You did not indicate a size, so I will submit a proof at 8.5x11.

that is fine; also can it be in word format?

It would not be possible to replicate this design in Word format. Word is not a graphics application, and doesn't allow you to create a document with bleeds (or with the design elements found here).

As an alternative, I could provide the header and footer as images, and then you could place these in Word, and then fill in the center content.

ok great. if you could provide those in addition. I am going to select you. Can we make some edits once i select?

Yes, edits can be made. Those will be done via the design handover process.