KHIMA Rising Star AwardKHIMA Rising Star Award Nominee InformationName * Name Name Name Email * Phone Number * Address * Address Address Address Address Address State Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Address Years in HIM * Job Title (most recent or highest earned) * Highest degree earned Additional licenses or certifications Nominator InformationName * Name Name Name AHIMA ID * Email Address * Phone Number * Address * Address Address Address Address Address State Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Address Leadership Contributions to the HIM profession * Awards/Recognitions * Leadership Roles * Reason for Nomination Why have you chosen to nominate this member for the Rising Star award? Please provide a well written statement that is at least one paragraph and responds to the following questions:How has the member emerged in their job position since graduation?How has the member demonstrated leadership characteristics in the HIM profession?What impact has the member had on the HIM profession, including the affiliated associations? * Signature Signature * Clear Signature of * Date * If you are human, leave this field blank. Δ