Volunteer Optometric Services to Humanity
(VOSH/International)
| Application Requirements for Optometric Colleges/institutions for a Chapter *(In Spanish) |
| WHEN TO APPLY |
| An application and all required documents for establishing a chapter of VOSH International must be completed for and received by VOSH International board on or before June 1 in a given year to be considered for ratification later that year. All applicants must copy the application from the website http://www.vosh.org/membership/application/school. The application and requirement documents need to be mailed to: Natalia Venezia. VOSH secretary 5183 Chelterham Terrace San Diego, CA 92130, USA This e-mail address is being protected from spambots. You need JavaScript enabled to view it The application will be reviewed by SVOSH committee members. The new Student Chapter will be notified of acceptance and ratification at the VOSH/International Annual Meeting held in the latter part of the year. |
| HOW TO APPLY |
| Please read the instructions carefully and complete all the requirements in the application and provide originals of documents required. No photocopied documents will be accepted unless notarized by a legal authority. |
| 1. Complete application form for establishment of a student VOSH International chapter by the President or Academic Dean or Faculty representative identified by the President or Academic Dean of a given institution. Download and print the application form. |
| 2. Supporting the application form the following documentation is needed: |
| a. List of the potential officers for the chapter. Typically the chapter should have the following officers positions established (please add email) |
| i Student President |
| ii Student Vice President |
| iii Secretary/treasurer (this could be held by one person or 2) |
| b. Detailed documentation needs to be included demonstrating the process of election of the incoming student president, student vice president, student secretary/treasurer and how long the term will be. This document needs to be approved and signed by the President or Dean or Faculty representative. |
| 3. The following also needs to be provided: |
| a. Supportive material (brochure/web links) demonstrating that the optometric (NAME) institution has been established and in which year the optometric program was established. |
| b. An outline of the course curriculum. This includes course titles and descriptors offered in the degree program including the title awarded on completion of the degree program. If other degrees related to Optometry are awarded by the institution, please list these too. Eg. Masters in Vision Science, PhD in Physiological optics. |
| c. Evidence from the President or Academic Dean that the optometric institutions is accredited/legally recognized within the country though an established educational body such as the Ministry of education or registered with a regulating body related to education or public health. |
| 4. A written report on what is the purpose of establishing a student VOSH International chapter including the mission. Provide details of the activities you have or intend to carry out on your missions including fund raising activities you plan and other local activities your chapter will do in the area. |
| 5. Non refundable application fee of US 50 dollars to be sent by money order, check payment. The payment would be made out to: VOSH/International c/o Charles H Covington FVI, Treasurer 111 Linda Lane, Lake Mary, Florida 32746 USA This e-mail address is being protected from spambots. You need JavaScript enabled to view it |
| Questions related to the application:please contact VOSH/International c/o Natalia Venezia, Secretary 5183 Chelterham Terrance, San Diego, CA 92130 USA, This e-mail address is being protected from spambots. You need JavaScript enabled to view it |
Application form
| Please type using 10 Ariel font type the application 1. Provide the name of the proposed student VOSH International chapter. ______________________________________________________________________ ______________________________________________________________________ 2. Name the optometric institution/college/university supporting the establishment of the student VOSH international chapter, including address, phone, fax, web site, year the institution was established. ______________________________________________________________________ Name of optometric institution ___________________________________________________________________________ Address ___________________________________________________________________________ City Zip code ____________________________________________________________________________ Country _____________________________________________________________________________ Phone: country code, area code, phone number _____________________________________________________________________________ Fax: country code, area code, phone number _____________________________________________________________________________ Web link _____________________________________________________________________________ The year the optometric institution was established What are the requirements for student entry into the Optometric program? Eg. High school graduates at age 19; bachelors degree in science? How many students are admitted each year or academic term? __________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ 3. At the institution provide details on how long the Optometric program is? Semesters/terms (how many weeks in each term/semester) and in years total length of program. What degree(s) is (are) conferred to candidates completing the program? For degrees higher than the entry level degree; please provide this information too. _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Please provide separately with the application the following details. a. Supportive material (brochure/web links) demonstrating that the optometric institution has been established and in which year the optometric program was established. b. An outline of the curriculum. This includes course titles and descriptors offered in the degree program including the title awarded on completion of the degree program. If other degrees related to Optometry are awarded by the institution, please list these too. I.e. Masters in Vision Science, PhD in Physiological optics. c. Evidence from the President or Academic Dean that the optometric institutions is accredited/legally recognized within the country though an established educational body such as the Ministry of education or registered with a regulating body related to education or public health. 4. Provide the following information in regards to the Optometric Institution and leadership details Name of the President or Dean of the Optometric institution ______________________________________________________________________ Title (first name) (last name) _____________________________________________________________________________ Email contact address _____________________________________________________________________________ Phone: country code, area code and phone ______________________________________________________________________ Number of years in this position at the Optometric institution? 5. Name of the primary faculty representative at the Optometric institution who will be the faculty representative for the student VOSH International chapter. ______________________________________________________________________ Title (first name) (last name) _____________________________________________________________________________ Email contact address _____________________________________________________________________________ Phone: country code, area code and phone _____________________________________________________________________________ Number of years in this position at the Optometric institution? 6. Provide below the list of the student names that will be part of the student VOSH/International chapter. Name of the student President of VOSH/International chapter _____________________________________________________________________________ Title (first name) (last name) _____________________________________________________________________________ Email contact address _____________________________________________________________________________ Phone: country code, area code and phone Name of the student Vice President of VOSH/International chapter
_____________________________________________________________________________ Title (first name) (last name) ______________________________________________________________________ Email contact address _____________________________________________________________________________ Phone: country code, area code and phone Name of the Treasurer of VOSH/International chapter _____________________________________________________________________________ Title (first name) (last name) _____________________________________________________________________________ Email contact address _____________________________________________________________________________ Phone: country code, area code and phone Name of the Secretary of VOSH/International chapter _____________________________________________________________________________ Title (first name) (last name) _____________________________________________________________________________ Email contact address _____________________________________________________________________________ Phone: country code, area code and phone 7. Separate to the application provided, a typed written report on what is the purpose of establishing a student VOSH International chapter including the mission. Provide details of the activities you have or intend to carry out on your missions including fund raising activities you plan and other local activities your chapter will do in the area. I certify the information provided is true and accurate. ______________________________________________________________________________
Name of the Person completing the application form with signature ______________________________________________________________________________ Title at the Optometric Institutions ______________________________________________________________________________ E-mail and phone contact. |