Mid-Atlantic MGMA 2025 Regional Summit Scholarship Application

Question Title

1. Name of Applicant (Required.)

Question Title

2. Email Address of Applicant (Required.)

Question Title

3. Are you currently an MGMA State Chapter member? (Required.)

I am a member of MD/DE/DC MGMA

I am a member of VA MGMA

I am a member of MGMA National only

I am not a member of MGMA

Question Title

4. Current Employment (Required.)

Job Title

Company/Practice Name

Question Title

5. Please select which option best describes your situation. (Required.)

I work for the federal government/at a federal hospital.

The practice I work at has a freeze on support for professional development.

Other (please specify)

Question Title

6. Why do you think it is important to come to the Mid-Atlantic MGMA 2025 Regional Summit? (Required.)

Question Title

7. I acknowledge these scholarships are available to those in need who do not have support from their institutions. (Required.)

I understand and can confirm that I fit the required criteria to be considered for this scholarship.