MNHIMA Scholarship Application

NOTE: All records of applicants will remain confidential and will be used only for MNHIMA Scholarship Committee’s review and determination of applicant’s qualifications.

MNHIMA Scholarship Application

Scholarship Applicant

Applicant Name
Applicant Address

School Information

Level of Program

History of Professional Experience

Organizational Activity

Documents

Maximum file size: 268.44MB

Maximum file size: 268.44MB

Reason(s) for choosing HIM as a career and an outline of your career goals.

Contribution that you can make to the profession.

Reason for applying for the scholarship fund.

Please confirm the following
Release of Information
I agree to maintain student membership in AHIMA.
Should I not complete the educational program, I agree to reimburse MNHIMA the amount of the scholarship.