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EBAA

EBAA

We restore sight worldwide

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  • About
        • About EBAA
        • EBAA is the nationally-recognized accrediting and standards setting body for eye banks.

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        • View our History Timeline!

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        • We serve our members through a variety of services, resources, education, and much more.

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        • Learn more about the benefits of membership

  • Cornea Donation
        • Cornea Donation
        • Since 1961, EBAA member eye banks have provided tissue for more than 2 million sight restoring, life-changing corneal transplants.

          • Register as a Donor
          • FAQs
          • Regístrese para ser donante
          • What is an eye bank?
          • Common Corneal Diseases
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        • Learn more about the donation process and what eye banks do

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        • Join us this June in Dallas!

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        • Share your donation story today!

EBAA Board Acknowledgement Form

Please review the Board Responsibilities, the Conflict of Interest Policy, the Anti-Trust Policy, and the Principles of Professional Conduct and complete the form below.

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Contact Information

Name*

Board Service Policy Acknowledgement

Members of the EBAA Board of Directors are expected to review, understand and comply with the policies listed in the EBAA Board of Directors Responsibilities, the Conflict of Interest Policy, and Anti-Trust Policy and the Principles of Professional Conduct
As a member of an EBAA Board of Directors, I understand my Fiduciary responsibilities to the EBAA and I agree to follow the guidelines below..*
As a member of an EBAA Board of Directors, I agree to the following:
Below is a disclosure of all relationships or financial positions that may cause an actual or potential conflict with the execution of my role as a member of the EBAA Board of Directors:
Disclosure Agreement
If, at any time following the submission of this form, I become aware of any other actual or potential conflicts of interest, or if the information contain on this form becomes inaccurate or incomplete, I will promptly notify EBAA’s President & CEO in writing, and will prepare a new disclosure form.

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phone 202.775.4999
fax 202.429.6036

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EBAA is a 501(c)(3) organization. EIN 72-0678970

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