Humanitarian Service Award

The ESCRS Humanitarian Service Award recognises individuals who have made outstanding contributions to improving eye care for underserved communities through dedication, innovation, and leadership. It honours efforts that enhance patient outcomes, promote equitable access, and inspire humanitarian engagement in Cataract and Refractive Surgery.

ESCRS Humanitarian Nomination Form

Nominee Information

First Name

Last Name

Title/Position

Institution/Organisation

Country

ESCRS Membership Number

How many years does the nominee have in Cataract and Refractive Surgery?

Nomination Details

Please describe the nominee's humanitarian contributions in the field of cataract and refractive surgery. Include details such as the scope of the nominee's work, the populations served, and the impact of your efforts.

Please describe how the nominee's work has improved patient outcomes and expanded access to eye care in underserved countries

Please describe how you have demonstrated innovation and leadership in your humanitarian efforts related to cataract and refractive surgery

Supporting Documentation (Required)

Please provide a statement outlining the nominee's humanitarian contributions in the field of cataract and refractive surgery. Your statement should highlight the nature, scope, and impact of the nominee's work, including any outreach, service delivery, training, or advocacy efforts.

Please upload two letters of recommendation that support your nomination. At least one letter should be from a professional peer or supervisor familiar with the nominee's work. (Please Note: If more than two letters are submitted, only two will be selected at random and used as supporting documents.)

Please upload the nominee's current CV. Their CV should include relevant professional experience, education, certifications, publications, and any humanitarian or volunteer work related to cataract and refractive surgery.

Confirmation

Consent for storing submitted data.

Yes, I give permission to store and process my data