For More Information
Contact
Lynne C. Corboy,
Director of Development

Voice (215) 780-1393
Fax (215) 780-1396
lcorboy@pco.edu

Alumni Relations

For More Information
Contact
Heather Giampapa
Director of Annual Giving and Alumni Relations
 
Voice (215) 780-1391
Fax (215) 780-1396
alumni@pco.edu

Online Award Nomination Form

The Alumni Association annually bestows awards on deserving alumni and friends of PCO.  Traditionally, the awards are presented at the Annual Dinner dance as part of the Alumni Reunion Weekend.  Complete this form to submit your nomination for any of the awards.

Submit Your Nomination/s

Alumnus of the Year

This award is presented to an alumnus of the Pennsylvania College of Optometry who has distinguished himself/herself through extraordinary service and contributions to the profession of optometry, bringing honor and prestige to PCO.

Nominee's First Name 
Nominee's Last Name 
Nominee's Middle Initial 
Nominee's Title 
Nominee's Graduation Year 
Nominee's Home Address 
Nominee's Home Address 2 
Nominee's Home City 
Nominee's Home State 
Nominee's Home Zip 
Nominee's Home Phone 
Nominee's Office Address 
Nominee's Office Address 2 
Nominee's Office City 
Nominee's Office State 
Nominee's Office Zip 
Nominee's Office Phone 
Nominee's Fax 
Nominee's Email 
Reason for Nomination 

Distinguished Service Award

This award is presented to a non-alumnus who is closely identified with PCO and who has provided notable service to the College and optometry.
Nominee's First Name 
Nominee's Last Name 
Nominee's Middle Initial 
Nominee's Title 
Nominee's Business Type 
Nominee's Business Address 
Nominee's Business Address2 
Nominee's Business City 
Nominee's Business State 
Nominee's Business Zip 
Nominee's Business Country 
Nominee's Phone 
Nominee's Fax 
Nominee's Email 
Nominee's Web URL 
Distinguished Nominee Reason 

Public Service Award

This award is presented to a person (or organization), preferably of national standing, which has made a recent significant contribution to PCO, to optometry or the cause of sight conservation.

Nominee's First Name 
Nominee's Last Name 
Nominee's Middle Initial 
Nominee's Title 
Nominee's Organization Type 
Nominee's Business Address 
Nominee's Business Address2 
Nominee's City 
Nominee's State 
Nominee's Zip 
Nominee's Country 
Nominee's Business Phone 
Nominee's Home Phone 
Nominee's Fax 
Nominee's Email 
Nominee's Web URL 
Reason for Nomination 

Nomination/s submitted by
First Name 
Last Name 
Middle Initial 
Title 
Street Address 
Street Address2 
City 
State 
Zip/Postal Code 
Home Phone 
Work Phone 
Fax 
Email Address