NCHIMA Call for Nominations Please indicate the type of nomination * This is a self-nomination. I have contacted the person nominated and s/he agrees to be considered for the ballot. I am nominating this individual and have not obtained his/her consent for nomination.Please consider this person for the following position(s) * President-Elect Advocacy Delegate Nominating CommitteeAbout the Nominated CandidateNominee * Nominee Nominee Nominee Nominee's Email * Nominee's Phone * What NCHIMA region does the candidate belong? * EastSouthTriangleWest Has the nominee held any NCHIMA office (local or state) or AHIMA * Yes No If the nominee has held any NCHIMA office (local or state) or AHIMA, please list the previous positions. * Please provide a brief statement as to why you are nominating this individual or yourself. * About the SubmitterSubmitter's Name * Submitter's Name Submitter's Name Submitter's Name AHIMA ID * Submitter's Email * Submitter's Phone Submit If you are human, leave this field blank.
