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DEPARTMENT FORMS
anything blue letters is updated

MEMBERSHIP APPLICATION

​​​​​​​​​​​​​​​​​​​​​​​​​​​​DEPARTMENT ADMINISTRATIVE FORM​​​​

 
2024-2025 Department Chairperson list updated
​

PAST PRESIDENTS PARLEY

KANSAS LPN SCHOLARSHIP APPLICATION DOC

KANSAS LPN SCHOLARSHIP APPLICATION PDF

 

2022-2023 Department Book of Reports​

2023-2024 Department Book of reports

 

2024-2025 Transmittal Form​

 

2024 Alamis Request Form Updated 10-3-24 Doc

2024 Alamis Request Form Updated 10-3-24 PDF

 

 2024 ​Membership Profile And Transfer Form Pdf

2024 Membership Profile And Transfer Form Doc

 

2024 Revised Direct Billing Unit Data From Pdf​

2024Revised Direct Billing Unit Data From Doc

 â€‹It Is Mandatory That Every Unit Return This Form To

Department Headquarters Every Year, Even If There

Is No Change To The Information Provided Previously 

DUE MAY 1st

 

​Unit Officer And Chaipersons List Pdf 

Unit Officer And Chaipersons List Doc

 Unit Presidents Please Report The Following Information

To The Incoming District President

DUE JUNE 1st.

 

UNIT 

Department Convention Delegate And Alternate Form Pdf

Department Convention Delegate And Alternate Form Doc 

 Mail or email This Form To Department Office

No Later Than One (1) Week PRIOR 

To The Start Of Department Convention.

 

DISTRICT

Committee Appointments For Department Convention Pdf 

Committee Appointments For Department Convention Doc 

 â€‹Return To The Department Office After Your District Convention.

 

Officers Nominated/Appointed At Our District Convention Pdf

Officers Nominated/Appointed At Our District Convention Doc

 â€‹Return To The Department Office After Your District Convention.

 

 Impact Report​​ Forms

Member Impact Report Form (Word Document)
Member Impact Tracking Worksheet (Excel Document)

Unit Impact Report Form (Word Document)
Unit Impact Tracking Worksheet (Excel Document)


District Impact Report Form (Word Document)

District Impact Tracking Worksheet​ (Excel Document)

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