Scholarship Recipient Application for Birth Professional Workshops
Blossoming Bellies offers full scholarships for birth workers of color to attend the Creating Space: Pelvic Dynamics and Fetal Positioning for an Efficient Birth workshop. To apply for a scholarship, please complete the questions below.
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Email *
Your Name *
Your Pronouns
Your Mailing Address (including city and state) *
Your Phone Number
How would you prefer to be reached?  (Check all that apply.) *
Which workshops are you interested in attending? *
Where did you hear about Blossoming Bellies workshops? *
The workshop scholarships are available for birth workers of color.  To ensure that the scholarships are being used as intended, please share a bit about how you identify, in terms of your race, ethnicity, and/or heritage. *
What is your current role in the birth support community and how do you see attendance at the workshop(s) helping to further your work? *
All of the information I have provided in this application is true to the best of my knowledge.  I understand that any falsified information on this form will prohibit me from using the scholarship opportunity to attend any workshops. *
By typing my name below, I recognize that I am providing my signature in agreement to the above statement. *
Thank you for completing the application!  Brittany will be in touch through email.
A copy of your responses will be emailed to the address you provided.
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