WCO Awards Nomination Form 2025

Please read the criteria for each award here. If you have any questions, please email enquiries@worldoptometry.org. We are only accepting nominations from January 24 - March 07, 2025 (11:59PM US Central Standard Time/ UTC / GMT-6).

Nominee Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

WCO Membership Category: *

Good standing means you or your organization paid the WCO annual membership dues this year.

Organization's Email Address: *

Nominee's Email Address:: *

Nominee's Secondary Email Address (if applicable)

Please list this nominee's past and present leadership positions.

For which award is this candidate being nominated? *

THE DISTINGUISHED SERVICE AWARD IN MEMORY OF DR. UDUAK UDOM
THE INTERNATIONAL OPTOMETRIST AWARD
THE YOUNG LEADER AWARD IN MEMORY OF DR. PAUL BERMAN

Nominator 1

Name *

First

Last

Email Address *

Secondary Email Address (if applicable)

Professional Position *

Relationship to Nominee *

(Student, Colleague, etc...)

Bearing in mind the criteria, please explain why you feel this person should be considered for this award. *

If there is a presentation, publication, newspaper article, or other social media examples to support nomination, please link here or upload below.

File Upload

Click or drag files to this area to upload. You can upload up to 3 files.

Nominator 2

Name *

First

Last

Email Address *

Secondary Email Address (if applicable)

Professional Position *

Relationship to Nominee *

(Student, Colleague, etc...)

Bearing in mind the criteria, please explain why you feel this person should be considered for this award. *

If there is a presentation, publication, newspaper article, or other social media examples to support nomination, please link here or upload below.

File Upload

Click or drag files to this area to upload. You can upload up to 3 files.