MoHIMA Scholarship Application - Department Chair Form
Page One
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1.
Verification
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This is to verify that the below named applicant for the MHIMA Student Scholarship is enrolled in the HIA/HIT program at our school.
2.
Applicant's Name
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3.
Applicant's Cumulative GPA
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4.
About the Program
Director's First Name
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Last Name
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School Name
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Program Name