Stay Connected, Stay Empowered: Renew your membership or join today in the Member Portal.

Join

Honour a Mentor

Home / Honour a Mentor

Here is your opportunity to honour a mentor, while supporting the important work of the COS Foundation. Please use the form below to provide a short description of the impact that this individual has had on you, a photo of your mentor, and make a meaningful donation of $100, $250, or $500. Missing a photo of your mentor? No problem! The COS has an extensive collection of ophthalmologist profiles to help.

Together, let’s honour the mentors who make a difference in our lives and support the vital mission of the COS Foundation. Visit Our Mentors here.

Honour a Mentor Submission Form

This field is for validation purposes and should be left unchanged.
Your Name(Required)
Your Email(Required)
Name of Mentor(Required)
Consent to have your name listed on the page:(Required)
You agree to have your name appear on Wall of Donors page in relation to the mentor you are honouring.
Cheque Donation(Required)
Max. file size: 64 MB.