WHO FIC Questionnaire 

WHO FIC Appointment Application Questionnaire

Name(Required)
Are you a Member of an IFHIMA National or Regional Network?(Required)
Are you an Associate/Individual IFHIMA Member?(Required)
If you are an Educator in HIM, is your Faculty an IFHIMA Educational Institutional Member?(Required)
Address of your Current Employer(Required)
How long have you held the above position?(Required)
Drop files here or
Accepted file types: pdf, docx, Max. file size: 5 MB, Max. files: 2.
    Have you previously served on WHO-FIC workgroups or committees?(Required)
    Do you have the ability to routinely devote 5 hours per month to appointment tasks?(Required)
    Do you have the ability to devote 10-20 hours per month in select limited months (due to travel, task completion, etc.)? Please Note - the annual and mid-year meetings may require a full-time commitment for the week of the meeting.(Required)
    Do you hold a valid passport?(Required)
    If selected, will you sign and abide by the IFHIMA "Conflict of Interest" and "Confidentiality" policies?(Required)
    Drop files here or
    Accepted file types: pdf, docx, Max. file size: 10 MB, Max. files: 2.
      Accepted file types: pdf, docx, Max. file size: 5 MB.

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