Childbirth Education Scholarship Application
If you and/or your partner would like to take a childbirth education class, but are worried about cost, the Good Beginnings Childbirth Education Scholarship Program might be able to help.

You may apply for a scholarship of up to a maximum of $125 towards the cost of a childbirth education class if you: 1) live in the Good Beginnings service area, 2) have a health insurance plan that does not include the cost of childbirth classes, and 3) demonstrate financial need. Please read the eligibility criteria on our website before completing this application.

Scholarship applications are reviewed monthly. A limited number of scholarships are available, contingent on funding. Good Beginnings may ask for supporting documentation or further explanation from applicants, on a case-by-case basis.

Email address *
Today’s Date *
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What is the name of the pregnant person? *
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What is the name of their partner? *
Your answer
What is your mailing address? *
Your answer
What is the best phone number to reach you reach at? *
Your answer
When is your due date? *
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Who is your health insurance provider? *
Your answer
Have you contacted your insurer to find out whether they cover childbirth education class fees? If yes, please briefly describe your coverage. *
Your answer
What is the name of the Childbirth Education Class you are hoping to take? *
Your answer
What is the fee for the Childbirth Education Class you are hoping to take? *
Your answer
When does the class start? *
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Have you registered for the class already? *
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