Scholarship

Scholarship

First Name*

Last Name*

AHIMA Membership Number

Email*

Address*

Address 2

City*

State*

Zip*

Current Educational Institution

School*

School Phone*

Phone

Program Director*

Program Director Email Address*

Program Enrolled*

Select

Status*

Select or enter value

Begin Date Enrolled*

Expected Completion Date*

Please upload the following documents:

*You may upload in one PDF or separate uploads as appropriate.

Education History

List, in chronological order, all post-secondary institutions attended, including two-year and four-year colleges, universities, vocational, and professional schools.
* Include school name, state, field of study, attendance dates, degree, and year *

Transcripts

Copies of school transcripts are required from the three most recent post-secondary schools you have attended.

Reference Letters

Upload letters of recommendation from two references. References should include one educator and one personal or previous employer who can provide an evaluation of your professional and academic performance.

Essay

Type an essay of 500 words or less on why you feel you deserve this scholarship and how you intend to use the scholarship money. Discuss what personal attributes, training, experience or goals will make you an asset to the health information management profession.

File uploads*

Ensure that all elements are uploaded properly.

Drag and drop files here or

Essay Attestation

Essay is solely my own, not written, composed, or edited by others.

Send me a copy of my responses

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.