A-27 Group Endorsement Form

A-27 Group Endorsement Form
All groups, with the exception of groups eligible to "sponsor" a candidate, must submit this form to offer an endorsement to any candidate for the A-27 election cycle.

A-27 Endorsement Deadlines:

Monday, October 6, 2025 at 5 pm CT - A-27 Group Endorsement Form due to HOD office
Friday, November 14, 2025 at 6 am ET - A-27 Endorsement Window opens
Friday, June 5, 2026 at 5 pm CT - A-27 Endorsement Window closes
Group name providing the endorsement*
Contact information for the group's endorsement process
Name*

First NameLast Name
Email*
example@example.com
Mobile Number*

Area CodePhone Number
About the group's endorsement process
Candidate eligibility to receive endorsements from the group*
Process for candidates to apply for an endorsement from the group*
Deadline for applicants to request information from your group about your endorsement process*
Note: This is the deadline for a candidate to contact your group in order to participate in your process. This deadline may be prior to the endorsement window. However, the entirety of the endorsement selection process, including the candidate being informed of receipt of an endorsement, must fall within the endorsement window stated above.
If you have questions or require additional information please contact Jeanne Uehling, Director, Office of House of Delegates Affairs at jeanne.uehling@ama-assn.org or 312-464-4344.
Should be Empty:

Contact information for the group's endorsement process