A candidate for Fellowship can obtain an application form by contacting:

Membership Department
American Academy of Optometry
6110 Executive Boulevard, Suite 506
Rockville, MD 20852 USA
Ph: 301-984-1441 Fax: 301-984-4737
E-mail:

or

by downloading one of the following documents.

Use the form below to print, fill out, and fax or mail.

Candidate for Fellowship Application in PDF Format

Candidate for Fellowship Application in PDF Form Fillable Format

For additional information about the Fellowship process, please visit: Earning Fellowship: the Process