Senior Member Reference Form

OSA Senior Member Reference Form

If you have been asked to complete a Senior Member Reference Form, you may use the online reference form below.  Important:  You will receive a confirmation email upon submitting a Senior Member endorsement statement.  If you do not receive an email, please contact:

Please note: You must have be an active OSA Member in order to serve as a reference. If you are not yet an OSA Member, you can join online.

Senior Membership provides well-established individuals with the opportunity to request a designation that recognizes their experience and professional accomplishments and/or service within the optics and photonics field.

OSA Senior Member designation requests are reviewed once a year by the OSA Board of Directors. The next round of Senior Member applications, including two references, are due 28 February 2018 and will be reviewed in May 2018.

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Optional: If you would like to send additional reference materials about the candidate, please submit them electronically or by mail.

Fax: +1.202.558.7331
Mail: OSA Membership Department
2010 Massachusetts Ave NW
Washington, DC 20036 USA