PSU hosts the Pacific Northwest Consortium for Vision Education (PNWCVE), a six-state cooperative trust that informs our personnel preparation programs. The PNWCVE is comprised of Oregon, Washington State, Alaska, Hawaii, Montana, and Idaho. While most O&M and TSVI personnel programs across the country serve a smaller geographic area within one state, PNWCVE covers nearly 28% of the entire 50-state territory. Four of the PNWCVE states are rural and include frontier counties, which are defined as “less than 7 persons per square mile” (National Network Libraries of Medicine, 2018).