Candidate Bio Form"*" indicates required fieldsEmailThis field is for validation purposes and should be left unchanged.About the PositionCandidate for* President-Elect Delegate Director of EducationDemographic Information Please complete the demographic information below.Name* First Last CredentialsEmail* Phone*City*State*AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificIf desired, please upload your photo.Max. file size: 256 MB.As a MoHIMA Board Member, what would you propose as the top two priorities for the MoHIMA Board over the next two years and why?*How do you plan to represent MoHIMA members at the national level in order to have members' voices heard?*EmploymentCurrent Employment Job Title Company Name Previous PositionsProvide job title and company name in reverse chronological sequence of positions held the last 10 years.EducationEducationShow degrees earned, dates, names of college or university.Volunteer ActivitiesAHIMA ActivitiesMoHIMA and/or Regional Association ActivitiesOther Qualifications / Training / Experience:List any additional information that would be of value or assist in supporting your candidacy.Δ
