Residents Application 2nd Annual OGS Resident's Meeting In partnership with Alcon Name(Required) First Last City(Required) City Phone(Required)Email(Required) EducationWhere did you attend optometry school?(Required)Where are you completing your residency?(Required)Current Residency Supervisor(Required)Residency Focus Area/Specialization(Required)ReferencesPlease list two professional references.Reference OneName(Required) First Last Relationship(Required)Company(Required)Phone(Required)Email(Required) Reference TwoName(Required) First Last Relationship(Required)Company(Required)Phone(Required)Email(Required) Additional QuestionsWhat are your goals in attending this program?(Required)What clinical or research experience have you had with glaucoma during your residency?(Required)Please provide a short statement of your career goals and future plans, as it pertains to your career.(Required)What unanswered questions do you have when it comes to providing care for glaucoma patients?(Required)
