric education and to the visual welfare of the public. Qualifications 1. Service to Optometric Education (30 Points): Innovation in Teaching Scholarly contributions Leadership in optometric education 2. Service to the Visual Welfare of the Public (20 points): A. Service with sight-saving groups B. Activity with governmental health care programs C. Participation in public service programs, i.e., visual screening projects, etc. D. Legislative activities beneficial to the visual welfare of the public 3. Service to Optometry (20 points): A. Contributions of personal effort and time in behalf of the profession's advancement B. Similar acts of service 4. Service to the AOA, IOA and its Affiliates (20 points): A. Service as an officer, department director, committee chairman, committee member, etc. B. Promotion of the association's goals and programs C. Activity in support of the association's projects D. Involvement in public relations activities E. Similar acts of service 5. Public Service (10 points): A. Service to the country, state, or other political subdivision in any capacity B. Community Outreach C. Service to religious or service institutions D. Service to charitable causes
*
- Required Field
First Name *
Last Name *
Email *
Please provide the name of your nominee for Optometric Educator of the Year
Nominee's City and State
Nominee's Email
Nominee's Phone
Please describe the service to optometric education in which the nominee has engaged (30 points)
Please describe the service to the visual welfare of the public in which the nominee has engaged (20 points)
Please describe the nominee's service to Optometry (20 points)
Please describe the nominee's service to the AOA, IOA and its affiliates (20 points)
Additional comments
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