KHIMA Rising Star AwardKHIMA Rising Star Award Nominee InformationName * Name Name Name Email * Phone Number * Address * Address Address Address Address Address StateAlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming 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 StateAlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming 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