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Kappa Forms — National Kappa Kappa Iota, Inc.
National Kappa Kappa Iota, Inc.

Kappa Forms

Submit forms online using the selector below, or download printable PDF forms to mail to National Headquarters. All online submissions are routed securely to the appropriate officer or committee.

Downloadable PDF Forms — Print & Mail
30 printable forms across 9 categories
Submit a Form Online

Empathy Concern

Empathy Committee

Submit an empathy concern for a fellow Kappa member. Your submission will be routed directly to the National Empathy Chair.

Confidential. This form is submitted securely and routed to the National Empathy Chair. For urgent matters, contact your State Empathy Chair directly.

Concern Submitted
Your Empathy Concern has been received and forwarded to the National Empathy Chair. Thank you for your care for your fellow Kappa.
Kappa Member Information
Nature of Concern
Deceased Member Details
Submitted By
Confidential submission. Routed directly to your State Empathy Chair.

Report of Deceased Member

National Headquarters

Use this form to report the death of a chapter member to National Headquarters. Names received by May 15th will be placed in the Memorial Book for National Convention.

Important: Please also submit an Empathy Concern form to your State Empathy Chair. For deaths after May 15th, call National HQ at 1-800-678-0389.

Report Submitted
The Report of Deceased Member has been received by National Headquarters. Thank you for submitting promptly.
Deceased Member
Closest Living Relative
Services to Kappa & the Profession
Describe the member's contributions to Kappa Kappa Iota and/or the teaching profession.
Submitted By
Submitted to National Headquarters. Names received by May 15th are included in the Convention Memorial Book.

Request for Transfer of Membership

Chapter President

Complete this form when a member of your chapter moves to a new area. The receiving chapter's membership chair will be notified to extend a Kappa welcome.

For Chapter Presidents. Submitted to National Headquarters. The receiving chapter's membership chair will be notified to welcome the transferring member.

Transfer Request Submitted
The membership transfer request has been received. The receiving chapter will be notified to extend a Kappa welcome.
Transferring Member
Member Profile
Submitted By (Chapter President)
Submitted to National Headquarters. The receiving chapter's membership chair will be notified.

Incentive Award Report

National Headquarters

Report a Kappa member who has sponsored three or more new or reinstating members during the 2025-2026 fiscal year. Dues must be current. Submitted by the Chapter President.

Deadline: May 1. Awards are issued upon receipt of this form together with each new member's address form and initiation fee at National Headquarters, 1875 E 15th St, Tulsa, OK 74104.

Report Submitted
The Incentive Award Report has been received by National Headquarters. The award will be issued upon confirmation of new member initiation fees.
Chapter Information
Sponsoring Member
The member who sponsored three or more new or reinstating members.
New Members Sponsored
List the names of the new or reinstating members sponsored. Minimum of three required.
Chapter President Certification
Deadline: May 1. Submitted to National Headquarters, 1875 E 15th St, Tulsa, OK 74104.

State Philanthropic Report

President-Elect & Philanthropic Chair

Document the donations of time, energy, and monetary gifts reported by your state's members during the current year. Submitted by the State Philanthropic Chair or State President.

Deadline: May 15. Submit to the National President-Elect and National Philanthropic Chair. Kempe Foundation checks should be made payable to "Kempe" and mailed separately by November 15 to National Headquarters.

Report Submitted
The State Philanthropic Report has been received. Thank you for documenting your state's generous contributions.
Submitter Information
Monetary Donations
Enter dollar amounts for each category. Leave blank if not applicable.
ADonated to the Kempe Children's Foundation

BMoney donated in the name of KKI to centers for battered adults, abused children, and other charities/nonprofits
CValue of clothing, food & items donated in the name of KKI to same

DMoney donated other than in the name of KKI
EValue of clothing, food & items donated other than in the name of KKI

FMoney given to KKI Scholarships
GMoney given for upkeep & improvement of National KKI Headquarters
Volunteer Hours
HVolunteer hours worked in the name of KKI
IVolunteer hours worked other than in the name of KKI
Educational / Mentoring Projects
Deadline: May 15. Routed to the National President-Elect and National Philanthropic Chair.

Nominating Committee Delegate & Alternate

National Headquarters

Certify the elected Delegate and Alternate to the National Nominating Committee meeting, June 2026, Charlotte, NC. Submitted by the State President.

Deadline: May 1. Each member must have attended two of the last five National Conventions. No state may send the same member more than two consecutive years. A candidate for national office may not serve on this committee.

Certification Submitted
The Nominating Committee Delegate and Alternate certification has been received by National Headquarters.
State
National Nominating Committee Delegate
National Nominating Committee Alternate
Deadline: May 1. Members not submitted by May 1 must be certified in person prior to the meeting.

