Delegate Candidate Application 2026

Thank you for your interest in serving your District/Section/specialty with OSMA.

Deadline to apply is Feb. 10, 2026

What position(s) are you seeking:

Delegate
Alternate Delegate
Districts 1, 3, 5 and 7 elect District Councilors this year. Deadline to apply for District Councilor is 2/10/2026.

What district/section/specialty do you wish to represent?

If selected to serve as a delegate for your district/section, would you be wiling to serve on a resolution committee?

Your medical specialty:

Your practice setting:

Personal Statement: (250 word maximum)

First Name
Last Name
Designation (MD, DO, MPH, FACS, etc.)
Email Address
Mobile Phone
Organization
   - denotes required fields