PBC Mentorship Program | Mentor
Please, fill out this form to be included in our Mentorship Program as a Mentor
Email address *
Name: *
Your answer
Phone number: *
Your answer
Are you a current member of Pacific Birth Collective?
Please share a brief description of your birth practice: *
Your answer
Would you consider mentoring more than one intern? *
Your answer
In terms of mentoring style, do you foresee wanting more in person mentoring or solely by phone/email or a little of both? *
Your answer
Do we have permission to give your email or phone number out to prospective Interns? *
Do we have permission to update your PBC profile with an icon indicating you are a participating Mentor?
Anything else you would like to add or suggest?
Your answer
A copy of your responses will be emailed to the address you provided.
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