Application for Funding From The Doula Fund
This form is for Pregnant moms and moms-to-be who need funding from The Doula Fund to have access to doula care.
When is your estimated due date?
What city do you live in?
Is this your first pregnancy?
Do you already have a Doula in mind?
If "Yes" to above, what is your doula's contact information?
Are you an Ontario Works recipient?
What is your NET monthly income?
What will your age be on your due date?
Do you have any other supports? (Friends, family, a partner, etc...)
Is there anything else you feel we should know?
Where did you hear of us?
A copy of your responses will be emailed to the address you provided.
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