KnoxHMIS New User Profile
This form is to be completed by the Partner Agency Administrator who has identified a new Agency User who require licensed access to KnoxHMIS data. KnoxHMIS uses this information to set up a user account custom to the new user's role and responsibilities at the Partner Agency.
Name of Agency Admin Requesting Training
Your name; the person submitting profile information for the new user.
Partner Agency (Provider) Name
Your organization's name.
New User's Name
First and last name of the new KnoxHMIS User.
New User's Email Address
When possible, please provide the new user's *Agency* email address.
New User's Title at Agency
Staff member's job title at Partner Agency.
New User's Phone Number
Format is ###-###-####
New User’s Program at Agency
The common-use name for the user's agency program (may or may not be same as the user's "Primary Project at Login").
Primary Project at Login
Each user account is set up with one project as their "primary provider." By default, the system records all data entered to a user's primary provider. Please name the project that staff will enter data for most frequently.
New User's Access Level
Each access level in ServicePoint defines which features can be used, and which client information can be accessed. Per KnoxHMIS Policy 4.8, "Assignment of User Security Level," the Agency Administrator or Executive Director at the Partner Agency determines the desired level of access for each user. Users should be assigned the lowest access level needed to perform their duties at the Agency. See "ServicePoint Access Levels: User Roles Table" on the Partners page of
for detailed descriptions.
Case Manager I
Case Manager II
Case Manager III
Read Only I
Read Only II
Read Only III
Enter Data As Projects
If the new user will be allowed access to record data for projects other than their primary project, list them here. These will appear in the user's Enter Data As (EDA) mode options.
(Optional) If KnoxHMIS is needed to provide project-level, required reporting for compliance with your funding source's specifications, please name the Federal Partner Program (ex: PATH, RHY, VA).
HUD: City ESG - Emergency Shelter
HUD: City ESG - Prevention
HUD: City ESG - Rapid Re-Housing
HUD: State ESG - Emergency Shelter
HUD: State ESG - Prevention
HUD: State ESG - Rapid Re-Housing
HUD: CoC - Transitional Housing
HUD: CoC - Permanent Supportive Housing
HUD: CoC - Rapid Re-Housing
HUD: CoC - Single Room Occupancy
HUD: CoC - Supportive Services Only
Shelter Plus Care Program (S+C)
Section 8 Single Room Occupancy Program (SRO)
Supportive Housing Program (SHP)
Not Applicable - My agency does not receive any of the above
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service