FOUNDER & TRUSTEE RECOGNITION PAGE
DOCUMENT REQUEST

IN ORDER TO ASSIST WITH THE PREPARATION OF YOUR

WORLD COLLEGE OF REFRACTIVE SURGERY & VISUAL SCIENCES BIO PAGE,

WE REQUEST THAT YOU SUBMIT THE FOLLOWING THREE (3) ITEMS:

 
    1. A High Resolution Head-Shot of Yourself
    2. Upload a Current Curriculum Vitae (CV)
    3. A Short Personal Statement (Maximum 500 Words) on your Professional Experience, Number Years Served, and Any of the Following Features:
      1. Current position and institution.
      2. Your specific areas of expertise.
      3. Summary of your most significant contributions to refractive surgery (e.g., holds patents on several devices, participated as a clinical investigator, served as President of XYZ Society, served on the Board of Directors of XYZ company, edited the XYZ textbook, etc.)  NOTE: This should not be a reiteration of your CV but should simply highlight your most important contributions.
      4. Describe the Personal Impact You Have Had in Your Profession.
      5. Achievements/Awards Received.
      6. Describe Your Personal Values and Vision for the future of Vision Correction and Visual Sciences.
      7. Links to Include:
        1. Professional Social Media Profiles e.g. LinkedIn
        2. Philanthropic/NGO Service Organizations where you are on the Board/Leadership/Founder; etc.
        3. Any other topics that you would like to highlight in your biography.
 
    Name*
    Please Provide the Email Address to Use on Your Bio Page*
    Accepted file types: gif, jpg, png, pdf, doc, jpeg, Max. file size: 900 MB.
    Accepted file types: gif, jpg, png, pdf, doc, jpeg, Max. file size: 900 MB.
    Accepted file types: gif, jpg, png, pdf, doc, jpeg, Max. file size: 900 MB.

    Click the Submit Bio" bottom to submit your information.
    Your submission may take 30 seconds to transmit if the files are large, so please do not hit the back button.
    You will be redirected to a "Thank You" page once your submission has been transferred.

    This field is for validation purposes and should be left unchanged.