Doula Corps Application
Email address *
Thank you for your interest in volunteering for Families with Medi-Cal who deliver their babies in the East Bay at Highland Hospital, Alta Bates and Kaiser! Whatadoula is happy to be creating this new program to serve low-income families in the East Bay. Please complete the application form below. We look forward to hearing from you, and thank you for your time.
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
What are your goals for volunteering as a doula (personal, professional, etc.) *
Your answer
What language(s) do you speak? *
Required
Check all training(s) you have completed. *
Required
Where and when did you complete your training? *
If you have not completed training, when do you plan on completing?
Your answer
Please provide the name and contact information (email and telephone number) for two references and their relationship to you. *
Your answer
Doula Skills *
Please check all doula skills that you are comfortable using with a patient.
Required
Have you been in the OR for an operation (ex: c-section) as the doula? *
Required
What experiences do you have with people from cultures, backgrounds, or economic circumstances different from your own? *
Your answer
Are there any patients or families you aren't comfortable working with? (i.e, religion, vaccinations, language barriers) *
You will not be judged or singled out for personal choices
Your answer
How many births have you attended? Please add your role in the birth(s) (doula, friend, RN, giving birth, etc.) *
Your answer
How did you hear about this program? *
Your answer
Requirements for our program include: 1. Complete Application. 2. Interview with Lisa Baracker (Skype interview, 6-8pm on Wednesday nights). 3. Resume Submission 4. Reference check. 5. Completed doula training OR doula currently in training. *
Are you comfortable and confident you can fulfill these requirements?
What is your current availability? *
Are you working full-time/part-time, attending school, etc?
Your answer
Are you interested/available for on-call doula work? *
Is there any other information you would like to share about yourself?
Your answer
We conduct skype interviews with all prospective doulas Wednesday evenings (6-8pm). *
Please provide 2-3 Wednesday dates that will work for you. Thank you!
Your answer
We hold meetings on the 4th Tuesday of the month in the evening (6-8pm). Will you be able to attend these meetings? *
A copy of your responses will be emailed to the address you provided.
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