Training Registration
Please have every person from your office that is attending the training complete this form. To see a list of the dates and times we are holding training please visit http://utahhmis.org/calendar/
What training date do you want to register for *
Please record date in MM/DD/YYYY format i.e. 01/17/2014
MM
/
DD
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YYYY
Are you registering for a new end user training, a reporting training ,or another training?
Clear selection
What is your name?
What is your email address?
What organization are you with?
What programs will you be working with at your agency?
How will you be attending?
All trainings are held at 1385 S. State Street, Salt Lake City (unless otherwise specified)
Clear selection
What CoC is your organization in?
Clear selection
Submit
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