Resources - Forms & Documents

Welcome to our online Forms and HSPnet Documents. We are pleased to make these materials available to all HSPnet users and within the public domain to interested parties.

File Name
Recommended Use
HSPnet Implementation
HSPnet implementation Request Form New programs and Sites
MS Word form (DOCX)
Completed by new and current Placing Agencies wishing to add new programs in HSPnet or by new and current Receiving Agencies wishing to add new sites. The form is used to authorize expansion, plan and gather information about Programs and sites to be trained.
Implementation Planner
Adobe (PDF)
A month-by-month guide to the key tasks leading up to HSPnet implementation

Pre-Implementation Workbook:

MS Word form (DOC)
Completed by trainees 4 - 6 weeks before training, to collect information used for setup of Programs and receiving Sites
Placement Request Form (for non-HSPnet schools)

HSPnet Placement Request Package
(includes instructions, sample, and consent form/handout)

HSPnet Placement Request Form
(form only for faxing)

HSPnet Placement Request Online Form
(form only for email)

Adobe (PDF)

Use this form to send a placement request to a Receiving Site that is using HSPnet. This form facilitates their entry of the request into HSPnet on the school's behalf

The online form must be completed, saved and emailed to the receiving agency instead of faxing.

Privacy, Security & Data Access

Student Consent Forms

All consent forms and handouts are available under Privacy & Security / Resources.
HSPnet Destination Survey - Receiving Agencies
HSPnet Destination Survey
MS Word form (DOCX)
Completed by Receiving Agencies to enter into the destination profile in HSPnet.
HSPnet Data Management
Student Data Upload Template
Excel (XLS)
Completed by schools wishing to upload a Cohort or group of students to the Students database
Staff Data Upload Template
Excel (XLS)
Completed by schools wishing to upload a large number of instructors or supervisor/preceptors to the Staff database
Adobe (PDF)
Local Administrators in Receiving Agencies may use this log to track changes over time to their setup information on Sites / Services / Destinations. Includes samples.


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