National Perinatal Task Force™ Application Form
Guided by fierce love for our families and communities, the National Perinatal Task Force (NPTF) seeks to dismantle the braid of oppression impacting communities of color. We recognize strength and abundance in the breadth of our intersectional collective in order to harness the limitless power of our lived experiences.

We believe all people have the human right to maintain personal bodily autonomy, have children, not have children, and parent the children we care for with equitable resources to thrive in community. Furthermore, with a vision of Reproductive Justice and an equity lens, we believe in Maternal Justice, where even the most marginalized are able to birth with full human rights and self-determination, where we honor the powerful and sacred ability to create new humans, and all childbearing people receive culturally grounded, attentive, quality, loving care.

To model the world we are birthing, we use Collective Organizing to shift the paradigm of reproductive health by addressing the root causes of inequity, building collective power, and advancing liberation for all.

We transform the world via Praxis, where our collective practices as perinatal providers guide our methods for transforming the world and making social change.

In solidarity with our partners in movements for Reproductive Justice and all forms of social justice, we work in our local communities to advance Maternal Justice and collectively birth a more just and loving world.

NPTF MEMBERSHIP STRUCTURE

We are building our collective power nationally by weaving together the local people power of amazing autonomous locally based maternal racial justice efforts consolidated into our NPTF national membership structure. There are multiple paths to becoming a member of the NPTF. Here are our current membership categories:

NPTF Perinatal Safe Spot™:
Individuals of the global majority, collectives or organizations of official virtual and physical, community-embedded practices and perinatal professionals providing direct services. PSSs are made up of people using their shared cultural and lived experience to advance collective self-determination and maternal justice in their communities. NPTF Perinatal Safe Spots™ are independently operated sites (virtual and/or physical) implementing collective perinatal health work in their community. The PSS’s are the roots of the National Perinatal Task Force™, modeling the vision and birthing a just and loving world through practice.

NPTF Amplifier:
Individuals taking action in their community. NPTF amplifiers raise consciousness via education and activism to amplify the vision of birthing a just and loving world. For more information about the NPTF Amplifier program, please email hello@perinataltaskforce.com.

NPTF Igniter:
Collectives/organizations taking action in their community. NPTF Igniters spark collectives by building local collective efforts to launch new PSSs and/or maternal justice community organizing projects towards the vision of birthing a just and loving world. For more information about the NPTF Igniter program, please email hello@perinataltaskforce.com.

All members are committed to the business of saving lives and are actively working to shift the paradigm of reproductive health by addressing the intersectional root causes of inequity, building collective power, and advancing social justice and liberation for all.

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Email *
Business/Organization Name  *
Please provide your own name if you do not have a business or organization name
Primary Point of Contact Name *
Contact phone number *
Primary Point of Contact Preferred Communication *
eg: email, phone, text
Full Address  *
Please include city, state and zip code (will not be posted)
Your Website URL (if applicable)
Facebook URL (if applicable)
Instagram URL (if applicable)
Other social media URLs (if applicable)
Race/Ethnicity: Please choose the appropriate option(s)
*
You may select more than one option from the list below. 
Required
Physical Location *
Which state are you physically located in? Please note this is not which states you serve, that information will be requested later on. 
Is there anyone you would like us to invite to join the National Perinatal Task Force?
Please include name and email
IMPORTANT
If you select options White and Other (ie. not BIPOC) as Race/Ethnicity, you are eligible to be listed as either an NPTF Ignitor or NPTF Amplifier. Please select only these options as your requested designation. Please contact Admin if you have any questions about this requirement. 
Which designation fits you best? *
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