Optometry Awards of Honour nominations

This form is used to identify candidates for the School of Optometry and Vision Science Alumni of Honour Award. Please provide as much detail as possible. Point form is encouraged. 

We will also accept the candidate's:

  • curriculum vitae (CV)
  • resume
  • biography including:
    • awards
    • journal articles
    • popular press articles, etc.

You can forward these via email or mail.

E-mail - optometry.alumni@uwaterloo.ca

Mail

School of Optometry & Vision Science
University of Waterloo
200 University Avenue West
Waterloo ON  N2L 3G1
Attn: Alumni of Honour Awards

*Privacy Statement: The University of Waterloo respects your privacy and that of the person you are nominating. Information collected here will only be used for the purposes of the award. Our privacy policy is available online or you may contact Optometry Alumni.

Nomination categories

  • Early Career Alumni Award: Alumni who graduated within the last 10 years.
  • Alumni of Honour Award: Alumni who graduated more than 10 years ago but less than 30 years ago.
  • Distinguished Alumni Award: Alumni who graduated more than 30 years ago.
  • Vision Champion Awards: Recipients of this award are individuals or industry partners who have contributed significantly to the field of Optometry through volunteerism, philanthropy or advocacy work. Recipients can be alumni or non-alumni. 

Information and privacy: questions regarding the collection of information on this form can be directed to the form administrator.

Nomination category * (required)
Personal Information of Nominee
Address Type * (required)
Nominee Address
Professional Achievement

Recognizes professional accomplishments or contributions to the profession or to vision science.

What makes a good entry? Successful career/professional/research achievement(s) or contributions to the profession/field:

  • Exemplary career success, visibility
  • Significant other roles (Board of Directors, advisory groups, association committees)
  • Senior leadership
  • Known beyond industry segment
  • Leadership that has impacted the direction of the profession, affected policy, etc.

250 word maximum, point form is encouraged.

Contributions to Community

Recognizes accomplishments and involvement in volunteer leadership, humanitarian endeavours and community and public service, including or outside of optometry.

What makes a good entry? Community Service/Humanitarian endeavours:

  • Significant, sustained involvement, volunteerism, philanthropy
  • Highly visible involvement that is clearly recognized
  • Multiple leadership roles
  • Proven impact (could be local, regional, national, international)

250 word maximum, point form is encouraged.

UW Involvement, Other Information

Information that may aid in the selection process.

The candidate's CV, resume and/or biography including awards, journal articles, popular press articles, etc., will also be accepted and considered.

Letters of support are also encouraged.

250 word maximum, point form is encouraged.

Personal Information of Nominator
Address Type * (required)
Nominator Address
Are you a UW Optometry alumnus? * (required)

Please state why you are making this nomination (maximum 150 words).

Please select one of the following * (required)