Academic Achievement Awards ApplicationEducational Achievement Award Application About the ApplicantName * Name Name Name Credentials Email * Phone * Address City State Zip GPA * AHIMA ID AHIMA Membership State (for exam pricing) AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Program information School Name * Program Director Name * Program Director Name Program Director Name Program Director Name Program Director Email * Program Director Phone * AHIMA Examination you are applying to take: * Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA) Certified Coding Associate (CCA) Certified Coding Specialist (CCS) Certified Coding Specialist Physician Based (CCS-P) Certified Documentation Integrity Practitioner (CDIP) Certified Health Data Analyst (CHDA) Certified in Healthcare Privacy and Security (CHPS) Auditing: Inpatient Coding Microcredential Auditing: Outpatient Coding Microcredential Health Data Literacy Microcredential Outpatient Clinical Documentation Integrity (CDI) Microcredential Patient Identification & Matching Microcredential Release of Information (ROI) Microcredential Risk Adjustment Coding (RAC) MicrocredentialProvide responses to the following core criteria.* Extra Credit: given for proper grammar and thorough completion. Academic Excellence — 0 – 4 pointsDemonstrate your academic achievements by detailing:Grades and GPA: : Mention your high GPA and any exceptional grades in challenging courses.Honors and Awards: List any academic honors, scholarships, or awards you have received.Extracurricular Activities: Highlight involvement in academic clubs, organizations, or competitions that highlight your dedication and leadership skills. * Personal Attributes — 0 – 4 pointsEmphasize characteristics that make you a strong candidate:Dedication: Show your commitment to your studies and a strong work ethic.Passion for Learning: Explain your enthusiasm for learning and how it motivates you to excel academically.Leadership: Provide examples of leadership roles you have taken on in academic settings or extracurricular activities. * Contributions to the Community — 0 – 4 pointsIllustrate how you contribute to your school and community involvement.Volunteer Work: Describe any volunteer work or community service you have done.Mentoring: Mention if you have mentored or tutored other students, helping them achieve their academic goals.Initiatives: Talk about any projects or initiatives you have started or participated in that have had a positive impact on your community. * Future Goals — 0 – 4 pointsConnect your past achievements to your future aspirations.Career Ambitions: Outline your career goals and how achieving this scholarship will help you reach them.Further Education: Discuss your plans for further education and how this scholarship can support your continued academic journey. * Final Comments — 0 – 4 pointsProvide any additional comments that should be considered for your selection as the recipient of the Academic Achievement Award. * Submit If you are human, leave this field blank. Δ
