VolunteerThank you for your interest in volunteering with DCHIMA! Please fill out the following questionnaire below, and one of our board members will contact you regarding potential volunteer opportunities.DCHIMA Volunteer Interest FormDCHIMA Volunteer Interest Form Name * Name First First Last LastAddress * Address Address Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Phone * Email * What is your educational background? What is your current occupation? Please describe any previous volunteer experience Please list any relevant skills Please select any relevant interests * Advocacy Community Newsletter QBMs (Quarterly Business Meetings) Web Design/Management Networking Member Recruitment Annual Meeting Event Planning/Setup Public Relations Coding Sponsorships Public Speaking Fundraising Marketing/Advertising Research Public School Outreach Financial Planning/ManagementPlease indicate what times you would be interested in volunteering * Flexible Evenings Mornings Weekends WeekdaysDo you have access to an automobile and/or other form of transportation for volunteer purposes? * Yes No Why do you wish to volunteer for DCHIMA? Have you ever volunteered for DCHIMA in the past? If so, please provide a summary of your previous volunteer experience. Do you possess any credentials/certifications from AHIMA? If so, please list all active credentials/certifications. Do you have any physical limitations or are you under any course of treatment which might limit your ability to perform certain types of work? If yes, please explain. Are you assigned to DCHIMA as your AHIMA component state association (CSA)? If not, prior to the assignment as a DCHIMA Volunteer, you are required to contact AHIMA Customer Relations at 1(800)335-5535 to request the change of your CSA to DCHIMA. Once the request is finalized, please forward supporting documentation as a confirmation. (You can check your current CSA by reviewing your "MyAHIMA" profile online) * Yes No If you are human, leave this field blank. SubmitΔResourcesAHIMAAccessAdvocacyFoundationHIM LinksMember SpotlightNewsPhysician Champion CornerScholarshipsVolunteerIn the News2022-2023 DCHIMA Board Election July 8, 2022DCHIMA Call for Nominations June 22, 2022DCHIMA Coding Roundtable — April 22, 2022 April 13, 2022DCHIMA Virtual Coding Roundtable – Jan 28, 2022 January 17, 2022DCHIMA’s Virtual Coding Roundtable – October 22, 2021 October 11, 2021DCHIMA Call for Nominations for 2021 – 2022 Term June 3, 2021Newsletter – April 2021 April 28, 2021DCHIMA 2021 Virtual Annual Meeting April 27, 2021January 2021 Virtual Educational Event January 18, 2021Newsletter – December 2020 December 7, 2020
