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MHIMA Student Scholarship Application

MHIMA Student Scholarship Application

Applicant Information

Name
Name
Address
Address
Program Director Name
Program Director Name
Statement of Understanding:
I understand the following:

  1. I authorize the release of my grade point average (GPA) by the Program Director of the
    college or university in which I am enrolled.
  2. The award may be received only once.
  3. This application will be reviewed by the MHIMA Foundation.
  4. The contents of this application will otherwise be kept confidential but may be released
    for publicity purposes concerning the recipients of the MHIMA Awards Committee.
  5. I authorize the release of my grade point average (GPA) by the Program Director of the
    college or university in which I am enrolled (HIT/HIM applicants only).
  6. The monies from the scholarship award will be used for educational costs for continuing
    in an accredited HIT/HIM program.
  7. My signature below indicates that I agree to the above statements and hereby
    acknowledge that the information in this application is true and correct.

Maximum file size: 268.44MB