Current/Prospective Students:  Scholarship Form

Careers and Colleges
Scholarship Forms
Scholarship Recipients
Credentialing Reimbursement
Mentoring

The MHIMA Board has developed this scholarship to aid HIM students in AHIMA accredited programs in the state of Missouri.

Online Scholarship Application

Department Chair Form

 Eligibility

1. Students enrolled in AHIMA accredited HIM programs in the state of Missouri.

2. A student with a GPA of 3.0 or above. (Note: students with a GPA below a 3.0 will be considered if he/she is exceptionally outstanding in other categories)

 Application Process

1. Student will complete the online application.

2. Student will attain their program Chair’s completion of the department chair form.

Deadline for submission is March 1st.

---

Online Scholarship Application Applicant Information Name      Address      City State Select One Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Vigin Islands Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Africa Armed Forces Americas Armed Forces Canada Armed Forces Europe Armed Forces Middle East Armed Forces Pacific Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon International Zip Code E-mail address Phone Authorization   I understand that this application will be reviewed by members of the Awards Project Team for the Missouri Health Information Management Association.  I understand that the contents of this application will otherwise be kept confidential, but may be released for publicity purposes should I receive the award. When providing information, please comment on activities, organizations, positions, clinicals, and other pursuits that you accomplished during your current educational experience.  Also, please identify which activities are volunteer-based and which are required for the program curriculum. Professional Competencies List any full or part-time positions/internships that you have held. List positions/internships held and dates List responsibilities for each position Explain how each position contributed to your growth Activities and Organizations List all organizations, associations, and activities in which you are or have been a member during your current educational experience. Provide dates Explain how you participated in the organization; what you accomplished Intellectual, Cultural Pursuit and Other List any other activities/organizations that you have participated in that led to your growth as an individual and future HIM professional.  Example activities may include:  sport organizations/teams, family responsibilities, musicals, community service, articles published, awards achieved, and honor societies. Don't forget to ask you program chair to complete the online department chair form. Top