NANOS 2025 Board of Directors and Officer Nomination Form

NANOS benefits from the involvement of its members. We are seeking candidates who are willing and able to devote time and energy to our Society. If you are interested in serving as a Board member or NANOS Officer, or know someone who you feel is qualified, do not hesitate to make a recommendation. Please note that a nominee must be a Fellow of NANOS. Per the NANOS Bylaws, International Fellows are not eligible for at-large Board positions, but they are eligible to serve in an advisory role. The NANOS President appoints an International Board Member in an advisory role every two years. Please see Articles IV and V of the NANOS Bylaws for further details regarding the Executive Board and nominations process.

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* Please enter your name.

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* Please enter your email address.

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* I nominate the below individual(s) as an At-large Board Member:

Nomination #1:

Ophthalmology or Neurology Certified:

Fellow of NANOS (Y/N):

Institution:

Reason for Nomination (previous involvement with NANOS):

Nomination #2:

Ophthalmology or Neurology Certified:

Fellow of NANOS (Y/N):

Institution:

Reason for Nomination (previous involvement with NANOS):

Nomination #3:

Ophthalmology or Neurology Certified:

Fellow of NANOS (Y/N):

Institution:

Reason for Nomination (previous involvement with NANOS):

Nomination #4:

Ophthalmology or Neurology Certified:

Fellow of NANOS (Y/N):

Institution:

Reason for Nomination (previous involvement with NANOS):

Nomination #5:

Ophthalmology or Neurology Certified:

Fellow of NANOS (Y/N):

Institution:

Reason for Nomination (previous involvement with NANOS):

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* I nominate the below individual(s) as a Senior Vice President for Neuro-ophthalmic Advocacy and Practice:

Nomination #1:

Ophthalmology or Neurology Certified:

Fellow of NANOS (Y/N):

Institution:

Reason for Nomination (previous involvement with NANOS):

Nomination #2:

Ophthalmology or Neurology Certified:

Fellow of NANOS (Y/N):

Institution:

Reason for Nomination (previous involvement with NANOS):

Nomination #3:

Ophthalmology or Neurology Certified:

Fellow of NANOS (Y/N):

Institution:

Reason for Nomination (previous involvement with NANOS):

Thank you for your nomination(s). We appreciate your input. Please click 'Done'.

NANOS
Tel: (952) 646-2037
Emails: info@nanosweb.org or toma@nanosweb.org