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Bicultural Doula Expression of Interest
If you have any questions about this form, please call Birth for Humankind on 1300 073 086 or email
natalie@birthforhumankind.org
.
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Your Name
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Country of Birth
*
Your answer
Languages Spoken Fluently
*
Your answer
Option 1
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Ethnicity
Option 1
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Can you commit to attend all 18 training sessions? (weekly on Tuesday or Thursday TBC from 18 February 2020)
*
Yes
Required
Why are you interested in becoming a doula?
*
Your answer
Please describe any experience you have with pregnant or birthing women. (If no experience, write 'no experience').
*
Your answer
Please describe any other relevant experience you may have had (for example, community, social or health-related work, interpreting, counselling).
Your answer
4.
Are you available on a Tuesday or Thursday (day and time to be confirmed)from 17 February 2020 until approx. 27 June 2020)?
Your answer
4.
Are you available on a Tuesday or Thursday from 17 February 2020 and able to commit to the full 18 week training (until approx. 27 June 2020)?
Option 1
Clear selection
5.
Do you have any commitments or issues that may affect your ability to attend the full training and/or become part of the Birth for Humankind Volunteer Doula team upon completion?
Option 1
Clear selection
Is there anything else you would like to share with us?
Your answer
Thank you for completing this form. We will be in touch shortly to confirm that we have received your information.
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