Instructions > Personal Information

Country/Territory of Citizenship, Citizenship Status:
Choose the appropriate country or territory where you are a citizen and your citizenship status from the drop-down menus
Do you hold a visa?
Check yes or no
What type of visa?
Select the type of visa you hold from the drop-down menu
State, County and Country of Birth:
Select your state of birth, county of birth and country of birth from the drop-down menus
Check male or female
Your response is solicited in order to furnish the Association of Schools and Colleges of Optometry and its member schools with adequate information for strengthening opportunities for cultural diversity within our profession.