Scholardship Application Form

Dear Student:

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

In the interest of fairness and neutrality, your identity and the program you are attending will not be revealed during the selection process.  The NJHIMA Scholarship Fund Board is comprised of past-presidents of NJHIMA.  Only the Chair of the Board will know your identity and program, and the Chair will not participate in the selection process. 

If you are awarded a scholarship, you agree to volunteer a minimum of 10 hours in an NJHIMA activity during the year following your acceptance of the scholarship. 

If you have any questions or concerns, please direct them to

Please note that the cut-off date for 2017 applications is May 15, 2017.

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