A Sacred Passing: Abortion Companion Training

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

A Sacred Passing: Abortion Companion Training - Call for Speaker(s) / Panel

INVITATION
Thank you for your support in this endeavor to educate future abortion doulas. A Sacred Passing (ASP) exists to support end-of-life caregivers for those experiencing transitions around life and death. ASP is currently in the process of finalizing our abortion companion curriculum and training. We are looking for speakers to contribute to do two panels that will likely take place in July 2021 (exact dates TBD). To learn more about ASP, visit us at www.asacredpassing.org.

Do you have any of the following experiences?
1. Helpers or doulas who have supported folks terminating pregnancies.
2. Folks who have personally experienced terminating a pregnancy of their own.

PROCESS
Panel participation is paid and will take 1-1.5 hours. Please complete this survey to help us understand where you identify and your interest for participating. It is absolutely okay if you fall in all of them and would like to participate in both panels. That's what makes life rich. Completing this form does not confirm your participation on the panel and dates are currently TBD.

Email *

Please share why you are interested in serving as a panel member: *

Name *

Please share your name / nickname / use name.

Pronouns (if you'd like to share) *

i.e. other, none, they/them/theirs, she/her/hers, he/him/his, ze/zirs/zes

Do you identify as a Black, Indigenous, or person of color? *

Yes

I'm unsure.

I have experience... *

With a procedure related to terminating a pregnancy that I had

With a procedure related to birth, miscarriage / spontaneous abortion, still birth, fetal anomaly, or abortion.

Supporting someone as a friend who has had an abortion

Supporting someone as a doula who has had an abortion

Supporting someone as a midwife who has had an abortion

Required

For those who have terminated pregnancies of their own, did you do this:

In a hospital

At a clinic

At home

Other:

Clear selection

For those who have terminated a pregnancy, is there anything else you would like to share unique to your experience?

Does your state require "all options counseling"? *

Yes

Other:

Do you have interest in participating in more than one panel if this applies to you? *

Yes

Maybe

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of A Sacred Passing. Report Abuse

Forms