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 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
​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
​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
​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)