Rising Star and State Leader Nominations Form

  • Eye on Impact Awards Nomination Form

    One Vision | One Voice | One UOA Conference June 25-27 Chicago

  • The Eye on Impact Awards honor individuals and advocates whose leadership, service, education, and advocacy have made a meaningful difference in opticianry. These awards will be presented during the Eye on Impact Awards Dinner powered by Zeiss at the One Vision | One Voice | One UOA Leadership Conference, an evening dedicated to celebrating excellence and lasting impact within our profession. 

    Please submit your nomination by Tuesday, May 5, 2026.  

    Please submit one form per nomination.

  • Format: (000) 000-0000.
  • Are you a current UOA member in good standing?

  • Only members in good standing are eligible to make nominations.

  • State Leader of the Year Eligibility Criteria:

    • Involved in state leadership, past or present
    • Attended a minimum of two UOA State Leadership Conferences
    • Actively promoted the advancement of opticianry within their state or other states
    • Holds current ABO or NCLE certification,and holds current licensure/registration per the regulations of the individual's state of practice
    • Member of a State Association for at least five consecutive years
    • Current UOA member

  • Rising Star Eligibility Criteria:

    • Rapid professional growth
    • Commitment to continuing education
    • Outstanding patient care
    • Leadership potential
    • Meaningful contributions to their workplace and the profession
    • Holds current ABO or NCLE certification, and holds current licensure/registration per the regulations of the individual's state of practice.

  • The person I am nominating meets all of the criteria requirements laid above

  • The individual must meet all of the criteria to be qualified for the award.

  • Candidate Information

    Please provide information for the candidate you are nominating
  • Format: (000) 000-0000.
  • Should be Empty: