JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Newborn Dream Team - Postpartum Doula/Newborn Care Specialist Interest Form
If you have a resume/CV feel free to send it to us at
underthemoonbaby@gmail.com
.
You are not obligated to answer all the questions but please give us as much information as possible! This work is very intimate and we want to make sure you are placed with clients you'll serve the best.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
What area of DFW do you reside? Are there any areas you are not comfortable driving to?
*
Your answer
Phone Number
*
Your answer
Please let us know how you heard about us.
Your answer
What is your education/training and/or experience caring for newborns?
Your answer
If you do not have newborn experience (babies less than 4 weeks old) Please share any relevant experience or training you do have and why you think you would be a good fit for this job?
Your answer
Do you have any experience caring for multiples? (Twins/triplets) Are you comfortable with the idea if not?
Your answer
Are you able to work overnight shifts? (typically 10 pm - 6 am but can be anytime between 9 pm - 7 am)
Your answer
Are you able to work daytime shifts? We require a minimum of 4 hours for daytime shifts. What hours do you prefer?
Your answer
Are there any days/hours that you CANNOT work?
Your answer
How comfortable are you with supporting breast/chest feeding?
Your answer
How comfortable are you with preparing formula/bottle feeding?
Your answer
Do you have any conditions/aversions that might keep you from being in a client's home (for example: pet allergies/serious food allergies)
Your answer
Our clients require that any contractors be vaccinated. Are you current on Covid vaccines and boosters and Tdap vaccines and able to provide records?
*
Your answer
Wearing a mask may be required in a client's homes regardless of vaccine status. Are you comfortable wearing a mask if asked?
*
Your answer
We proudly serve a diverse clientele. Can you think of any family/household situations that might make you uncomfortable? (race, religion, cultural, same sex couples, gender, parenting styles?)
*
Your answer
Do you have any early parenting biases that would effect your ability to support a family? For example, circumcision, formula feeding, sleep training, or any other controversial topic?
Your answer
Are you already a practicing doula/NCS/sleep specialist? Do you have a website or social media account highlighting your business? (if so, please share)
Your answer
What is your desired pay per hour and how many hours per week would you like to work?
Your answer
Please feel free to share anything else you want us to know about you and why you want to work with us. (You can also send a cover letter and CV to
underthemoonbaby@gmail.com
)
Your answer
Send me a copy of my responses.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms