* First Name, Last Name

* Are you a member of Canadian Prairies Chapter

* What is your HIMSS Member ID

* Did you successfully pass one of the HIMSS certification exams in 2024?

* Provide the date you successfully passed your certification exam

* Provide a link to your LinkedIn profile or alternatively tell us about yourself. 1. Professional associations to which you belong and any leadership roles and/or achievements. 2.Personal achievements or extracurricular involvement in organizations outside of professional organizations.

3. Involvement with HIMSS (attended HIMSS Global Health Conference, participated as a program assistant, volunteered with your local chapter) 4.Digital Health conferences, seminars, or symposiums you attended

* 4. If you were the successful recipient of the scholarship, how are you planning to champion digital health and support the Canadian Prairies Chapter?