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About MdHIMA


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Awards Policies & Procedures    
 

Scholarships Application Form

First Name
Middle Initial
Last Name
Address
City
State
Zip Code
Email Address
Home Phone
Work Phone
Fax
Current Employer
Work Address
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State
Zip Code

Program Information

Name of Program
Years Attended
Grade Point Average
Name of Program Director
Phone Number of Director


List here any contributions to the health information profession, honors, awards, recognition, and potential for leadership.

 
 

In 250 words or less, please use the space below to indicate how you got started in the HIM field and what some of your long term goals would be:

 
 

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