MHIMA | Missouri Health Information Management Association

All nominations must be submitted using the MHIMA Awards Nomination Form, completed in its entirety. Nominations must follow the nomination guidelines and must include the supporting materials listed below.

All nominations must be received by March 1st to be considered for awards. Awards will be presented at the MHIMA Annual Meeting.

Distinguished Service Award

If you are nominating someone for the Distinguished Service Award, please click here.

Part I: The Nominee

Name of nominee
Credentials
Organization
Title
Address
City
State
Zip Code
E-mail address
Daytime phone
Evening phone
Fax

Part II: The Nomination

Please indicate award for the nomination submitted.

	Distinguished Service Award
	Rising Star
	Outstanding HIM Educator
	Outstanding HIM Student
	Outstanding MHIMA Booster
	Outstanding MHIMA Volunteer

Nomination Submitted By
Address
City
State
Zip Code
E-mail address
Daytime phone
Evening phone

Part III: Supporting Materials

Please submit the following materials along with the MHIMA Awards Nomination Form:

Include a narrative summary (200 words or less), written by the nominator, that explains the nominee’s qualifications for the award and why you think your nominee deserves state recognition.

Submit via email (awards@mohima.org) the nominee’s resume or curriculum vitae (required).
Submit via email (awards@mohima.org) 2 letters of support from others who can elaborate on:

the Nominee’s specific accomplishment(s)

How the nominee has met the specific guidelines for the award

Why the nominee is worthy of an award

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