Midwifery Assistant Training Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

We are so excited for your interest in this training opportunity offered by the Center for Indigenous Midwifery!

For many, the role of midwifery assistant is a rite of passage and an acceptance of a new bundle of responsibilities. In this Indigenous-centered training program- we hope to offer guidance as you learn these skills, share space with you in a nurturing environment, and do all we can to support you in service of your community.

Our intention & commitment towards improving perinatal outcomes, as well as the overall experiences of our focus communities, involves dedicating our efforts to increasing opportunities for birthing families to access culturally-matched care. All trainers, guest midwives, and accepted students are also members of the communities we serve: Black, Indigenous, People of Color, and/or Queer/Trans folx.

In addition to our full midwifery assistant training, we also offer a variety of one day skills workshops and other opportunities. These opportunities will be scheduled quarterly and you will be notified via email to sign up. Once again, thank you for your interest and we hope to share space with you very soon!

In community, Rhonda Lee Grantham, Center for Indigenous Midwifery

Email *

Full Name *

Preferred Name *

Facebook Name (if applicable)

Pronoun (s) *

Phone Number *

General location you will be traveling from (please note, WA state applicants will receive priority for all in-person sessions) *

This training is offered at no-cost, as a project of the Center for Indigenous Midwifery. The intention of this training is for capacity building within the birth community-specifically for BIPOC and/or Q/T folks. Do you identify as being a member of atleast one of these focus communities (Black, Indigenous, People of Color, Queer or Trans)? *

The midwifery assistant training is 4 days. The first day is arrival between 4-6pm, then 3 days of class, ending at 5pm on our last day. Upcoming class dates and opportunities will be emailed to you. Please note: attendance at all classes is required, as they build upon one another. If you sign up, do you agree to arrive on time, with full intention of being available for the entirety of the training? *

This training must be held in small groups so that you can truly be supported as you gain skills (midwife to assistant ratio is approximately 1:3). Due to this, we can only invite small handfuls of people per session. Please check all that apply so that we can best prioritize our invites. Thank you for understanding! *

Currently a midwifery student

Currently training to assist a local midwife

Aspiring to attend midwifery school soon

Currently attending births in other capacities, interested in branching into midwifery assisting

Current doula, feel that this training would benefit me in my doula work

New to birth work, but interested in this training

Other:

Required

Please check what skills you already come in with *

Experience with attending hospital births

Experience with attending home births

Introductory nursing skills (CNA work, blood borne pathogens training, etc)

Advanced nursing skills (IVs, etc)

Other medical experience/training/etc

Other:

Required

Anything else that you would like us to know?

Any other questions for us?

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms