LHIMA Candidate Bio Submission Form



About the Position

Candidate for(Required)

Demographic Information

Please complete the demographic information below.
Name(Required)
Max. file size: 256 MB.

Employment

Current Employment
Provide job title and company name in reverse chronological sequence of positions held the last 10 years.

Education

Show degrees earned, dates, names of college or university.

Volunteer Activities

List any additional information that would be of value or assist in supporting your candidacy.