Verification of Enrollment Form

Instructions to Applicant

After completing the scholarship application, send the link to this page to the director of the health information educational program where you are enrolled.

Instructions to Program Director

The student that sent you this link has applied for an AAHIMA scholarship. In order to review the application, we must verify this student’s enrollment in a health information educational program. If this student is enrolled in your program, please complete this form.

Verification of Enrollment Form

Student's Information

Student's Name
Student's Name

Program Director's Information

Program Director
Program Director