EBAA Board of Directors Candidate Form

EBAA Board of Directors Candidate Form

Please use this form to indicate your interest in serving on the EBAA Board of Directors. The 2019 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 April 8. Board elections will take place during the House of Delegates meeting on Friday, June 7 in Scottsdale.

If you are nominating someone other than yourself, only complete the first three fields (candidates name and eye bank, plus your own name); nominees will provide the remaining information.

Please contact Kevin Corcoran with any questions.

2019 EBAA Board of Directors Candidate Form

  • Candidate Name
  • Candidate Eye Bank
  • Nominated By (if not yourself)
  • Candidate Title
  • Candidate Email
  • Candidate Bio (200 words)
  • 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 list prior service on EBAA Committees (committee name and service year) or the EBAA Board of Directors.
  • Please upload a clean, clear headshot for use in HOD materials.
    Accepted file types: png, jpg.
  • Please upload letters of support for your candidacy from eye banks or physicians. Additional letters can be sent to janet@restoresight.org after you submit this form, but all letters of support must be received by May 24.
    Drop files here or
    Accepted file types: doc, pdf.