Application to this examination shall be considered without discrimination as to age, sex, race, religion, sexual orientation, national origin, handicap, or marital status.
I certify that the information supplied in this application is true and accurate to the best of my knowledge.
I also acknowledge that the National Examining Board of Ocularists may refuse to accept this application, decline permission to take this examination, invalidate my scores or decline to present a certificate to me if evidence is received regarding false statements that I have made in this application, or in any other form submitted to the National Examining Board of Ocularists.
I also acknowledge that I have downloaded and read, in its entirety, the booklet entitled “Exam Candidate Handbook”, of the National Examining Board of Ocularists.
I understand that the National Examining Board of Ocularists will verify information in this application.
I grant NEBO permission to contact any sources listed in the application and authorize the release of any personal information NEBO requests. Inaccuracies in the application may result in rejection of this application and forfeiture of application fee and/or withholding of certification.