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 *
Your answer
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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