IdHIMA Distinguished Member Award Nominating FormIdHIMA Distinguished Member Award Nominating Form About the NomineeNominee Name * Nominee Name First Name First Name Last Name Last Name Credential(s) Nominee Email * Date of Certification * Nominee is a member in good standing with AHIMA and IdHIMA * Yes NoSelect at least TWO of the following criteria met by the nominee * Fifteen years of service as an active Health Information Professional or At least ten years of service to AHIMA and/or to a Component State Association with at least five years' involvement in IdHIMA as an Officer, Director, Committee Chairperson, or Committee member or Delegate or A contribution to the Health Information profession in any of the following: Publication, Research, Education, Systems Design, Public Relations, etc. Explain why you think this nominee should receive the Distinguished Member Award * SubmitterSubmitter Name * Submitter Name First Name First Name Last Name Last Name Submitter Email * If you are human, leave this field blank. SubmitΔ
