2017 Membership Application
Seattle Health Information Management Association
Your Job Title / Function________________________________________________
__RHIA __RHIT __CCS __CHPS __Student __Other______________________
If you are currently a student where are you enrolled?
What program of study are you involved in?
I would like to know more about voluntering for SHIMA.
I would like to be involved with SHIMA in the following area(s).
__Communication Committee __Education Committee __Finance Committee
__Outreach Committee __Scholarship Committee __Technology Committee
__Unsure but excited to be involved
___Student $5.00 ___Professional $20.00