Georgia HIMSS Scholarship Application

Georgia HIMSS 2016 Scholarship Details

Thank you for applying for the Georgia HIMSS 2016 Scholarship!

This year we are offering up to 6 scholarships for post-secondary students (from technical school to graduate school) currently enrolled a Health Information Technology program (or Health Informatics program or closely related program) in an accredited school in the state of Georgia. The amount of each scholarship will be between $2,000 and $3,000, depending on total funds raised and number of selected recipients. All recipients will receive equivalent amounts.

About Georgia HIMSS

The Georgia Chapter of the Healthcare Information Management and Systems Society (GAHIMSS) provides statewide leadership for the advancement and management of healthcare information and technology. Collectively, HIMSS represents more than 40,000 individual members across the country – with GAHIMSS encompassing over 1600 healthcare IT professionals – including many key CIOs from the state’s largest hospitals and healthcare facilities. GAHIMSS is dedicated to improving Healthcare IT locally through advocacy, collaboration and education, and to ensure quality patient care throughout the state of Georgia.

Georgia HIMSS Mission: Actively engage our members, sponsors, partners and legislators in improving health and health care in Georgia through information technology

Georgia HIMSS Vision: Better health for Georgians through information technology

For more information about Georgia HIMSS, please visit us at our web site:

Scholarship Application Instructions

Please complete this application and submit along with two reference letters (all submitted in the same e-mail, please) to the e-mail address listed below.

One of the two reference letters MUST be from an instructor, professor, or program coordinator /director in the health information technology (or HIT or health informatics related) program that you are currently enrolled in.

We do not require applicants to send transcripts, proof of employment, or separately sent reference letters (i.e., reference letters do not need to be separately signed and sealed and can be copied directly into this application or attached to the e-mail which also includes the completed application). However, Georgia HIMSS and the Scholarship Review Committee reserves the right to verify current academic enrollment, verify positions held or mentioned in the application, and/or to contact references directly to verify reference authenticity. Winners will be asked to provide official academic transcripts.

  • COMPLETED APPLICATIONS ARE DUE by Friday, March 25th, 2016
  • Please return this completed application form (including reference letters copied-and-pasted to the end of this application or separately attached to the same e-mail) to:
  • Questions: Please e-mail us at:
  • Incomplete applications will be disqualified
  • Final decisions will be made and announced in late April or early May, 2016.

Requirements

  1. Scholarships are available to students at any level of post-secondary education (technical school to graduate school)
  2. Students must currently be enrolled at an accredited post-secondary school in the state of Georgia and the program currently enrolled in must be Health IT or Health Informatics related.
  3. Scholarship recipients will be asked to attend the Georgia HIMSS Annual Golf Tournament in May 2016 (for recognition and may be asked to volunteer at the event) and will also be asked to volunteer in at least two (2) Georgia HIMSS events in the following year (i.e. sometime between May 2016 and May 2017).
  4. Scholarship Applications will be evaluated according to the following rubric (minimum of a total of 80% required):

a. Leadership – 30%

b. Scholarship – 30%

c. Vision – 20%

d. HIT Experience / Engagement – 10%

e. Georgia HIMSS Current or Future Commitment – 10%

Basic Applicant Information

Applicant Name: ______

Address: ______

City: ______State: ______Zip: ______

Phone: ______Email: ______

Education

Current School: ______

Current Degree Being Pursued: ______

Current GPA: ______Dates Attended: ______

Expected Graduation Date: ______

Previous School (if applicable): ______

Previous Degree Earned: ______

GPA: ______Dates attended: ______

Graduation Date: ______

______

Previous School (if applicable): ______

Previous Degree Earned: ______

GPA: ______Dates attended: ______

Graduation Date: ______

Brief Essays:

Leadership (Business, School, Civic, Community, etc.)

In 250 words or less, please describe your leadership activities, particularly related to health care and/or health information technology. Please provide specific examples and describe major takeaways or lessons learned.

Scholarship (Academic Achievements)

In 250 words or less, please describe your academic achievements, particularly related to health care and/or health information technology. Please provide specific examples and describe major takeaways or lessons learned.

Experience / Engagement (with health care and/or HIT)

In 250 words or less, please describe your experience in (or engagement with) health care and/or health information technology. Please provide specific examples and describe major takeaways or lessons learned.

Vision (Making a Difference)

In 250 words or less, please describe how you envision making a difference in the field of HIT or using HIT to make a difference in other people’s lives. Please be specific.

Current or Future Commitment to Georgia HIMSS

In 250 words or less, please describe how you have contributed to Georgia HIMSS or how you plan to contribute to Georgia HIMSS in the future. Please be specific.

References

Please provide 2 reference letters that reflect leadership, scholarship, experience, vision, and/or current or future commitment to HIMSS. One of the two reference letters MUST come from an instructor, professor, or program coordinator/director associated with the academic program you are enrolled in. Please ask each reference writer to write a maximum one-page reference letter. Please include a copy of the reference letters, which should include contact information for each reference, either copied-and-pasted into this application or in PDF or Microsoft Word document format in separate documents that can be attached to the final e-mail submission along with the completed application to the e-mail address above. Reference letters do not need to be separately signed and sealed. All materials, including this application, should be included in the same e-mail.

Thank you for applying!

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