OCPP Application – Visionworks

Sponsor Name*
First Last
Sponsor's Email*
Company Name*
Company Name
Company Address*
Street Address Address Line 2 City State ZIP Code
Work Phone*
Sponsor's Credentials*
- Master in Ophthalmic Optics
- American Board of Opticianry certified (ABO)
- Opticianry State Licensed
- Ophthalmologist (MD)
- Optometrist (OD)
- Other
Visionworks Payment Agreement*
I agree to the Visionworks payment policy.
In accordance with NAO policy, Visionworks is paying for this enrollment in the Ophthalmic Career Progression Program (OCPP) with the expectation that you complete the program as an employee of Visionworks. The program will not transfer with you if you are no longer employed by Visionworks. Visionworks owns the rights to this enrollment and all study materials (OCPP books). If you are no longer employed by Visionworks or you no longer hold the position of Ophthalmic Dispensing Trainee/Apprentice Optician, Visionworks will have the option to replace you, and the books for your program are expected to be returned to the Visionworks store to transfer to the new enrollee.
Phone
This field is for validation purposes and should be left unchanged.