Healthcare CIO Boot Camp Alumni Scholarship Application Form

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Scholarships & Recognition

Scholarships & Recognition

Healthcare CIO Boot Camp Alumni Scholarship

Application Form

Submission due by
Wednesday, October 15, 2008.

Materials Required:

Essay: Scholarship candidates must demonstrate their interest by submitting a type-written essay. The essay should be no longer than 1,000 words. The essay should use the CHIME Seven CIO Success factors as the basis of a thesis to address the candidate’s vision and goals as a future Healthcare information technology leader.
Letter of recommendation: Candidates must submit a letter or recommendation from their immediate supervisor. The letter should support the applicant’s attendance at CHIME’s educational events and explain why their participation would be beneficial to the candidate’s professional development. The letter should also support the fact that applicant is on a CIO career path and that attendance at CHIME educational programs is important to their professional development.
Resume: Scholarship candidates should provide a current resume highlighting their experience and/or achievements in the healthcare IT field.

I. Applicant Information (ALL fields required)
Candidate’s name:
Job Title:
Organization:
Address:
City:
State:	Zip:
Phone:	Fax:
Email:
When did you attend the CIO Boot Camp? How long have you worked at your current organization? Have you attended one of CHIME’s education programs (besides the Boot Camp) while at your current organization? If so, which one and when? What and when was the last educational program, other than CHIME sponsored, that you attended?

You will be required to submit the above documents on the next page.

Questions or comments? Send an email to staff@cio-chime.org.

Education Highlight

The Healthcare CIO Boot Camp is built around a research-based model of CIO success pioneered by CHIME, called the CIO Success Factors. The CIO Success Factor model is founded on seven critical more more more

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Benefit Highlight

CHIME’s IT Staffing and Budget Decision Support Resource:
Created in partnership with the American Hospital Association (AHA)

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