Application for Prospective Internsand Post Graduate

Directions for Application:

All information will be treated as confidential material.

  1. Please answer all questions as completely as possible.
  2. Use additional pages as needed.
  3. Please submit 3 letters of reference along with application.
  4. Please submit a cover letter and resume.
  5. Submit application to :
  • PO Box 6004 Santa Fe, NM 87502
  • The SKY Center, atDeVargas Middle School: 1720 Llano St.
  • Via e-mail:

Call the center if you have any questions: 505-473-6191. Ask forApryl Miller, Executive Director,or Erin Doerwald, Program Coordinator/Staff Therapist

For more information or to download this application and reference forms electronically, visit:

under services for graduate training

Date of application

SECTION I. PERSONAL DATA

Full Name

Present Address

Cell/Home Phone

E-Mail Address

Academic year you are available to begin an internship with us:

August-May______

SECTION II. ACADEMIC BACKGROUND/EXPERIENCE

  1. List all colleges and graduate schools attended, the dates attended, the degree(s) completed, and the major field of study at each institute.

Name of College/University Location Dates of Attendance Degree/Number of Courses Date

(City, State) (Conferred, Expected)

Experience: Attach Resume

Circle the position for which you are applying:

Internship position Advanced Studies Other : Please explain

  1. . Advanced Studies Applicants: Please answer the following:

(We offer a limited number of positions and hours for people who have already obtained a graduate degree in counseling, or related field, and are interested in family therapy training and collecting hours towards licensure. Please note that tuition is $500 per semester.)

Number of post-graduate, supervised in-session hours you have obtained to date:

What license are you working towards?

When do you plan to take your licensing exam?

Have you already passed a licensing exam? YesNo

SECTION III. PROFESSIONAL INTERESTS, EXPERIENCES AND GOALS

In responding to section III, please type your responses on separate pieces of paper. Select two of the six prompts and answer both questions using no more than two pages.

  1. With reference to your proposed training at the SKY Center, please indicate why you want to train at SKY, how you heard of us, and what you wish to gain out of training with us.
  1. In terms of your therapy experience with individuals, couples, children, families, and groups: In which area(s) do you feel most capable or comfortable? In which area(s) do you feel less capable or comfortable?
  1. What do you experience or anticipate as your greatest challenges as a therapist? (Particular issues, types of clients, types of feelings or interactions?)
  1. Please describe your own orientation to therapy and your beliefs about what creates healing and growth for clients. Which orientation or theoretical school do you consider yourself to be a member of or most in theoretical alignment with?
  1. What daily routines and/or practices do you have that provide self-care?
  1. Choose your own question and response.

The Sky Center, NMSIP PO Box 6004 Santa Fe, New Mexico 87502 t:505 473 6191f:505 983 0833NMSIP.org
New Mexico Suicide Intervention Project is a 501 (c) (3) tax-exempt organization. This letter is your record of the above-mentioned gift. No goods or services were provided in consideration of this gift.