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About Us > Board of Directors > EBAA Board of Directors: Call for Candidates

EBAA Board of Directors Candidate Form

Please use this form to indicate your interest in serving on the EBAA Board of Directors. The 2023-2025 House of Delegates will vote to fill three At-Large Director positions. Please review the Board of Directors Expectations and Positions Descriptions before completing this form (View PDF version).

All nominations must be received by March 17. Board elections will take place during the House of Delegates meeting on Friday, June 23 in Dallas, Texas.

Please contact Kevin Corcoran with any questions.

"*" indicates required fields

Candidate Name*
Candidate Personal Statement - Describe your skills and experience, the issues you feel are important to this position or other information that explains why members should vote for you (200 words)
Please upload a clean, clear headshot to be used in HOD materials.
Drop files here or
Accepted file types: pdf, png, jpg, gif, doc, Max. file size: 25 MB.
    Please upload letters of support for your candidacy from eye banks or physicians. Additional letters can be sent to genevieve@restoresight.org after you submit this form.
    Drop files here or
    Accepted file types: doc, pdf, Max. file size: 25 MB.
      I identify my race as:
      I identify my gender as:
      I identify my orientation as LGBTQ+
      I identify myself as having a disability
      I have read and accept the Board expectations and the position description for the role for which I am running .*

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