PHIMA Scholarship ApplicationPHIMA Academic Scholarship Application Demograhic Information AHIMA ID * Name * Name Name Name Credentials Email * Phone * Street Address * Apt/Suite/Office City * State * Zip * Program Information Name of School * Phone Program Enrolled HIT HIA GraduateEnrollment Status Part-time Full-time Date Studies Began * Expected graduation date * Educational History List in chronological order any other post-secondary institutions attended, including 2- year and 4-year colleges, universities, vocational, and professional schools. Include school name, field of study, attendance dates, and degree. Upload a recent transcript of credits from an accredited HIM, HIT, or graduate program * Drop a file here or click to upload Choose File Maximum upload size: 50MBProfessional References Letter of Reference #1 * Drop a file here or click to upload Choose File Maximum upload size: 268.44MB Letter of Reference #2 * Drop a file here or click to upload Choose File Maximum upload size: 268.44MBCurrent Employment Employer Name Supervisor Name Supervisor Phone Address Length of Employment Job Responsibilities Resume Drop a file here or click to upload Choose File Maximum upload size: 268.44MBProfessional/Volunteer Experience Briefly describe any professional experience you've had. Please explain your role. Give examples. Describe your involvement in local, state or national HIM association and volunteer activities. Please explain your role, give examples. Describe any other volunteer experiences including community activities you participate in. Statement of Objectives Briefly describe what it means to be a professional and why have you chosen a career in HIM? What do you see as current or upcoming challenges in the field of HIM? What are your long-term professional goals? Awards/Honors Received Please list any awards or honors received. Statement of Authenticity * I certify that the information above is accurate and authentic. If you are human, leave this field blank. SubmitΔHonoring Our Education LegacyClick Here to Donate to The ’38 SocietyMembersAHIMA AccessAHIMA FoundationCall for Board NominationsDistinguished Member AwardJoin PHIMAScholarship DonationShare Your StoryThe ’38 SocietyStudentsAbout HIMAHIMA Career MapCollegesCredentialed (RHIA/RHIT) Exam ReimbursementMBA Online Programs DirectoryScholarshipsScholarship ApplicationsStudent LiaisonThe Student’s Guide to Medical Billing and Coding Exams
