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HMIS Training Request
All Training Requests for New User and Refresher Training must be authorized by a Department Head. Please complete all sections of the form, once submitted, an HMIS Team member will contact you with next steps.
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* Indicates required question
Email
*
Your email
Requestor's Name
*
Your answer
Requestor's Agency
*
Your answer
Requestor's Title
*
Your answer
Requestor's Work Phone Number
*
Your answer
Is the Requestor different than the Program Manager?
*
Yes
No
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