Conscious Birth Collective TOGETHER Program Application
We appreciate your interest in applying to CBC's TOGETHER Doula Training and Mentorship Program. This will be our first training in partnership with The Birthing Place Foundation and HealthConnect One, and our sixth cohort of mentoring birth workers. Our facilitators, with deep value for community, each uniquely experienced and positioned as leaders in the birth field, are excited to provide professional development workshops, loving guidance and direction, accountability, and of course plenty of support to an incoming group of birth worker doula trainees and mentees in 2025!
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Name *
Phone Number *
Email address *
Neighborhood *
How did you get connected with us? *
Please select the option that best describes your interest in the TOGETHER doula training and mentorship program. 
What is your experience so far with birth work? Have you attended any births? Feel free to provide estimated year of start and how many births. *
Have you ever previously trained as a birth/postpartum/full spectrum doula? If so, with whom and when?  *
Are you currently affiliated with any collectives?
Please indicate your race/ethnicity. What aspects of your cultural/personal identity have played a role in your journey to birthwork, and how so?  *
What is your connection to the upper Manhattan or Bronx community? What neighborhoods do you see yourself in service of? *
What are your goals for participation in Conscious Birth Collective's program(s)?   *
For doula TRAINING: What do you hope to gain?

For MENTORSHIP: What are you looking for in a mentor?
 *
What do you know about your learning style? Your communication preference? *
Do you need financial assistance? If accepted, what, if anything, would prevent you from participating?  *
Anything else you'd like to add?
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