Request for Visit to State Chapter

National President

Request a visit from the National President or their representative to your state chapter. The state must plan a prospective member function for the visit.

Deadline: September 1. The 2025-2026 visitation schedule includes: Florida, Georgia, Missouri, South Carolina, Texas, and Arkansas. States on the rotation have expenses paid by National. All other states must cover expenses including lodging.

Visit Request Submitted
Your Request for Visit has been received by the National President. You will be contacted to confirm scheduling details.
State Chapter Contact
Prospective Member Functions
List all events planned for prospective members during the visit. At least one function is required for National to cover travel expenses.
Type of FunctionDateTimePlace / CityDress
Role of National President or Representative
Check all that apply.
Alternate Attendee
Travel Information
Deadline: September 1. Sent to National President Brenda Hope with a copy to National Headquarters.

The Kappa Profile — News Release

The Kappa Profile

Submit news for publication in State and National newsletters including The Kappa Profile. Scholarship awards, community service projects, and special honors to members are of general interest.

Submission Guidelines: Include details of who, what, when, why, and how. Include the chapter and state of any members mentioned. All copy is subject to editors' approval and space availability.

The Kappa Profile — Submission Deadlines
IssueDeadline
Fall IssueJuly 10, 2026
Holiday IssueNovember 10, 2026
Convention IssueJanuary 1, 2027
Spring IssueMarch 1, 2027
News Release Submitted
Your news release has been received and will be reviewed by the editor for publication in the appropriate issue of The Kappa Profile.
Submitter Information
News Copy
Include who, what, when, why, and how. Include the chapter and state of any member mentioned.
Editor Contact (Optional)
If different from above, provide a contact the editor can reach for additional information.
Submitted to State President & National Headquarters. All copy subject to editors' approval and space availability.

Chapter Officer Report

Chapter President

Report your chapter's newly elected officers. Sent to your Incoming State President with a copy to National Headquarters.

Deadline: June 1. Submit immediately after new officers are elected. State Presidents compile a full state roster due June 15.

Report Submitted
The Chapter Officer Report has been received by your Incoming State President and National Headquarters.
Chapter Information
Officers
List each newly elected officer with contact information.
OfficeNamePhoneEmail
Submitted By
Deadline: June 1. Routed to your Incoming State President with a copy to National Headquarters.

Local Chapter Empathy Report

State Empathy Chair

Report the number of empathy concerns your local chapter has responded to this reporting period.

Deadline: May 1. Submitted to your State Empathy Chair.

Report Submitted
Your Local Chapter Empathy Report has been received by your State Empathy Chair.
Submitter Information
Empathy Concerns This Reporting Period
Enter the number of concerns responded to by mail, phone, visit, or e-mail in each category.
Death of a member or a family member
Illness of a member or a family member
Marriage of a member or of a member's child
Birth of a child or a grandchild
Education: Degree, New Certification, Scholarship
Career: Honor, Advancement, Promotion, Retirement
Anniversary / Birthday
Thinking of You / New Kappas Initiated
Religious and Civic Honors
Inactives Contacted
Others
Deadline: May 1. Routed to your State Empathy Chair.

State Chapter Empathy Report

Regional Empathy Chair

Report the number of empathy concerns responded to at the state level this reporting period.

Deadline: May 5. Submitted to the Regional Empathy Chair.

Report Submitted
Your State Chapter Empathy Report has been received by the Regional Empathy Chair.
Submitter Information
Empathy Concerns This Reporting Period
Enter the number of concerns responded to by mail, phone, visit, or e-mail in each category, aggregated across the state.
Death of a member or a family member
Illness of a member or a family member
Marriage of a member or of a member's child
Birth of a child or a grandchild
Education: Degree, New Certification, Scholarship
Career: Honor, Advancement, Promotion, Retirement
Anniversary / Birthday
Thinking of You / New Kappas Initiated
Religious and Civic Honors
Inactives Contacted
Others
Deadline: May 5. Routed to the Regional Empathy Chair.

Local Chapter Philanthropic Report

State Philanthropic Chair

Document the donations of time, energy, and monetary gifts reported by your local chapter's members this year.

Deadline: May 1. Submit to your State Philanthropic Chair or State President. Kempe Foundation checks should be made payable to "Kempe" and mailed separately by November 15 to National Headquarters.

