Partners Forms
All forms can be submitted electronically or on paper to the proper individuals.
Annual Reports
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Local Reports
(due to District Chair January 31)
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President (revised October 2019)
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Community Health Education Word PDF
(revised August 2020)
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Public Policy Education Chair
Page 1 Word PDF (Revised October 2021)
Page 2 Word PDF (Tracking Page
Revised October 2021)
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District Reports
(due to State Chair March 1)
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District Chair Annual Report Word PDF
(revised October 2016)
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(revised April 2021)
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Community Health Education Word PDF
(revised August 2020)
Public Policy Education Chair Word PDF
(revised May 2022)
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District Treasurer Report Excel PDF
(revised October 2016)
State Reports
President's Annual Report Word PDF
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Community Health Education Word PDF
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Public Policy Education Chair Word PDF
(revised October 2021)
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Other Forms
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​Member at Large Application Word PDF
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2023 Convention Partners of WHA Mary Licht Memorial Scholarship Application Word PDF
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Change of Information Word PDF
(revised October 2019)
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Spring District Meeting Notice Word PDF
(Due to State President 2 months before meeting date)
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Expense Report (One Day) Word PDF
(revised October 2016)
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Expense Report (Multi Day) Excel PDF
(revised October 2016)
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Retention Schedule PDF
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Confidential Personal Profile Word PDF
Form for Nomination Committee Word PDF
Organization Self Assessment PDF pages 1, 2, 3
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Application for Membership PDF
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Volunteer Orientation PDF
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