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* 1. Applicant Information

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* 3. Employer

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* 4. Membership

Please indicate whether you are a member of any of the following:

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* 5. Please confirm that your line manager is aware of your application and they understand the commitment required to take the exam (inside or outside of work) which may require between approximately 8-16 study hours per week over the 90 day period.

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* 6. Line Managers Contact Details

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* 7. Please confirm that you are happy for the CEIH to contact your line manager if further information is required in order to support your application.

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* 8. Eligibility Criteria
Associated health experience includes the following functional areas: healthcare and wellness, health administration/management, education, public health, health information management, health informatics, information and communication technology, information systems, healthcare and wellness research, data analytics, software architecture, cybersecurity, and project and program management.
Positions presented for associated health experience must have been held for a minimum of six months duration and within the last ten years.

Please, select the eligibility requirement which applies to you:

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* 9. In no more than 200 words please outline your reason for wanting to take the CHIA certification.

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* 10. In no more than 200 words please outline how you becoming a CHIA would then benefit the South Australian health system in the future.

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* 11. Reimbursement

 
Thank you for completing this Expression of Interest. We aim to let all applicants know the outcome of their application by 15 April 2021.
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