Add or remove PIDS User
Please complete this form to have users added to or deleted from your program's PIDS account. Only an administrator should complete this form. Please use one form submission per individual change. Please email the WI Pyramid Model Data Coordinator at pmdata@wiaimh.org to have a user's role changed. Be sure all information is accurate and spelled correctly before submitting. All submissions will be authenticated by personal communication with the program PIDS administrator.
Program name
*
I wish to:
Add a new PIDS User
Delete a PIDS User
Change a current PIDS user's role
Add classroom level data collector role to a professional currently listed in our program profile
New user first name
*
New user last name
*
New user email address
*
New user role at program (Administrator, Teacher, Internal Coach, External Coach, Data Coordinator, Behavior Specialist, etc.)
*
Classroom level data collector name
First Name
Last Name
PIDS ID number for professional to be assigned a classroom data collector role
Please confirm the PIDS classroom id(s) the new classroom data collector is already assigned. (This is/ these are the classroom the new user will be able to enter and view data for.
What types of data does this user need to be able to enter (check all that apply)
Yes
No
What types of data does this user need to be able to enter? (check all that apply)
*
None
Child-level (BIR/ASQ:SE 2)
Classroom-level (TPOT/TPITOS)
Program-level (BOQ)
What types of information can this user view?
*
Child and employee confidential information (names, birthdates, demographic information, etc.)
Only employee information
None
Select all trainings that this user has completed.
TPOT Reliability
TPITOS Reliability
Practice Based Coaching
Name of current user to be removed
Email of current user to be removed
example@example.com
Reason for removing the user
Left program
Changed roles in the program
Other
Please email the Pyramid Model/PIDS data coordinator at pmdata@wiaimh.org
I am the administrator to the above program and have permission to add and remove users to my program's PIDS account.
*
Yes
No
Name of program administrator completing this form.
*
Email address of program administrator completing this form
*
Submit
Should be Empty: