BCDO Student Associate Application

Student Associates are students currently enrolled in a program of optometry recognized by the BC Doctors of Optometry Board of Directors.

I hereby apply to BC Doctors of Optometry for student membership.
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Date of Birth*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
College or University Currently Attending
Name of School*
Expected Graduation Year*
Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Submission*
As a Student Associate you will receive copies of the BCAO electronic news bulletins as well as the bi-monthly electronic newsletter. Please notify BCAO if your contact information changes.
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