DEPARTMENT FORMS
MEMBERSHIP APPLICATIONS
​​​​​​​​​​​​​​​​​​​​​​​​​​​​DEPARTMENT ADMINISTRATIVE FORM​​​​
2023-2024 Department of Kansas
Department and District Committee Chairpersons list excel
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2023-2024 Department of Kansas
Department and District Committee Chairpersons list PDF
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PAST PRESIDENTS PARLEY
KANSAS LPN SCHOLARSHIP APPLICATION
2022-2023 Department Book of Reports​
2024-1 Alamis Request Form Updated 1-18-24
​Membership Profile And Transfer Form Pdf
Membership Profile And Transfer Form Doc
2023 Revised Direct Billing Unit Data From Pdf​
2023 Revised 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 By JUNE 1st Of Each Year
Department Convention Delegate And Alternate Form Pdf
Department Convention Delegate And Alternate Form Doc
Mail This Form To Department Office No Later Than One (1) Week
Prior To The Start Of Department Convention.
Committee Appointments For Department Convention Pdf
Committee Appointments For Department Convention Doc
Please Fill Out Form And Return It To The Department Office By MAY 1st.
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)