Thank you for your interest in optometric technician mentoring. Please complete the form below and click the "Submit" button. 

View the mentor guidelines

Once the form is received, you will be contacted by the optometric technician program director regarding your status in the program and desired courses.

For more information, contact Ann Hayden-Finger at or 608.246.6472.

Indicates required field
Mailing Address Line 1 (Required)
Employer Mailing Address Line 1 (Required)