THIMA | Careers and Colleges


							*Quality Healthcare through Quality Information*

THIMA Scholarship Program - Reference

The Tennessee Health Information Management Association (THIMA) is seeking scholarship applicants who are planning a career in Health Information Management (HIM). Applicants should exhibit exemplary scholastic achievement, leadership and character as demonstrated by extracurricular activities, service in the school, community volunteer involvement, or work experience.

The applicant should give one copy of this form to each of two individuals willing to write a letter of reference on behalf of the applicant.

About the Applicant
First Name
Last Name
How long and in what capacity you have known the applicant?
A general assessment of the applicant, highlighting his/her leadership qualities, work ethic, and reliability.
Your perspective on the applicants ability to contribute, in a constructive way, to the HIM profession: Use specific examples.
Any other relevant comments that will be helpful evaluating the applicant.
About the Reference
The Scholarship Committee may wish to contact you directly for additional information.
First Name
Last Name
Employer
Address	Include street, city, state, zip
Phone Number
Email

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