AzHIMA Merit Scholarship - Program Director Verification

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To be completed and verified by the HIT/HIM Program Director.

The submission deadline date is April 16th.

1. Student Name *This question is required

This is to verify that the above named student, an applicant for the AzHIMA Merit Scholarship, is accepted for enrollment in the health information program.

2. About the Program

Name of Program Director *This question is required

Name of College or University *This question is required

Email Address *This question is required

Phone Number *This question is required

3. Accreditation *This question is required

This school is accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM).