Emerging Optical Leaders Committee (EOL) Nomination Form

Please provide the following information about yourself (the nominator).

Nominator Full Name
Nominator Company
Nominator Email
Nominator Title

Please provide the following information about the candidate you are nominating.

Nominee Full Name
Nominee Company
Nominee Email
Nominee Title

Does this person report to you in your organizational structure?

Supervisor's Name
Supervisor's Email
The Emerging Optical Leaders Committee (EOL) exists to identify the next generation of optical industry leaders. What makes the nominee a leader and why are you recommending them?
Three words to describe the nominee:
Any further comments?