Eye Health Heroes 2018 – Nomination Form

  • Please note that the deadline for nominating an Eye Health Hero is Friday 23rd August 2019.
    Tick the box to confirm that the nominating organisation is committed to support its Eye Health Hero's attendance to 2019 CoM. Inability to attend may preclude participation to the initiative.
  • Date Format: MM slash DD slash YYYY
    The nominee must be less than 35 years old.
  • In no more than 400 words tell us about your Eye Health Hero’s qualities, how they have become a rising star within your organisation, her/his work and how she/he is making a difference for universal eye care.
  • Submit a quote from the Eye Health Hero telling us in less than 100 words: what do you love about your role?
  • Please upload high resolution photographs. Maximum file size allowed: 40MB. Should you face any issue uploading the form, please send the photos by email to communications@iapb.org
  • Please upload high resolution photographs. Maximum file size allowed: 40MB. Should you face any issue uploading the form, please send the photos by email to communications@iapb.org
  • Privacy

  • We will be using your name, email and other details provided to record your nomination for the Eye Health Heroes 2019. You will be receiving emails from us on updates about the Eye Health Heroes. Please do visit our privacy policy page for more information on how we store your data.
  • This field is for validation purposes and should be left unchanged.

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7oct - 8All DayCouncil of Members 2019