Doula Course Scholarship Application
Thank you for your interest in the Doula Course Scholarship. This scholarship is designed to support individuals who are passionate about becoming doulas and making a meaningful impact in their communities. Our goal is to remove financial barriers for aspiring doulas, particularly those committed to serving underrepresented or underserved populations.

Please complete the form below with as much detail as possible. Your responses will help us understand your background, goals, and need for this scholarship. All information provided will remain confidential and used solely for the scholarship selection process.

Applications are due by December 20th, and recipients will be notified by January 1st. If you have any questions, please contact us at magicvalleydoulas@gmail.com or (928)301-6494.
Sign in to Google to save your progress. Learn more
Name (First and Last) *
Email Address *
Phone Number *
Gender *
Ethnicity *
What has motivated you to pursue a career as a doula?  *
Do you currently work in a birth related or health-related field?  *
What is your current job description? 
What ethnic population(s) or communities do you hope to serve as a doula?  *
Do you have dependents that depend solely on you financially at least 50% of the time? If so how many?  *
Required
Do you currently face financial barriers to pursuing doula training? If yes, please explain.  *
If you are currently employed please describe your job and duties. 
What other sources of funding have you explored for this training?  *
Why is this scholarship important to you?  *
How do you plan to use your training to support your community?  *
Do you commit to completing the course if selected?  *
What is one challenge you anticipate in completing the doula course, and how will you overcome it?  *
Please describe why you want to become a doula. What inspired you to pursue this path, and what drives your passion for supporting birthing individuals and families? Include any personal experiences, values or goals that motivate you in this journey.  *
Is there anything else you'd like us to know about you or your goals? 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms