Alaska HMIS Training Request

Please fill out the information below. It is required to complete each field of the training request form. If you do not know an answer, you must contact your supervisor or the Alaska HMIS Helpdesk.

Name *
Name
Phone Number *
Phone Number
Enter the phone number for the organization where you work.
Enter the name of the organization for which AKHMIS training is needed.
Specify the specific program/project into which you will be entering data for your organization.
What is your position at the organization for which you work?
Supervisor's Name *
Supervisor's Name
Enter the name of your direct supervisor.
On which AKHMIS workflow(s) do you need training? *
Check all that apply.