2023 Client Scholarship Application 
Apply to be a recipient for doula services. 

PLEASE NOTE: The amount of scholarships available is limited. Recipients will be selected at random. Applications will close August 1, 2023.

We are thrilled to share that through generous donations from past clients, BWLC is offering two scholarships for births with an estimated due date in September, October, November, or December of 2023. Scholarship recipients will be eligible to receive birth doula services at no cost to them. This donation will allow those that are directly impacted by the health disparities contributing to poor maternal outcomes. This includes a focus on black and brown mothers and their families who may otherwise not be able to afford a doula to receive the emotional support, education, and physical support that we provide as your doula.

Please visit www.birthingwithlc.com to learn more about the role of a doula and details of services and service areas before applying. 
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Full name
Email
Contact Number
Estimated Due Date
Where do you plan to give birth? (Name of hospital, birth center, or city/state of home birth)
Are you applying for a partial or full scholarship?
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If you are interested in a partial scholarship, how much are you able to contribute to your doula care? 
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Are you a first time mother?
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Who is apart of your birth team? (The people who will help support you through labor, childbirth, and postpartum)
Do you have a financial hardship hindering you from affording labor/birth, postpartum, or lactation support?
Clear selection
Do you identify as Black, Indigenous, or a person of color? 
Clear selection
Please tell us why you deserve to receive our Client Scholarship? Explain any obstacles you are facing physically, mentally, financially, etc and how doula support would benefit you. Tell us your story. **Please provide as much information as possible to help us identify your needs**
How did you hear about this scholarship? 
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