Application - Colorado Psilocybin Training Program (Didactic Only)

Colorado Psilocybin Facilitator Training Course - Didactic Only

Admissions Application for Students Seeking Licensure in Colorado
Acadia Professional Learning

admin@acadiaprofessional.com
(503) 963-7913
www.acadiaprofessional.com
Please Read Before Proceeding:

Requirements for enrollment in this course:
1. Must have a high school diploma or equivalent
2. Must be 21 years of age or older
Requirements for licensure in the State of Colorado:
1. Successful completion of this course
2. Proof of Basic Life Support certification (not offered through APL)
3. Ability to pass a criminal background check
4. 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 with our partner The Center Origin in Denver Colorado. Please check the APL website for current practicum dates. 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.

APL Practicum opportunities are capped at 12 participants.
How do you anticipate satisfying your practicum requirement?*
Colorado Regular Class Schedule

Tuesdays and Thursdays from 6:00-9:00 MT

2026 Cohort Important Dates

1st day of class: Thursday, March 5th

Last Day of Class: Thursday, June 4th

All work submitted by: Friday, June 12th
2026 Didactic Training Program Tuition*

Training Course Didactic Only: $6900

*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 ($207). 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 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
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Date of Birth*

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

Cancelof
Emergency Contact

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.
Have you ever applied to this program before?*

YesNo
Have you ever served in the US military?*

YesNo
Education Information
What level of secondary education have you completed?*

Did not complete high schoolGEDHigh school graduate
Check all that apply for your post-secondary education*

Have not attended college or universitySome college coursesCertificate or associates from community collegePrivate career school certificate/diplomaApprenticeship trainingBachelors degreeMasters degreeDoctorate or other terminal degreeOther
List the name of location of any post-secondary institution(s) you attended
Occupational Information
Are you currently employed?*

Yes, 35+ hours per weekYes, less than 35 hours per weekNo, not at this timeRetired
Please list any professional licenses or certifications you currently carry
Please use the official name and common abbreviation for your certificate/license
Interest and 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 enroll in the following program:

Psilocybin Facilitator Training Program 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, non-refundable application fee has been paid online below.
Spring 2026 Enrollment Deadline

Sunday March 1st 2026

Spring 2026 Start Date

Thursday, March 5th, 2026
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, 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

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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.

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Colorado Psilocybin Facilitator Training Course - Didactic Only

Acadia Professional Learning

Please Read Before Proceeding:

Colorado Regular Class Schedule

2026 Cohort Important Dates

2026 Didactic Training Program Tuition*

Acknowledgements before beginning the application

Personal Information

Education Information

Occupational Information

Interest and Expectations

Information and Acknowledgements

I intend to enroll in the following program:

Psilocybin Facilitator Training Program by Acadia Professional Learning

Spring 2026 Enrollment Deadline

Sunday March 1st 2026

Spring 2026 Start Date

Thursday, March 5th, 2026

Acknowledgements and Signature

Payment Methods