Scholarship Which scholarship are you applying for? * Evelyn L. Cockrell Memorial Scholarship Outstanding Student Scholarship TxHIMA HIA/HIT ScholarshipDemographic InformationName * Name Name Name AHIMA ID# * Email * Phone * Address * Apt/Suite/Office City * State * Zip * Education Information Institution/School Name * Program type * Choose one...HIT — leads to RHITHIA — leads to RHIAHIM Graduate Program Expected graduation date * Cumulative GPA * Major GPA * Professional bio — 100–150 words * 0 of 150 max wordsCockrellIs applicant a first-semester freshman? * Yes NoSelect if you are: * A Texas Resident (1+ years) Enrolled at a Texas InstitutionOutstanding StudentNominator Name * Nominator Name Nominator Name Nominator Name Nominator Role * Faculty MemberActive TxHIMA Member Nominator Email * HIA/HIT Final Year Start Term * Choose one...Summer 2026Fall 2026 Program Director Name * Program Director Name Program Director Name Program Director Name Upload Program Director Verification * Drop a file here or click to upload Choose FileMaximum file size: 10MBUpload Your Essay Describe your financial journey and what completing this degree would make possible for you.250–350 words * Drop a file here or click to upload Choose FileMaximum file size: 10MB Where do you see yourself in the HIM profession five years from now?250–350 words * Drop a file here or click to upload Choose FileMaximum file size: 10MBUpload Your Professional Statement Describe your professional goals and how you plan to contribute to the HIM profession in Texas.250–350 words * Drop a file here or click to upload Choose FileMaximum file size: 10MBSupporting Documents Upload Your Nomination Letter * Drop a file here or click to upload Choose FileMaximum file size: 10MB Upload two letters of recommendation.1. Advisor/Professor2. Financial Need. Address perceived financial need of the student and how receiving this scholarship will benefit the student to continue their health information education. * Drop a file here or click to upload Choose FileMaximum file size: 10MB Letter(s) of Recommendation * Drop a file here or click to upload Choose FileMaximum file size: 10MB High School TranscriptSubmit a copy of your high school transcript. * Drop a file here or click to upload Choose FileMaximum file size: 50MB College TranscriptSubmit a copy of the program transcript (official). * Drop a file here or click to upload Choose FileMaximum file size: 50MBHeadshot Upload Photo Upload one (1) current digital photograph which will be published with the winner's name at the discretion of the Board of Directors. The photograph will not be circulated to the Board of Directors until the recipient has been chosen. * Drop a file here or click to upload Choose FileMaximum file size: 10MBAcknowledgementsI am currently enrolled in a CAHIIM-accredited HIT, HIA, or HIM graduate program at a Texas institution. * I am currently enrolled in a CAHIIM-accredited HIT, HIA, or HIM graduate program at a Texas institution. *I am an active AHIMA student member with TxHIMA as my Component State Association. * I am an active AHIMA student member with TxHIMA as my Component State Association. *I am a U.S. citizen or permanent resident. * I am a U.S. citizen or permanent resident. *I certify that all information submitted is accurate and complete. * I certify that all information submitted is accurate and complete. *I understand that documentation verifying my eligibility may be requested at the finalist stage. * I understand that documentation verifying my eligibility may be requested at the finalist stage. *I grant TxHIMA permission to use my name, bio, headshot, and application materials in publications, social media, website content, and other marketing communications. * I grant TxHIMA permission to use my name, bio, headshot, and application materials in publications, social media, website content, and other marketing communications. * Submit If you are human, leave this field blank.
