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HSN HMIS/SERVICE POINT TRAINING REQUEST
1. Agency Administrator Submits Training Request
2. HMIS Support Team contacts requester within 48 hours to confirm training requested
3. Once confirmed, HMIS Support Team will email Confirmation
First and Last Name(s) of NEW End User
Your answer
Organization
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Street Address
Your answer
City
Your answer
Zip Code
Your answer
Has the HMIS Agency Application been submitted?
End User's Title/Role
Your answer
End User Job Function(s);
What specifically will End User be required to Enter in HMIS? PLEASE provide details
Your answer
Which Enter Data As (EDA) project(s) will End User require?
This is a 3 digit number.....
Your answer
Training Type you are signing up for?
Required
End User Work Email
Your answer
End User Best Phone Number (Cell okay)
Your answer
Potential Training Date
Click on Drop Down for Dates & Type of Training
Program Manager Name
Your answer
Program Manager Email
Your answer
Program Manager Phone Number
Your answer
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