NHIMA Credential Lottery ApplicationNHIMA Credential Lottery Application About YouName * Name First Name First Name Last Name Last Name Credentials Position Employer Street Address Apt/Suite/Office City State Zipcode Email Address * Phone Number * Educational Information College/University Name Address Date of Graduation Date of Examination Credential Received Were you a member of NHIMA at the time of graduation? * Yes NoDid you pass the National Examination? * Yes No Please upload a copy of the certificate. * Drop a file here or click to upload Choose File Maximum upload size: 268.44MB If you are human, leave this field blank. Submit