CO-PIC Training Site Application
Hello, and thank you for your interest in becoming a Colorado Psychology Internship Consortium (CO-PIC) training site! CO-PIC is an APA-accredited doctoral psychology internship program, with a mission to prepare and retain psychologists to provide high quality behavioral health care for rural and underserved populations in the state of Colorado. Currently, CO-PIC is comprised of the following member sites: Bright Future Foundation (Avon, CO), STRIDE Community Mental Health (Aurora, CO), Your Hope Center (Eagle, CO), Code-4 Counseling (Lonetree, CO), and Eagle Valley Behavioral Health (Vail, CO).

Detailed information about CO-PIC can be found at https://www.co-pic.org/. Please direct questions to the CO-PIC Training Director: Dr. Stacie Freudenberg, stacie@mybrightfuture.org.
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Agency Name *
Agency Website *
Agency Address *
Does your agency serve any of the following high-needs populations? Please select all that apply. *
Required
Primary Contact Email *
Primary Contact Phone number *
Describe the agency/organization/practice, including mission, services, specialty areas, populations served, and location(s) in which training would occur. *
Why are you interested in joining CO-PIC? *
Does your agency have experience as a training site for doctoral or master's level clinical psychology students? If yes, please describe. *
How many internship positions are you interested in hosting at your site? *
Site Supervisor Information
Each CO-PIC training site must employ at least one FT licensed psychologist, who will serve as the primary, on-site supervisor to any intern(s) placed at the site. The primary supervisor must be licensed to practice psychology in Colorado. Please answer the following questions about the site supervisor(s):
Name and degree of primary site supervisor: *
Is the site supervisor licensed in the state of CO? *
Is this individual currently, or has ever been, under any disciplinary action by any regulatory body? *
How many years has this individual been employed by your organization? *
Will this individual be available to attend monthly 2-hour training meetings for the Consortium? *
How many hours per week is this psychologist physically present at your site? *
Site Training Expertise
Please tell us a little bit more about your organization's ability to provide specialized training for interns in any of the following domains: cultural; clinical; specialized expertise with under-served populations; etc.
Please describe any specialty areas of expertise or qualifications of your staff psychologists, or other mental health providers (or other provider types such as family medicine doctors, or other medical professionals) who could be included in the training program offerings at your site (e.g., bilingual, certification in specialized intervention protocols, etc.). *
Trainee Experiences
CO-PIC's internship program follows APA accreditation standards where interns receive training in multiple domains during their internship year. Please tell us about the possible training opportunities that interns could receive at your training site.
Please describe the supervised training activities that would be available to interns at your training site. Activities may include (but are not limited to): Psychological, psychoeducational, or neuropsychological assessment, individual and group therapy, consultation, supervision of practicum students or externs, research and program evaluation, crisis and safety management, and other training activities. *
Does your site have the ability to ensure that between 15-20 hours/wk of intern time will be spent in face-to-face (or telehealth) psychological services with patients/clients? *
Interns are required to attend a minimum of 8 hours of didactics per month, on a regularly scheduled basis. Will your site agree to prioritize this training requirement? *
Interns are required to receive a minimum of 4 hours per week of supervision by appropriately credentialed professionals. At a minimum, 2 of these supervision hours are required to be with the primary site supervisor (licensed psychologist). Will the site prioritize and allow for these APA training requirements? *
On average, how many hours per week will interns be expected to work? *
Agency Expectations
All CO-PIC sites are required to adhere to a set of minimum standards with regards to training opportunities and financial benefits. Please answer the following questions.
Is the agency/organization/practice able to commit to providing the following financial and benefit contributions to the intern(s)? Please select all that apply. *
Required
Please review the timetables, policies, and procedures of the Association Psychology Postdoctoral and Internship Centers at www.appic.org. Will your agency/organization/practice agree to adhere to the timetables, policies, and procedures of the Association of Psychology Postdoctoral and Internship Centers? *
Please review the policies and procedures of the Colorado Psychology Internship Consortium at www.co-pic.org. Will your agency/organization/practice agree to adhere to the timetables, policies, and procedures specifically outlined in the handbook and website of the Colorado Psychological Internship Consortium? *
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