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Application for Scholarship Award - 2010
 

Dear Student:

Thank you for your consideration in applying for a scholarship award.  Please make sure that you meet the eligibility requirements before you proceed. By applying for an award, you are authorizing the Scholarship Fund Board to verify your GPA and any other eligibility requirements as necessary, and to contact your Program Chair as necessary.

In the interests of fairness and neutrality, your identity and the program you are attending will not be revealed during the selection process. The Scholarship Fund Board is comprised of Past-Presidents of NJHIMA, including Susan DeSantis, Chair. Only the Chair will know your identity and program, and she will not participate in the final selection.

If you have any questions or concerns, please direct them only to Susan DeSantis, email SDESANTIS.IHMI@COMCAST.NET. Please do not discuss, show, or send your completed application to anyone on the Scholarship Fund Board other than Susan DeSantis.  

APPLICATION DEADLINE IS APRIL 16, 2010.

*First Name
*Last Name
Program
*Address
*City
*State
*Zip
*Phone
Email
   
*Your GPA
   

*After graduation, I plan to sit for a credentialing exam (any AHIMA credential):

within 3 months of graduation

within 3 - 9 months of graduation

within 9 -12 months of graduation

12 months or more after graduation

N/A (not applicable) I currently do not plan on sitting for a credentialing exam
 

* Please consider the following question. There is no right or wrong answer. Just be yourself. The question is, “In what role or roles do you see yourself in the HIM profession 5 years from now?”