KYHMIS Training Request

Training Request

To learn more about being able to use the Kentucky Homeless Management Information System (KYHMIS) in your agency, please complete the following form and a KYHMIS Staff member will contact you. You may also view the KYHMIS brochure for more information.

Type of Training:

KYHMIS Training

Recovery Kentucky KYHMIS Training

Agency Name:

First Name:

Last Name:

Mailing Address:

City:

State:

Zip:

Phone:

Email:

Fax:

If you are replacing a licensed user at your agency, enter their name here:

Have you attended a training before?

Please list your agency's funding sources:

Will you need an ART license for the Live Site?

Do you have a reasonable accommodation?

If yes, please explain:

Title of training:

Date(s) of training:

Please submit one form for each individual to be trained. Your reservation must be confirmed to reserve your seat in the class. Please be sure to let us know if you cannot make the class.

Please review and sign the KYHMIS User Confidentiality Agreement, prior to coming to class.

Please review the KYHMIS Policies and Procedures prior to class too.