Optometry Ireland Membership Application

Notes for Applicant. Please read carefully, incomplete applications will cause delays.

Optometry Ireland Membership Requirements

You must be registered with CORU.
If you have an International Qualification in Optometry, you must apply for recognition of your International Qualification.
You must be proposed and seconded by a member of Optometry Ireland, who has been a member for at least two years.
You must supply at least two up-to-date references (including contact details):
- Letter of good standing from relevant competent authority (e.g., GOC, CORU).
  (Log into your CORU account to download a copy of your LOGS certificate.)
- One of the following:
  - Employer reference (current employer or previous employer if self-employed).
  - Optometry Ireland member in good standing who is a full member in good standing and has known the applicant professionally for at least six months (not a family member).
  - Trade reference.
Optometry Ireland reserves the right to contact referees to discuss matters relevant to the application for membership.
All references should include telephone contact details. The applicant must ensure that the referee has consented to be contacted. Family members may not provide references but may propose an application.

Optometry Ireland Membership Application by an Optometrist

Title :

Family Name:

First Name(s):

Address:

Date of Birth

Eircode or Post Code:

Telephone:

Contact email:

CORU Number:

Qualifications:

Awarding Body:

Country of awarding body:

Year Graduated:

Employer's Name:

Employer's Address:

Employment Status:

Applicant's Proposal

Every applicant must be proposed by a member of Optometry Ireland, who themselves have been members for at least 2 years at the time of this application.
Associate members may not propose an applicant. Associate membership does not count towards the 2 year requirement.
Optometry Ireland reserves the right to contact your proposer.

Proposer's Name Proposer's Email

Seconder's Name Seconder's Email

Declaration and Code of Conduct and Ethics

Please acknowledge the 4 declarations below.

Please confirm that you are over 18.

I have read and understood Optometry Ireland's Constitution.

I am an optometrist and I have read and I understand the ORB Code of Professional Conduct and Ethics for Optometrists in Ireland.

I agree to be bound by the provisions in these documents as a condition of membership.

Levy Section

Explanatory Note :

The Levy scheme was adopted by members at the AGM of 1978 and has been running since then. Participating members agreed to a deduction at source of payments from the GMS (Medical Card) and Treatment Benefit (PRSI) schemes. The amount is capped annually and both the cap & percentage deducted can only be changed by vote of the AGM. The funds raised by the levy augment the annual subscriptions and are used to facilitate special projects on behalf of the profession. Some of these projects and initiatives are exclusive to those participating in the levy or offered at a reduced rate to levy payers. All practice owners are asked to support the levy. You may not be a practice owner at the moment, but you are requested to sign a declaration to express solidarity with the concept; you may then be in a position to contribute if you open a practice.