AOC Bruce Spivey Skills Development Award 2026

Application Form: The AOC Bruce Spivey Skills Development Award 2026
Please read the attached pdf document (Bruce Spivey Awards) to understand about the courses eligible for the award before attempting to fill in this form.

Fill Out the Form Below to Submit Your Award Application!
1. Name*

First NameLast Name
2. E-mail*
example@example.com
3. Phone Number*
e.g +25872345678Format: + 000000000000.
4. AOC MEMBERSHIP NUMBER*
If unknown say unknown . If none say never joined
5. YEAR OF FIRST AOC REGISTRATION*
6. Primary Place of Work*

Clinic or Hospital Name

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
7. Departure Date from home for course*

MonthDayYear
Date
8. Departure Date from course to home*

MonthDayYear
Date
9. Professional Standing Current Role:*
CURRENT ROLE
10. Course Selection-Please select the course you are applying for *
Note the requirements for each course
11. Eligibility Checklist: Please confirm the following by ticking the boxes:*

I am a member or member-in-training of the African Ophthalmology Council (AOC)I am a first-time beneficiary of AOC Scholarship InitiativesI currently not enrolled in any other long-term course (excluding residency or other member in training programs)I have or will have regular access to the necessary equipment (e.g., Phaco machine, clinical workload) to implement these skills post-training at my place of work as detailed in my Cover letter below
12. Cover Letter/Personal Statement: (Max 250 words)Briefly describe why you deserbe this award and how this specific skills development award will impact your practice and the patients ithat you serve
Please do not exceed 250 words.
13. Upload Resume/Brief CV*

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14. Upload licence to practice in your country or proof of being a fulltime member in training

You can share certificates, diplomas. receipts in pdf, doc, docx, mp3, wma, mpg, flv, jpg, png, gif etc.
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15. Upload Proof of Uveitis Course Admission/Application OR AOC2026 Registration for the Phaco course

You can share certificates, diplomas. receipts in pdf, doc, docx, mp3, wma, mpg, flv, jpg, png, gif
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16. Upload copy of Passport Data Page (needed for ticket purchase)

You can share certificates, diplomas. receipts in pdf, doc, docx, mp3, wma, mpg, flv, jpg, png, gif etc.
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17. Required Attachments - Confirm that all documents have been uploaded:

1. Resume/Curriculum Vitae (CV)2. Proof of License or Training Status3. Proof of Course Admission/Application (or AOC2026 Registration for the Phaco course)4. Copy of Passport Data Page
Should be Empty:

Application Form: The AOC Bruce Spivey Skills Development Award 2026

Please read the attached pdf document (Bruce Spivey Awards) to understand about the courses eligible for the award before attempting to fill in this form.