Vision Awareness Initiative Membership Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Vision Awareness Initiative Membership Form

The Vision Awareness Initative (VAI) is dedicated to advancing awareness campaigns that investigate and resolve critical vision issues in our communities. Please fill out the following form if you would be interested in becoming an official VAI member.

Sign in to Google to save your progress. Learn more

* Indicates required question

Name *

Your answer

Preferred Email Address *

Your answer

What inspired you to join the VAI? *

Your answer

Would you like to serve on the VAI leadership team at some point in the future? *

Yes

No

Don't Know

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy