CHIMA Call for Board Nominations

Call for Nomination

The CHIMA Nominating Committee wants you to suggest fellow members and/or yourself as possible candidates for the CHIMA Executive Board positions for the next fiscal year, 2019-2020.

ALL NOMINEES MUST BE ACTIVE CHIMA MEMBERS IN GOOD STANDING.

Nominations are open for the following positions:

President-Elect
Delegate
Director
Nominating Committee
Treasurer

1. Please indicate the type of nomination: *This question is required.

2. Please consider this person for the following position(s) *This question is required.

3. Enter the contact information of the person you would like to submit as a possible candidate on the CHIMA ballot.

First Name *This question is required.

Last Name *This question is required.

Credentials

Street Address

Apt/Suite/Office

City

State

Zip

Email Address *This question is required. This question requires a valid email address.

Phone Number

How long has the nominee been in the HIM profession?

4. About the Submitter. This information will only be used should we need to contact you regarding your submission.

Submitter First Name *This question is required.

Submitter Last Name *This question is required.

Street Address

Apt/Suite/Office

City

State

Zip

Submitter Email Address *This question is required. This question requires a valid email address.

Submitter Phone Number *This question is required.