OD of the Year

OD of the Year

WOA OD of the Year Nomination - Wyoming Optometric Association
The Wyoming Optometric Association (WOA) Optometrist of the Year Award recognizes the deserving individual doctor of optometry for the performance of outstanding service on behalf of the profession, community, and the Wyoming Optometric Association.
Submitted by:*

First NameLast Name
Primary Email*
example@example.com
Primary Phone Number*
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Nominee Information
Nominee Name*

First NameLast Name
Please describe how the nominee exemplifies outstanding service on behalf of the profession, community, and the Wyoming Optometric Association in the following categories. You may attach additional pages of supporting materials if you need to.
Public Service: Services to country, state, or other political subdivisions in any capacity. Services to education, community, religious or service institutions or charitable causes. (30 Points Max)*
Additional documentation public service

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Visual Welfare of the Public: Service with sight-saving groups, legislative activities beneficial to the visual welfare of the public, participation in governmental health care programs, participation in public service programs, i.e.., visual screening projects, give-one-day, etc. (20 Points Max)*
Additional documentation for visual welfare of the public

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Service to the WOA/AOA: Service as an officer, committee chairperson, member promotion of the association’s goals and programs, support of association projections, involvement in public information activities, etc. (20 Points Max)*
Additional documentation for visual welfare of the public

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Should be Empty:

OD of the Year

Nominee Information