New HMIS Agency Inquiry Form (Metro Denver)

NEW HMIS AGENCY INQUIRY FORM

If you'd like to become part of COHMIS, please fill out this form
Your name*

First NameLast Name
Your email address*
example@example.com
Your agency's name*
Company Website*
Agency Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNo
If you have identified as a VSP, your agency is prohibited by HUD to use HMIS. You must use a comparable database. You will not be able to fill out the rest of this form.
What county is your main office located in?*
What does your agency do?*
What types of programs does your agency have?
Please keep in mind that HMIS is for homeless or formerly homeless persons
Day Shelter (DS)Emergency Shelter (ES)Homelessness Prevention (HP)Permanent Supportive Housing (PSH) (disability required)Permanent Housing (PH) (no disability required)Rapid Re-Housing (RRH)Safe Haven (SH)Safe Outdoor Space (SOS)Services Only (SSO)Street Outreach (SO)Transitional Housing (TH)Unsure
YesNo
YesNoUnsureHave applied
What type of funding do you receive?
Yes (if "Yes, The Coordinated Entry team will connect with you)NoUnsure
Yes (if "Yes, The Coordinated Entry team will connect with you)NoUnsure
Access for my agency onlyAccess to Coordinated Entry (aka OneHome) onlyBothUnsure
Emergency Shelter (ES)Day Shelter (DS)Homelessness Prevention (HP)Permanent Supporting Housing (PSH)Permanent Housing (PH)Services Only (SSO)Street Outreach (SO)Transitional Housing (TH)UnsureNone of the aboveN/A
YesNoBIPOC-ledLived Experience of homelessness-ledBoth
YesNoUnsure
How many staff do you anticipate will need to be trained in HMIS?
Please keep in mind that it's best to have staff trained who will be active users of HMIS.
YesNoUnsure
Are you a member of the MDHI CoC? If not, you may apply here: https://www.mdhi.org/coc
YesNoUnsure
Please visit this link for more information: COHMIS New Agency Welcome Packet
HMIS is limited to the kinds of programs we can add. MDHI staff can assist with determining the correct program type for the service(s) you provide. Please see this link for information about program types avaiable in HMIS: Guide to HMIS Project Types
IMPORTANT! Please visit this link to become familiar with our COHMIS Statewide Policies and Procedures
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NEW HMIS AGENCY INQUIRY FORM

If you have identified as a VSP, your agency is prohibited by HUD to use HMIS. You must use a comparable database. You will not be able to fill out the rest of this form.