Partners Forms
All forms can be submitted electronically or on paper to the proper individuals.
Annual Reports
Local Reports
(due to District Chair January 31)
President (revised October 2019)
Community Health Education Word PDF
(revised August 2020)
Public Policy Education Chair
Page 1 Word PDF (Revised October 2021)
Page 2 Word PDF (Tracking Page
Revised October 2021)
District Reports
(due to State Chair March 1)
District Chair Annual Report Word PDF
(revised October 2016)
(revised April 2021)
Community Health Education Word PDF
(revised August 2020)
Public Policy Education Chair Word PDF
(revised May 2022)
District Treasurer Report Excel PDF
(revised October 2016)
State Reports
President Annual Compiled Districts Report Word PDF
Community Health Education Word PDF
Public Policy Education Chair Word PDF
(revised October 2021)
Other Forms
Application for Individual Membership - (Member at Large) Word PDF
Volunteer Orientation PDF
Partners of WHA 2025 Conference -
Mary Licht Memorial Scholarship Application
Change of Information Word PDF
(revised October 2019)
Spring District Meeting Notice Word PDF
(Due to State President 2 months before meeting date)
Expense Report (One Day) Word PDF
(revised October 2016)
Expense Report (Multi Day) Excel PDF
(revised October 2016)
Retention Schedule PDF
Confidential Personal Profile Word PDF
Form for Nomination Committee Word PDF
Organization Self Assessment PDF pages 1, 2, 3
Application for Organization Membership PDF