Community Shelter Board  Columbus HMIS Site Administrator Agency Name: ____________________________________________________ From the Columbus HMIS Policies and Procedures Manual: The HMIS Site Administrator is the primary HMIS contact at the agency. This person will be responsible for: ·         Providing a single point of communication between the end users and the CSB Systems Manager around HMIS issues ·         Ensuring the stability of the agency connection to the Internet and ServicePoint, either directly or through communication with other technical professionals ·         Training agency end users ·         Providing support for the generation of agency reports ·         Managing agency user licenses ·        Monitoring compliance with standards of client confidentiality and ethical data collection, entry, and retrieval Each Connecting Agency will designate an HMIS Site Administrator.   _______________________________________________________ Print Site Administrator Name Is the designated HMIS Site Administrator for: _______________________________________________________ Print Agency Name ____________________________________________________________ Site Administrator Signature                                                                                           Date ____________________________________________________________ Executive Director Signature                                                                                          Date