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 29 February 2016 and will be reviewed in June 2016.

Your Information



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

Fax: +1.202.416.6130
Mail: OSA Membership Department
2010 Massachusetts Ave NW
Washington, DC 20036 USA