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Global Equipment Education

Student Registration Form

Note: All student information must be complete in order to register for courses. Completion of this form does not mean automatic enrollment of the student into any course. Enrollment in courses is subject to review and approval by the AMO Global Equipment Education department. All courses have a cost associated with them and is subject to change.

Please contact the GEE Training Coordinate at Gee_Training_Coordinator@abbott.com for the latest listing of classes.

Student Information

First Name

Please enter your first name.
Last Name

Please enter your last name.
Birthdate (mm/dd/yy) A value is required.Invalid format.A value is required.Invalid format.
E-Mail

Please enter your E-Mail address.

Note: Please enter your individual/personal E-Mail address.
Courses Interested in Attending
(Multiple Selections OK)
STAR S4 IR® & Aberrometer Training Certification
STAR S4 IR® & Aberrometer Mobile Laser Operator
STAR S4 IR® & Aberrometer Technical Overview
STAR S4 IR® & Aberrometer Product Demo
STAR S4 IR® & Aberrometer Bio-Med Certification
SOVEREIGN® Compact Training and Certification
SOVEREIGN® Compact Bio-Med Certification
WhiteStar Signature® Training and Certification
WhiteStar Signature® and SOVEREIGN® Compact Technical Overview
WhiteStar Signature® Bio-Med Certification
Phaco Technical Overview
Phaco Product Demo
Compact Intuitiv Training and Certification
FS-iFS Mobile Laser Operator
FS-iFS Technical Overview
FS-iFS Product Demo
FS Laser Training and Certification
FS Advanced Laser iFS Course
LCS Basic Training and Certification
LCS Training-Advance
LCS Mobile Training and Certification
LCS Technical Overview
Abbott UPI
(if AMO employee)

Please enter your 8-digit UPI or leave this field blank.
Department Number
(if AMO employee)
Address

Please enter your address.
City

Please enter your city.
State
Country

Please select a country.
Please select an item.
ZIP / Postal Code

Please enter your ZIP code.
Phone

Please enter your office phone number.
Work Location
A value is required.
Current Job Title
A value is required.

Student Experience

Excimer Equipment
Please select a valid item.

Please select an item.
Phaco Equipment
Please select a valid item.

Please select an item.
Femto Equipment
Please select a valid item.

Please select an item.
Ophthalmologic Equipment
Please select a valid item.

Please select an item.

Student Emergency Contact Information

Full Name
A value is required.
Phone
A value is required.
Relationship to Student
Manager's Name
A value is required.
Manager's Phone
A value is required.
Manager's E-Mail
A value is required.

Invalid format.

Distributorship/Employer Information

Name
A value is required.
Street
A value is required.
City
A value is required.
ZIP / Postal Code
A value is required.
Country
Please select a country.

Please select an item.
E-Mail
A value is required.

Invalid format.
Phone
A value is required.
   
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