WCO Awards Nomination Form 2027

Nominators, please kindly read the criteria for each award here before you fill out the form below. If you have any questions, please email enquiries@worldoptometry.org. We are only accepting nominations until November 15, 2026 (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:: *

Confirm Email

Nominee's Secondary Email Address (if applicable)

Confirm Email

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

For which award is this candidate being nominated? *

THE INTERNATIONAL OPTOMETRIST AWARD
THE YOUNG LEADER AWARD IN MEMORY OF DR. PAUL BERMAN

Nominator 1

Name of first nominator *

First

Last

Email Address *

Confirm Email

Secondary Email Address (if applicable)

Confirm Email

Professional Position *

Relationship to Nominee *

(Student, Colleague, etc...)

Letter of Nomination explaining why the nominee is particularly deserving of this award and outlining the specific contributions of the nominee *

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

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

File Upload

Click or drag a file to this area to upload.

Nominator 2

Name of 2nd nominator *

First

Last

Email Address *

Confirm Email

Secondary Email Address (if applicable)

Confirm Email

Professional Position *

Relationship to Nominee *

(Student, Colleague, etc...)

Letter seconding the nomination *

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

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.