2026 WCO Committee Member Application

Salutation *

First Name *

Last Name *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Email

Confirm Email

Gender *

Please select your relationship with WCO: *

I am a Member of a WCO Country Member in good standing
I am a Member or employed by a WCO Affiliate Member in good standing
I am a WCO Individual Member in good standing

A member is in good standing if they have paid their 2026 WCO membership fee.

If you do not know if your organization is a current member of WCO please click here for a list of our members or contact enquiries@worldoptometry.org.

Name of WCO Country Member (example: American Optometric Association) *

Name of WCO Affiliate Member (example: Illinois College of Optometry) *

Please upload proof of your membership or affiliation to the WCO Country Member or WCO Affiliate Member in good standing *

Click or drag files to this area to upload. You can upload up to 2 files.

Professional Qualification

Name of Optometry School Attended *

Country *

Year Graduated from Optometry School *

Optometry Degree Granted (BSc, OD, etc.): *

I confirm that my optometric degree is in line with WCO's Concept of Optometry

WCO Concept of Optometry

Optometry is a healthcare profession that is autonomous, educated, and regulated (licensed/registered), and optometrists are the primary healthcare practitioners of the eye and visual system who provide comprehensive eye and vision care, which includes refraction and dispensing, detection/diagnosis and management of disease in the eye, and the rehabilitation of conditions of the visual system. An optometrist has successfully undertaken an advanced level of relevant higher education, with the award of a bachelor’s degree or higher from a tertiary-level educational institution.

Highest academic qualification *

Current Professional Position *

Professional Position *

If you chose "other" for your professional position, please specify.

Which committee(s) are you applying for? *

Education
Legislation, Registration, and Standards
Public Health

Interest in multiple committees does not guarantee an applicant will be accepted to any or all committees since all applications will be reviewed by the Standing Committee Chairs.

Please list the WCO positions you have held below:

WCO Position (1)

Dates Served

WCO Position (2)

Dates Served

WCO Position (3)

Dates Served

If there are additional WCO positions you have held, please fill them out below:

Please insert your positions as WCO Position (Dates Served)

Have you every participated in WCO's Optometry Program in Advocacy and Leadership (OPAL)? *

Yes
No

If yes, what year did you complete OPAL? *

Please indicate national & international optometric or health-related organization or any other leadership involvement below:

Organization (1)

Position (1)

Dates Served

Organization (2)

Position (2)

Dates Served

Organization (3)

Position (3)

Dates Served

If there are additional leadership positions you have held, please fill them out below:

Please insert your positions as Organization: Position (Dates Served)

Personal Statements

Please explain how you would be an asset to WCO while serving on its committee? *

Max 500 words

Please share, from a global perspective, two (2) key areas that you think the specific WCO committee should focus on. *

Max 500 words

What are your areas of interest or specializations? Please choose three. *

If you chose Other, please specify: *

Please upload your curriculum vitae (CV)/resume *

Click or drag files to this area to upload. You can upload up to 2 files.

How did you hear about WCO? *

Search Engines (Google, Bing, Etc.,)
Social Media (Linked In, Facebook, Instagram, WhatsApp,etc.)
Your national optometric association / university / organization / colleague
Previous history (I've worked with WCO before)
Other

If you chose Other, please specify: *

WCO Committee Attendance Policy *

I understand and agree that if I am appointed as a WCO committee member and if I am absent without good reason for two consecutive meetings, I will be deemed to have resigned from the Standing Committee. *

Mission and Vision *

I have read and agree to support the World Council of Optometry's Mission and Vision *

WCO's Mission and Vision

Concept of Optometry *

I have read and agree to endorse the World Council of Optometry's Concept of Optometry *

WCO's Concept of Optometry

Privacy Policy *

I have read and agree to the World Council of Optometry's Privacy Policy. *

Privacy Policy

GDPR Statement *

I consent to having this website and WCO store my submitted information so they can respond to my application. *
I do not consent *

I hereby confirm that the information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any false or misleading information may result in the rejection of my application or termination of my involvement in WCO if discovered at a later date.

Signature of candidate: *

Clear Signature

Date *