MCO Alumnus of the Year Nomination Form

Nominations are due Friday, April 5, 2024. A final decision will be reached by the Ferris State Alumni Office and MCO Dean. The recipient will be notified by Friday, May 10, 2024.

Please note that the nominee must be willing to travel to the MCO Summer CE Conference evening reception to receive the award on Wednesday, June 5, 2024.

Your Name*

First Name

Last Name

Your Email*

Your Phone Number*

Name of Nominee*

First Name

Last Name

Nominee's Graduation Year*

Nominee's Email*

Nominee's Phone Number*

Nominee's Website*

Summary of Nominee's Service to Optometry*

Summary of Nominee's Service to Visual Well-Being of the Public*

Summary of Nominee's General Service to the Community*

Summary of the Nominee's Professional and Community Achievements*

Additional Comments about the Nominee

Please Upload a Copy of the Nominee's Curriculum Vitae (if available)

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