ODP Certificate Request – Optical Training Institute

Congratulations on completing the Optician Development Program!

To move forward and receive your official Certificate of Completion for the full ODP program, we
need just a couple more things from you.

Your Sponsor will also receive a notification to review and sign off on the ODP Student Competency Checklist – this confirms you’ve demonstrated proficiency across all core areas of the program.

When we receive both your form and your Sponsor’s completed checklist, we’ll issue your
official certificate!

ODP Certificate Request

Confirm Your Certificate Information

Please confirm that your personal details in the fields below are correct. If not, please update or add the required information.

First Name

Last Name

Home Address

City

State/Province

Zip/Postal

Personal Phone

Sponsor Name

First

Last

Sponsor Work Email

Have you completed ODP: Boot Camp, Spectacle and Contact Lens?

If you are human, leave this field blank.