Application for Certified Ophthalmic Executive (COE)* Program Credit

Organizations and programs other than ASOA may submit an application to have their course/program approved for ASOA Category A COE credits by the National Board for the Certification of Ophthalmic Executives (NBCOE). These programs must be ophthalmic specific management courses/programs or technical and medical courses. Courses related to clinical patient care taught by industry device manufacturers or pharmaceutical companies are NOT eligible for COE credit.

Section 1: Sponsoring Organization

xxx-xxx-xxxx

Section 2: Program for which you are requesting COE credit

MM/DD/YYYY

Section 3: Course Outline
Please attach a list of all courses including course times, presenters, and description of each course.

Section 4: Credits for which you are applying

Section 5: Attestation
I hereby certify the information provided on this application is complete and accurate to the best of my knowledge. I understand I may not advertise the program as carrying COE credits until approval is received from ASOA. If approved by ASOA for COE credits, specific language for marketing purposes will be provided by ASOA and must appear in all promotional/course materials which refer to COE credits.

MM/DD/YYYY

* The Certified Ophthalmic Executive (COE) credential is the property of the American Society of Ophthalmic Administrators (ASOA) and is administered by the National Board for the Certification of Ophthalmic Executives (NBCOE).