Report Submitted
The Local Chapter Philanthropic Report has been received. Thank you for documenting your chapter's generous contributions.
Submitter Information
Monetary Donations
Enter dollar amounts for each category. Leave blank if not applicable.
ADonated to the Kempe Children's Foundation

BMoney donated in the name of KKI to centers for battered adults, abused children, and other charities/nonprofits
CValue of clothing, food & items donated in the name of KKI to same

DMoney donated other than in the name of KKI
EValue of clothing, food & items donated other than in the name of KKI

FMoney given to KKI Scholarships
GMoney given for upkeep & improvement of National KKI Headquarters
Volunteer Hours
HVolunteer hours worked in the name of KKI
IVolunteer hours worked other than in the name of KKI
Educational / Mentoring Projects
Deadline: May 1. Routed to your State Philanthropic Chair or State President.

State Officers Report

National President-Elect & HQ

Certify your state's newly elected officers for the coming year.

Deadline: May 15. Routed to the National President-Elect and National Headquarters. For a printable roster with full mailing addresses, use the downloadable PDF instead.

Report Submitted
Your State Officers Report has been received by the National President-Elect and National Headquarters.
State
State Officers
OfficeNameChapterPhoneEmail
Submitted By
Deadline: May 15. Routed to the National President-Elect and National Headquarters.

State Chair Report

National Headquarters

Report your state's committee chairs for the coming year.

Deadline: May 15. Routed to National Headquarters. For a printable roster with full mailing addresses, use the downloadable PDF instead.

Report Submitted
Your State Chair Report has been received by National Headquarters.
State
Committee Chairs
CommitteeNameChapterPhoneEmail
Submitted By
Deadline: May 15. Routed to National Headquarters.

Local Professional / Personal Development Report

State Prof. Dev. Chair

Report hours spent teaching and taking professional and personal development workshops or classes.

Deadline: May 1. Submitted to your State Professional/Personal Development Chair.

Report Submitted
Your Local Professional/Personal Development Report has been received.
Submitter Information
Hours Reported
"The purpose of this organization shall be to promote the advancement of education by providing an effective network for the exchange of education and teaching practices by educators."
Hours spent teaching workshops/classes in Prof. Dev. for a Kappa group
Hours spent teaching workshops/classes in Prof. Dev. for a non-Kappa group
Hours taking Prof. Dev. workshops/classes within a Kappa group
Hours taking Prof. Dev. workshops/classes in a non-Kappa group
Hours teaching for Personal Enrichment in a Kappa group
Hours teaching for Personal Enrichment in a non-Kappa group
Hours taking workshops for Personal Enrichment in a Kappa group
Hours taking workshops for Personal Enrichment in a non-Kappa group
Workshop & Class Examples
Please provide 2-3 examples of Professional and Personal Development workshops and classes.
Deadline: May 1. Routed to your State Professional/Personal Development Chair.

State Professional / Personal Development Report

National Prof. Dev. Chair

Report your state's aggregated hours spent teaching and taking professional and personal development workshops or classes.

Deadline: May 15. Submitted to the National Professional/Personal Development Chair.

Report Submitted
Your State Professional/Personal Development Report has been received.
Submitter Information
Hours Reported
"The purpose of this organization shall be to promote the advancement of education by providing an effective network for the exchange of education and teaching practices by educators."
Hours spent teaching workshops/classes in Prof. Dev. for a Kappa group
Hours spent teaching workshops/classes in Prof. Dev. for a non-Kappa group
Hours taking Prof. Dev. workshops/classes within a Kappa group
Hours taking Prof. Dev. workshops/classes in a non-Kappa group
Hours teaching for Personal Enrichment in a Kappa group
Hours teaching for Personal Enrichment in a non-Kappa group
Hours taking workshops for Personal Enrichment in a Kappa group
Hours taking workshops for Personal Enrichment in a non-Kappa group
Workshop & Class Examples
Please provide 2-3 examples of Professional and Personal Development workshops and classes from across the state.
Deadline: May 15. Routed to the National Professional/Personal Development Chair.

Request for Contact / Target State Status

National Headquarters

Request membership assistance from National Headquarters for a prospective member function.

Eligibility: Only states not on the National President's visitation rotation may apply for this assistance.

Request Submitted
Your Request for Contact/Target State Status has been received by National Headquarters.
State / Local Chapter Contact
Membership Function
Assistance Requested
For states not on the rotation. Routed to National Headquarters.

Legend of the Violets Summary

National History Chair

Submit your state's year-end summary for inclusion in the next volume of Legend of the Violets.

Deadline: June 30. Submitted to the National Recording Secretary / History Chair. This information will be on file at National Headquarters for the next volume.

Summary Submitted
Your Legend of the Violets summary has been received by the National History Chair.
State Information
Year's Accomplishments
State Representation
Awards & Honors
Submitted By
Deadline: June 30. Routed to the National Recording Secretary / History Chair.
KKI
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