AHIMA25: Poster Application Question Title * 1. AHIMA is currently accepting submissions for research-driven content to be featured in our Poster Sessions at AHIMA25 Conference, October 12-14 in Minneapolis, MN. If your poster is selected, one lucky member of your team will receive $200 off the AHIMA25 Conference registration fee, and all of your team members will earn AHIMA CEU credits. Poster presenters must be able to travel to the AHIMA annual conference and agree to participate in dedicated discussion times during conference networking sessions. Can you confirm that you will be able to travel to the conference and participate? Yes No Question Title * 2. Please provide your name, organization, and contact information. Name Company Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Email Address Phone Number Question Title * 3. Please list your job title and credentials. Indicate if you are student in the job title. Job title Credentials Question Title * 4. Please indicate whether you work as a consultant or in the provider/hospital setting, or a student Provider/Hospital Consultant/Vendor Student Question Title * 5. Please upload your headshot and professional bio (in one file, please). PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload your headshot and professional bio (in one file, please). Question Title * 6. Please upload a one-page summary (description) of your poster's content. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload a one-page summary (description) of your poster's content. Question Title * 7. I understand that my poster must be PORTRAIT (vertical) orientation and CANNOT be larger than 48 inches HIGH by 36 inches WIDE. Yes No Question Title * 8. I understand that my poster CANNOT include vendor or consultant logos. Yes No Question Title * 9. I understand that I must participate in the networking break designated for poster viewing. Yes No Question Title * 10. I understand that I must be able to put up and take down my poster at designated times. Yes No Done
