KnoxHMIS New User Profile
For Agency Admins to request training. For each new HMIS user:
  1. Fill out and submit this form to request a user account and training.
  2. Provide a copy of the User License & Policy Agreement for their review and signature.
  • Basic Training is held on most Thursdays from 12–3 p.m., on Zoom.
  • Users must RSVP to HMISsupport@utk.edu by Tuesday night of the week they plan to attend.
Sign in to Google to save your progress. Learn more
Agency Admin's Name *
Your name (the person filling out this form)
Captionless Image
New User's Name *
First and last name of the new KnoxHMIS User.
New User's Preferred Pronouns *
New User's Primary Project at Login *
The HMIS project that this user will enter data for most frequently. This project will be the user's default upon login. If the new user needs to record data for additional projects, these can be added to the user's Enter Data As (EDA) options further below.
New User's Title at Agency *
Staff member's job title at Partner Agency.
New User's Email Address *
When possible, please provide the new user's *Agency* email address.
New User's Phone Number *
Format is ###-###-####
Enter Data As (EDA) access needed? *
Will the new user need to record data for projects other than their primary project?
Captionless Image
If yes, please list the new user's EDA Project(s) here:
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 knoxhmis.org for detailed descriptions. The default for most projects is "Case Manager II." 
COMMENTS...
Any specific training requests? Details about the new user's role ("Will use EDA most of the time")? Read-only, SkanPoint, ShelterPoint, Reports? We love your suggestions!
Agency Admin Checklist (see top of this form :) 
 *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms