2026 ACAAI SUPER DELEGATE APPLICATION Survey

Thank you for your interest in serving as a House of Delegates (HOD) Super Delegate. Super Delegate positions are available for the Great Lakes Region (states including Illinois; Indiana; Iowa; Michigan; Minnesota; Nebraska; North Dakota; South Dakota and Wisconsin) and the Intermountain Region (states including Arizona; Arkansas; Colorado; Idaho; Kansas; Missouri; Montana; Nevada; New Mexico; Oklahoma; Texas; Utah and Wyoming).

We are looking for a dynamic spokesperson for the allergy specialty. Diversity and experience in government, politics, and advocacy groups is what makes our organization great. Super Delegates are responsible for bringing legislative, professional, and business issues and concerns of the allergy communities to the College.

Below are questions and information that help the College leaders understand who you are and what experiences you have or could bring to representing our members in the political arena. Serving as a Super Delegate is an important way to support our members and ensure the allergy specialty continues.

Please keep the following in mind:
* You must be an active College Fellow to apply.
* Super Delegates serve five-year renewable terms.
* Candidates must live or work within the specified region.

Super Delegates serve as the conduit between local, state and regional allergy societies and the HOD leadership. They facilitate the communication of important issues and concerns amongst these key stakeholders. Super Delegates should also build rapport with legislators, lobbyists, allergists, and member societies in his or her region. Delegates will monitor local legislation; establish contacts with local and state legislators, allergists and regional allergy societies. They will share advocacy information with HOD leaders, state delegates and Advocacy Council leaders.

More information is available here about the position.

Please complete the following application form. Applications are being accepted Feb. 21 - April 30, 2026. All submitted applications will be vetted by the HOD’s Nominating Committee. The chosen applicant will be notified by Aug. 1.

NOTE: If nominating a colleague, please be sure he/she is willing to serve before submitting the nomination. Multiple nominations can be submitted.

1.To which region are you applying as a Super Delegate?

Great Lakes Region (states including Illinois; Indiana; Iowa; Michigan; Minnesota; Nebraska; North Dakota; South Dakota and Wisconsin)

Intermountain Region (states include Arizona, Arkansas, Colorado, Idaho, Kansas, Missouri, Montana, Nevada, New Mexico, Oklahoma, Texas, Utah and Wyoming)

2.Please provide your personal and membership information.

Last Name

First Name, Middle

Email Address

Cell Phone Number

Gender

DOB

Member type

Practice Type

Join Date

Current/Past ACAAI Service

3.Where do you practice? (If you have more than one office, list your main office.)

City/Town

State/Province

4.How many years have you practiced in this state?

5.Are you Board Certified in allergy?

Yes

6.Are you a practicing allergist?

Yes

7.What issue(s) are you passionate about?

8.Are you a member/affiliate of: (list organization name)

Political organization(s)

Community organization(s)

State medical society

Lobbyist

Local allergy society

Regional allergy society

State allergy society

9.Have you held leadership positions with any of the above organizations/societies?

Yes

If you answered yes, please list positions held, i.e., XYZ Allergy Society - Vice President - 2020-2022.

10.List your relationships with: (name/relationship)

State legislators

Federal legislators

Lobbyists

11.Describe your prior advocacy-related work; include grassroots advocacy:

12.List relevant accomplishments:

13.Why do you want to be a Super Delegate?

14.Please upload a copy of your CV.

No file chosen

Current Progress,

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