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First Name

Last Name

Optometry School Arizona College of Optometry Chicago College of Optometry Midwestern University Inter American University of Puerto Rico, School of Optometry Illinois College of Optometry Indiana University School of Optometry University of Pikeville Kentucky College of Optometry Michigan College of Optometry at Ferris State University Massachusetts College of Pharmacy and Health Sciences School of Optometry New England College of Optometry Nova Southeastern University College of Optometry Northeastern State University Oklahoma College of Optometry The Ohio State University College of Optometry Salus at Drexel, Pennsylvania College of Optometry Pacific University College of Optometry Rocky Mountain University School of Optometry Southern California College of Optometry at Marshall B. Ketchum University Southern College of Optometry State University of New York College of Optometry University of Alabama at Birmingham School of Optometry University of California - Berkeley Herbert Wertheim School of Optometry University of Houston College of Optometry University of the Incarnate Word Rosenberg School of Optometry University of Missouri at St. Louis College of Optometry University of Waterloo School of Optometry and Vision Science Western University of Health Sciences College of Optometry

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Address

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School Email

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Anticipated Graduation Date

Plans After Graduation Join A Private Practice As An Associate Buy-In or Buy-Out A Private Practice Open My Own Practice Join A Commercial Or Retail Chain Join A Commercial Or Retail Chain Prior To Pursuing Private Practice Later In My Career VA/Military/Hospital-Based Optometry Undecided

Where In The U.S. Do You Plan To Practice After Graduation?

Areas I'm Interested In Business Management/Practice Management 101Optical Sales And ManagementContinuing EducationManaging People/CultureConnecting With Other Student Members And/Or Private Practice OwnersPractice FinanceCold Starting A PracticeBilling & Coding

How Did You Hear About PECAA?? I Attended A PECAA Presentation At My School I Heard About PECAA Through The VSP Schools Team/Representative I Was Referred By A Current Student Member I Visited The PECAA Website Other

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Terms & Conditions I acknowledge I have read and agree to abide by these Terms & Conditions.

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