Indiana University


Indiana University Borish Center for Ophthalmic Research Photography Contest:
The Eye: The Window to our World

Participant Entry



   Please complete the following form to submit a nomination for the Borish Center for Ophthalmic Research Photography Contest. Please remember that all completed forms must be submitted to the Indiana University, School of Optometry by June 15, 2016 (08:00 AM Eastern Time).

* REQUIRED FIELD

  
    
   Submitter Information
   Your First Name:*
   Your Last Name:*
   Street Address:
   Address Line 2:
   City:
   State:
   Zip Code:
   Country:
   Telephone:*
   Email:*
    
   Photo Information
   Photo #1
Description: (200 words or less)
  
   Photo #2
Description: (200 words or less)
  
   Photo #3
Description: (200 words or less)
  


  By checking this box I attest that I have read and am in agreement with the terms and conditions specified and accept the participant agreement.*

Having trouble submitting your photography? If you are unable to submit your art through the submission link on this website, please send your
picture(s) attached as a file along with an attachment of your filled out application to CORL@indiana.edu.