Scholarship Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Membership Status *Current MemberFormer MemberNever a MemberEmployment Status *EmployeeStudentIndependent ContractorBusiness OwnerRetiredUnemployedOtherPrimary Work Setting *OnsiteRemoteHybridNot WorkingOtherAHDI Credential *Select oneCHDSCHDS-RCMTCMT-RRHDSRHDS-RCHDPCHDP-ACHDP-SCVHDPNonePrimary Role *Auditor/AnalystCompliance (HIPAA privacy/security)EducatorHealthcare Documentation Specialist (Transcription/Editing)HIM/CodingHuman ResourcesManager/SupervisorMedical ScribeQuality AssuranceRetiredStudentUnemployedVeterinary ScribeI am unemployed or underemployed and seeking a position in healthcare documentation. *TrueFalseI have work experience in healthcare documentation or health information management. *TrueFalseI cannot afford the cost of AHDI membership. *TrueFalseI have a computer, internet access, and an email account. *TrueFalseSubmit