AzHIMA Merit Scholarship

AzHIMA Merit Scholarship

Applicant Information

Name
Name
Address
Address
City
State/Province
Zip/Postal

Program Director

Program Director Name
Program Director Name

Current Educational Institution

Program Enrolled In
Enrollment Status

Experience - Professional and/or Volunteer


Current Employment (a current resume may be submitted in place of this section)
Address
Address
City
State/Province
Zip/Postal

Maximum file size: 268.44MB

Statement of Objectives

References


Please submit two reference letters. References may be from educators, employers, or other
health information professionals (no more than one letter may be from an instructor).

Maximum file size: 268.44MB

Maximum file size: 268.44MB

Transcript


Please provide a current transcript documenting completion of the most recent semester (official transcripts are not required, but are encouraged).

Maximum file size: 268.44MB