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MHIMA Candidate Bio Submission Form

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About the Position

Candidate for*

Demographic Information

Please complete the demographic information below.
Name*
Address*

Position Statements

The theme for the 2026 MHIMA Annual Meeting is “The Winner’s Circle HIM Edition.” Giddy up for MHIMA’s Annual Meeting—where Kentucky Derby flair meets the fast-paced future of Health Information Management!
Please answer the following questions in 250 words or less.
Please answer the following questions in 250 words or less.


Photo

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Employment

Current Employment
Provide job title and company name in reverse chronological sequence of positions held the last 10 years.

Education

Show degrees earned, dates, names of college or university.

Volunteer Activities

List any additional information that would be of value or assist in supporting your candidacy.