HMIS Online Training Request Form
Exit this survey

1. Enter your information here and click "Done" when finished. Thank you!

Thank you for taking the time to submit your HMIS training needs to us. Answering a few simple questions will help us to better coordinate trainings in your area. If you have not yet done so, please consult our HMIS Events Calendar (www.hmismn.org/events) to see the current training offerings for the next few months.

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1. Contact Information:

Contact Information: Your Name:
Your Agency:
Your City:
Your Email Address:
Your Phone Number:

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2. Preferred Training Region (choose one):

Preferred Training Region (choose one): TC Metro (Anoka, Dakota, Hennepin, Scott/Carver, Ramsey, Washington)

Central

Northeast

Northwest

St. Louis

Southeast

Southwest

West Central

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3. Specific Training Needs:

	Type	Training Urgency
Trainee 1	Specific Training Needs: Trainee 1 Type	Training Urgency
Trainee 2	Trainee 2 Type	Training Urgency
Trainee 3	Trainee 3 Type	Training Urgency
Trainee 4	Trainee 4 Type	Training Urgency
Trainee 5	Trainee 5 Type	Training Urgency

More Than 5 Trainees? How Many Total?

HMIS Online Training Request FormExit this survey

1. Enter your information here and click "Done" when finished. Thank you!

*1. Contact Information:

*2. Preferred Training Region (choose one):

*3. Specific Training Needs:

HMIS Online Training Request Form
Exit this survey

*
1. Contact Information:

*
2. Preferred Training Region (choose one):

*
3. Specific Training Needs: