Application to be a BirthWell Partners Contract-Doula
Please send a full resume to dalia@birthwellpartners.org as part of your application.
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Name (first and last) *
Race/ethnicity *
Birth Date *
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email: *
Phone *
When did you complete your Birth Doula training? *
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Tell us about your doula training: What organization did you train with? How long did your training last? What did it include? What did you think about it? We'd love to hear details. *
Are you a certified birth Doula? *
What organization are you certified with? It is not required for you to currently be certified, but if you are, we want to know more about it. If you are not certified, BirthWell expects you to be working toward certification and to complete the process within 6 months of starting to work with us.
If you are certified, when did you get your certification?
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If you are certified, when are you due to re-certify?
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How many births have you attended as the primary Birth Doula? (If you don't know the exact number, just give us a range.) *
What types of births have you attended? Check all that apply.
Why do you want to be a doula for BirthWell Partners? *
Please describe your experience working with under-resourced or marginalized families: *
What is your availability for doula work for BirthWell clients? *
Required
When are you available for doula work? Check all months when you are prepared to take a doula client. We are aware that your schedule is not final for the next year. Please just indicate availability to the extent to which you can at this time. *
Required
Are you fully vaccinated for Covid-19? [BWP doulas are required to follow CDC guidelines for Covid vaccination] *
Required
Please use this space to share any other information you would like us to know as we consider your application:
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