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KCHIMA Scholarship Application

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a scholarship recipient, any false statements, omission, or other misrepresentations made by me on this application may result in the application being denied and an ethics violation.
Contact Information
Membership *This question is required.
Academic Institution Attending/Attended
Academic Institution Attended
Reference Letter - From (HIM) program of study faculty *This question is required.
Reference Letter - From professional with prior involvement with the applicant *This question is required.
Student Information

Attach a letter summarizing school/association activities (committee, student organization/government, etc.) that you have been involved in while enrolled in the Program. List the role (member, chairman, volunteer, etc.) and the dates of involvement. Describe the primary reason you applied for acceptance into a HIM/Coding Program; what interests you about the profess; and why you are seeking a professional credential or advance degree.