2018 Gift of Sight Nomination Form

2019 Gift of Sight Nomination Form

  • Nomination Form

    This award is presented to a professional who works closely with the eye banking community and whose efforts have demonstrated significant support of eye banking and corneal donation. To nominate an individual for the 2019 Gift of Sight Award, please fill out the form below. The deadline for nominations is March 18, 2019.
  • Organization submitting nomination:
  • Contact Name
  • Contact's email address
  • Information about the Nominee

  • Name of Nominee
  • Nominee's email address
  • Nominee's Profession/ Job Title
  • Number of years in professional position
  • Number of years affiliated with the eye bank program:
  • Describe the contributions that your nominee has made toward your eye bank, eye banking in general, and the Gift of Sight:
  • Brief biography of nominee including military service, education, previous employment, etc:
  • List the previous awards that the nominee has received.
  • Include any additional comments about why this person should receive the Gift of Sight.
  • Nominee CV/ Resume
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    Accepted file types: pdf, doc, docx, jpg.
  • Please upload any additional documents supporting the nomination.
    Drop files here or
    Accepted file types: pdf, doc, docx, jpg.
  • Please upload a headshot of the nominee.
    Drop files here or
    Accepted file types: pdf, doc, docx, jpg.