Candidate Bio Form"*" indicates required fieldsInstagramThis field is for validation purposes and should be left unchanged.About the PositionCandidate for* President-Elect Vice President Director DelegateDemographic Information Please complete the demographic information below.Name* First Last CredentialsEmail* What are the top two issues facing HIM today and in the future and what actions are needed to address them?*PhotoIf desired, please upload your photo.Max. file size: 256 MB.EmploymentCurrent Employment Job Title Company Name Previous PositionsProvide job title and company name in reverse chronological sequence of positions held the last 10 years.EducationEducationShow degrees earned, dates, names of college or university.Volunteer ActivitiesAHIMA ActivitiesKHIMA ActivitiesOther Qualifications / Training / Experience:List any additional information that would be of value or assist in supporting your candidacy.Δ
