Distinguished Service Award

The Michigan Optometric Association “Distinguished Service” Award recognizes a member of MOA who has distinguished himself/herself within the profession for unusually significant contributions and outstanding achievements contributing to the advancement of the profession of optometry. It recognizes long-term dedication rather than any single contribution.
 

Criteria

Nominees will be evaluated according to a point system allocated to four principal areas. In your Nomination Statement, please describe key accomplishments or special initiatives that can be attributed to the nominee.
1. Service to Optometry
Contributions of personal effort and time on behalf of the professions advancement in such areas as: leadership roles within the profession; organized optometry at national, state, and local levels; continuing education, as a writer and/or Lecturer; education as a teacher or administrator; legislation furthering the advancement of optometry. (worth 80%)
2. Special Service
Involvement on behalf of the profession of optometry, in such areas as: interprofessional health care organizations, committees, boards, or groups both inside and outside the health care area; international health care or other organizations, committees, boards, or groups; standards, i.e., as a representative of optometry with standards organizations and committees.; public health, in a leadership role; the military, in a health care leadership role. (worth 20%)
 

Nomination

Please complete the following information and create a Nomination Statement based on the above criteria.
Name of Nominee:
Nomination Submitted By:
Telephone Number:
Email:
Nomination Statement:
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