A Beacon of Hope Award 2017

2017 Beacon of Hope Award

The Beacon of Hope Award honors an optometrist or ophthalmologist who demonstrates an outstanding commitment to vision healthcare to the uninsured in his or her community.

The award is open to all optometrists and ophthalmologists in Georgia, regardless of partnership with the Georgia Lions Lighthouse Foundation.

The Beacon of Hope Award is judged on the following criteria:

  • Commitment to providing vision services to Georgians in financial need.
  • Willingness to partner with nonprofit organizations to provide care.
  • Compassionate outreach to underserved populations
  • Service to communities abroad via medical missions

Award Details:

Winners will be chosen by a panel of vision care advocates.

The Lighthouse will provide award and collect applications.

Download Optometrist Nomination Form (PDF).
Download Ophthalmologist Nomination Form (PDF).

Submit all application materials and inquiries to:

Ruthy Stephens
Community Engagement Coordinator Email:
Phone: 404-325-1751 DIRECT
5582 Peachtree Road, Chamblee GA 30341
Phone: 404.325.3630 | Fax: 404.636.5549

or use the form below.


2017 Beacon of Hope Award Nomination Form

Sponsored by the Georgia Lions Lighthouse Foundation

The Beacon of Hope Award is open to all optometrists and ophthalmologists in Georgia, regardless of membership in the Georgia Optometric Association, Georgia Society of Ophthalmology, or partnership with The Lighthouse. The Beacon of Hope Award honors an optometrist or ophthalmologist who provides an outstanding commitment to vision healthcare to the uninsured in his or her community.

Beyond the recognition associated with the award itself, the recipient will have a press release written about their good work sent to their local newspaper, and a personalized lead crystal bowl.

Nominations may be submitted by Georgia Lions, GOA members, optometrists, charitable clinics, or any other member of the community. Applications will be evaluated by a panel based on the following criteria:

  • Commitment to providing vision services to Georgians in financial need
  • Willingness to partner with nonprofit organizations to provide comprehensive care
  • Compassionate outreach to underserved populations
  • Service to communities abroad via medical missions

Dates of importance:

  • Friday, August 4th – All completed applications and supporting materials due by 5:00pm
  • Friday, August 18th – Notification sent via United States Postal Service
  • Award presentation – awards will be presented at our fall fundraiser or based on recipients availability
2017 Beacon of Hope Award Nomination Form

2017 Beacon of Hope Award Nomination Form

Category

Please select if you are nominating an Optometrist or an Ophthalmologist.

Nominee

Enter information about the nominee.
Name
City
State/Province
Zip/Postal
Country
Nominee's home address.
City
State/Province
Zip/Postal
Country

Nomination

Information about person filling out this form.
Name of nominator.
City
State/Province
Zip/Postal
Country
Address of Nominator.
Phone number of nominator.

Biographical Information

The recipient’s biographical information will be highlighted in the award presentation, not used as part of selection criteria. Specifics preferred.

Educational information

Please list all secondary educational institutions attended, including degree awarded and any honors received.

Professional History

Please list professional history of nominee.

Previous Awards

Please list any awards received by the nominee in the past.

Personal Statement

Attach a personal statement describing how the nominee demonstrates an “outstanding commitment to vision healthcare to the under or uninsured in his or her community.” Please limit responses to 1,000 words.

Supporting Documents

Up to four supporting documents (letters of appreciation from clients, newspaper articles, letters of recommendation, et cetera).
Drop a file here or click to upload Choose File
Maximum upload size: 67.11MB
Drop a file here or click to upload Choose File
Maximum upload size: 67.11MB
Drop a file here or click to upload Choose File
Maximum upload size: 67.11MB
Drop a file here or click to upload Choose File
Maximum upload size: 67.11MB

Photographs

Please upload up to two photographs.
Drop a file here or click to upload Choose File
Maximum upload size: 67.11MB
Drop a file here or click to upload Choose File
Maximum upload size: 67.11MB