SAMPLE:

Letter of Endorsement for Allied Membership

** MUST BE WRITTEN IN ENGLISH AND ON LETTERHEAD**

“DATE”

Dear AUA Member Services:

I am writing to give my support and endorsement to “NAME of APPLICANT’s” application for Allied
Membership in the AUA.

“NAME OF APPLICANT” is always professional in “HIS/HER” interactions with both patients and
”HIS/HER” health care team members. “HE/SHE” always adheres to the ethical guidelines set out in
“HIS/HER” professional standards of practice. “HE/SHE” is very competent in “HIS/HER” knowledge of
urology especially in the area of “SPECIALTY IF APPLICABLE” where “HE/SHE” concentrates most
of “HIS/HER” time. “NAME of APPLICANT has been working in Urology for over “# OF YEARS”
years and spends all of “HIS/HER” time practicing in this specialty.

It is without reservation that I endorse “NAME of APPLICANT's” application for Allied Membership in
the AUA.

If you have any questions or need further information, please contact me at “PHONE NUMBER
AND/OR E-MAIL ADDRESS”.

Sincerely,

“SIGNATURE” ** SIGNATURE IS REQUIRED **

“NAME”

“TITLE”