Mentis Nova

Colorado Psilocybin Facilitator Training Course - Didactic Only

Admissions Application

Acadia Professional Learning

admin@acadiaprofessional.com
(503) 963-7913
www.acadiaprofessional.com

Please Read Before Proceeding:

Requirements for enrollment in this course:

Must have a high school diploma or equivalent
Must be 21 years of age or older

Requirements for licensure in the State of Colorado:

Successful completion of this didactic course
Successful completion of a practicum training course (can be through APL or another program. Not included as part of this application)
Proof of Basic Life Support certification (not offered through APL)
Ability to pass a criminal background check
40 post-course completion Consultation Hours (not included as part of the training course. Consultation hours are offered through APL, but as a seperate service. Consultation hours can be completed with other practiting facilitators outside of APL)

Please note: You do not have to meet the state requirements for licensure to take this course, but you will NOT be able to receive a full license in Colorado if you do not meet ALL the listed requirements above. Completing the training course alone will qualify you for a "Training License" that will allow you to see clients but will expire two years after issue if you do not complete your Consultation Hours.

Program Details and Licensing Requirements

You are currently applying for APL Facilitator Training Program Didactic Only education. That is, you are applying for the lecture and class components of training, NOT THE PRACTICUM COMPONENTS.

In order to successfully complete this program, you must complete a 40 hour practicum requirement. APL offers practicum each summer in Denver, CO. Dates are determined based on student need and educator availability. Please check the APL website for current practicum dates. APL does not guarantee practicum programming. APL Practicum opportunities are capped at 12 participants.

You can complete practicum with any DORA licensed training program and are not required to participate in APL practicum. BUT YOU MUST COMPLETE A PRACTICUM PROGRAM in order qualify for full licensure in the state of Colorado.

Practicum Plans

How Do You Plan To Complete Your Practicum Requirement*

2027 Spring Facilitator Training Cohort Important Dates

1st day of class: March 4, 2027

All work submitted by: June 4, 2027

2027 Spring Facilitator Training Class Times

Tuesday and Thursday 5:00pm - 8:00pm on Zoom

2027 Spring Facilitator Training Tuition

Course with In-Person Practicum: $5,900.00*

*This tuition assumes payment using ACH direct debit through Square payment processors. If a student elects to pay their tuition balance (after application and enrollment fees) with a credit/debit card, there is a 3% credit card transaction fee that is added to the total tuition ($177.00). If a student elects to pay using ACH debit, there are no fees.

Acknowledgements before beginning the application

I have read and understood the requirements for enrollment in this course*

Yes

I have read and understood the requirements for licensure in Colorado*

Yes

I have read and understood that I must complete a practicum training in order to apply for licensure in my state. I also understand that this program I am applying for DOES NOT INCLUDE PRACTICUM and that I may choose to complete my practicum requirement with any program licensed by Colorado's DORA.*

Yes

I have read and understood the important dates for my cohort*

Yes

I understand that my $50.00 application fee is non-refundable*

Yes

I understand that if accepted and I choose to enroll in this program, I can pay my tuition balance using direct ACH payments through Square with no fees or pay using a credit/debit card with a 3% transaction fee applied*

Yes

Acadia Professional Learning does not discriminiate in administions on the basis of sex, age, race, color, ethnic orgins, or sexual orientation.

Personal Information

First Name*

Last Name*

Address*

Email*

Phone Number*

Date of Birth*

Please upload a photo of a government issued ID that clearly shows your birthday*

Photo or PDF, up to 10 MB. Encrypted on upload and visible only to admissions staff for this course.

How did you hear about our program?*

If you chose other, tell us how you heard about our program

Have you ever applied to this program before?*

Yes

Have you ever served in the US military?*

Yes

Emergency Contact Information

EC First Name*

EC Last Name*

Emergency Contact Phone Number*

Education Information

Occupational Information

Are you currently employed?*

Yes, 35+ hours per week

Yes, less than 35 hours per week

No, not at this time

Retired

Please list any professional licenses or certifications you currently carry

Interest Expectations

Please describe your motivation and interest in pursuing the Psilocybin Facilitator Training Course. Include any personal or professional experiences that have influenced your interest in this field, including your level of experience with psilocybin mushrooms.*

Please describe your goals and expectations for completing the Psilocybin Facilitator Training Course. What do you hope to achieve or gain from this program?*

Information and Acknowledgements

I intend to apply for acceptance in the following program:

2027 Spring Facilitator Training by Acadia Professional Learning

All applications must submitted through this online form before the application deadline for any cohort. If you are having difficulty with your application, you can email admin@acadiaprofessional.com with questions.

Applications will not be considered complete until the $50.00, non-refundable application fee has been paid online below.

2027 Spring Facilitator Training Enrollment Deadline
February 28, 2027

2027 Spring Facilitator Training Start Date
March 4, 2027

Acknowledgements and Signature

By signing below, I affirm that the information provided in this application is true, accurate, and complete to the best of my knowledge.

I understand that my application will not be considered complete until the $50.00, non-refundable application fee is paid.

I understand the requirements for admission into this program and also the requirements for licensure in the State of Colorado.

I understand that if I do not complete enrollment before the start date to which I am admitted, I may need to reapply for admission and pay the application fee again.

Signature

Full Legal Name

Please continue below to use your credit card to pay your application fee securely through square.

Once you have submitted your application and paid the fee, we will process the information and let you now about acceptance within 3 business days.

2027 Spring Facilitator Training Application (Colorado)