Personal information Prénom Deuxième prénom Nom de famille Suffixe (None) II III IV Jr. Sr. Coordonnées Courriel Confirmer l’adresse courriel Téléphone format: 123-123-1234 Téléphone mobile format: 123-123-1234 Pays Canada Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Terr Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Dem Rep Of The Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Is (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Terr Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Is and McDonald Is Holy See (Vatican City) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Dem People's Rep Korea, Rebublic Of Kuwait Kyrgyzstan Lao People's Dem Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Fed States Of Moldova, Republic Of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the SSI Spain Sri Lanka St Vincent and Grenadines Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay US Minor Outlying Islands Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, US Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Adresse du domicile Ville Province - Select an option - Alberta Colombie Britannique Manitoba Nouveau Brunswick Terre-Neuve et Labrador Territoires du Nord-Ouest Nouvelle Écosse Nunavut Ontario Île du Prince-Édouard Québec Saskatchewan Yukon Code postal Demographic Information École (None) Aston University, MI, USA Chicago College of Optometry, Chicago, IL, USA Illinois College of Optometry, Chicago, IL, USA Indiana University, Bloomington, IN, USA Inter-American University of Puerto Rico (IAUPR Optometry) International Optometric Bridging Program, U of Waterloo MCPHS University Michigan College of Optometry at Ferris State University Midwestern University - Arizona College of Optometry, Glendale, AZ, USA New England College of Optometry, Boston, MA, USA Northeastern State University - Oklahoma College of Optometry Nova Southeastern University, Fort Lauderdale, FL, USA Ohio State University, Columbus, OH, USA Ontario College of Optometry, Toronto, ON Pacific University, OR, USA Salus University Pennsylvania College of Optometry, Philadelphia, PA, USA Southern California College of Optometry at Marshall B. Ketchum University, Fullerton, CA, USA Southern College of Optometry, Memphis, TN, USA State University of New York, NY, USA Université de Montréal, Montréal, QC University of Alabama, Birmingham, AL, USA University of California, Berkley, CA, USA University of Houston, Houston, TX, USA University of Missouri, St. Louis, MO, USA University of Pikeville - Kentucky College of Optometry University of the Incarnate Word, San Antonio, TX, USA University of Toronto, Toronto, ON University of Waterloo, Waterloo, ON Western University of Health Sciences TopClass None Expected Graduation Year Language Preferences Anglais French Langues parlées (None) Akan (twi) Albanais Langue des signes américaine Amharique Arabe Arménien Attikameks Bengali Bosnien Bulgare Cantonais standard Cri Créole Croate Tchèque Dutch Anglais Français Allemand Grec Gujarati Hébreu Hindi Hongrois Ilocano Innu/montagnais Inuktitut Italien Japonais Khmer Coréen Kurde Lao Macédonien Malayalam Mandarin Langues na-dené Népalais Ojibwé Oji-Cree Autres langues autochtones Autres langues non mentionnés Autres langages gestuels Pendjabi/penjabi Pachto Persan Polonais Portugais Langue des signes québécoise Roumain Russe Serbe Serbo-croate Sinhala (cingalais) Slovaque Somali Espagnol Tagalog (pilipino, filipino) Tamoul Télougou Tigrigna Turc Ukrainien Ourdou Vietnamien Yiddish Mot de passe Mot de passe Le mot de passe doit comporter au moins 8 caractères. Confirm Password Préférences de communication Journal canadien d'optométrie (CJO), veuillez envoyer : Édition numérique Preferences: Contact (bulletin des membres pour les OD et les étudiants OD) Sensibilisation (bulletin des membres pour les OD et les étudiants OD) Offres d'avantages aux membres (e-mail) Offres d'avantages aux membres (courrier postal) Soumettre