COAIMH | EASy 7.5

COAIMH

Registration

This is the Colorado version of EASy. If you are applying in another state, please be sure to select that state from the drop-down below.

Please fill out the form below. Fields marked with an asterisk* are required.

Please allow up to 2 business days for your registration to be processed. Once processed, you will receive a password from the EASy system and will be able to log in to begin working on your application.

Step 1
Step 2

Endorsement*

Please select the Endorsement for which you are applying*

This field is required.

Add Endorsed Reflective Supervisor credential ($25.00 registration fee)

Please note:

The primary work focus of individuals in this category is to promote optimal social-emotional and relational development for infants aged 0-36 months, and their families.

For detailed information about the requirements for this category, please consult the Competency Guidelines or reach out to your Endorsement Coordinator

The primary work focus of individuals in this category is to promote optimal social-emotional and relational development for children aged 3-6, and their families.

For detailed information about the requirements for this category, please consult the Competency Guidelines or reach out to your Endorsement Coordinator

The primary work focus of individuals in this category is to prevent barriers that will impede the optimal social-emotional and relational development of infant 0-36 months old via providing direct prevention/early intervention services to the infant/toddler and their caregiver together.

For detailed information about the requirements for this category, please consult the Competency Guidelines or reach out to your Endorsement Coordinator

The primary work focus of individuals in this category is to prevent barriers that will impede the optimal social-emotional and relational development of the 3-6 year old via providing direct prevention/early intervention services to the infant/toddler and their caregiver together.

For detailed information about the requirements for this category, please consult the Competency Guidelines or reach out to your Endorsement Coordinator

The primary work focus of individuals in this category is to intervene where identified disorders of infancy exist by providing mental health relationship-based therapeutic interventions to 0-36 month olds and their families.

For detailed information about the requirements for this category, please consult the Competency Guidelines or reach out to your Endorsement Coordinator

The primary work focus of individuals in this category is to intervene where identified disorders of infancy exist by providing mental health relationship-based therapeutic interventions to 3-6 year olds and their families.

For detailed information about the requirements for this category, please consult the Competency Guidelines or reach out to your Endorsement Coordinator

An Infant Mental Health Mentor – Clinical Endorsed Professional’s primary scope of practice is/was providing mental health relationship-based therapeutic services to 0-36 month olds and their families. Then also received training on providing reflective supervision and consultation (RSC) to others and provide RSC for at least 3 years.

For detailed information about the requirements for this category, please consult the Competency Guidelines or reach out to your Endorsement Coordinator

An Early Childhood Mental Health Mentor – Clinical Endorsed Professional’s primary scope of practice is/was providing mental health relationship-based therapeutic services to 3 up to 6 year olds and their families. Then also received training on providing reflective supervision and consultation (RSC) to others and provide RSC for at least 3 years.

For detailed information about the requirements for this category, please consult the Competency Guidelines or reach out to your Endorsement Coordinator

An Infant Mental Health Mentor – Policy Endorsed Professional’s primary scope of practice is working post masters in policy/program administration related to the infant, young child-family field.

For detailed information about the requirements for this category, please consult the Competency Guidelines or reach out to your Endorsement Coordinator

An Early Childhood Mental Health Mentor – Policy Endorsed Professional’s primary scope of practice is working post-maters in policy/program administration related to the toddler/ young child-family field.

For detailed information about the requirements for this category, please consult the Competency Guidelines or reach out to your Endorsement Coordinator

An Infant Mental Health Mentor – Research/Faculty Endorsed Professional’s primary scope of practice is working in a university and/or published research related to infant mental health principles and practices.

For detailed information about the requirements for this category, please consult the Competency Guidelines or reach out to your Endorsement Coordinator

An Early Childhood Mental Health Mentor – Research/Faculty Endorsed Professional’s primary scope of practice is working in a university and/or published research related to infant early childhood mental health principles and practices.

For detailed information about the requirements for this category, please consult the Competency Guidelines or reach out to your Endorsement Coordinator

Personal Information*

First Name*

This field is required.

Last Name*

This field is required.

Work Telephone*

This field is required.

Personal Telephone

This field is required.

Email*

Please use a personal email address (yahoo, gmail, etc.) as many agency email servers block emails from EASy.

This field is required.

Address*

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City*

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State*

This field is required.

Postal Code*

This field is required.

County*

This field is required.

Verification*

Please review and verify all data before submitting!