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2024 MSO Member Registration
Please fill out and submit the following information for MSO records. Thank you!
* Indicates required question
Name
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Your answer
Credentials
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Your answer
Email
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Your answer
Website
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Your answer
I am a
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Midwife (CPM, CM, CNM)
Other Midwife (TM, not credentialed)
Student Midwife
Doula
Other Professional
If you are a Midwife, are you licensed?
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Yes
No
If "Yes" to the previous question, in what state(s) are you licensed?
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Your answer
If you are a Midwifery Student, who is your current preceptor?
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Your answer
I am interested in leading the educational portion of a future MSO monthly meeting.
Yes
No
Clear selection
If you answered "Yes" to the previous question, please list any topics you are interested in teaching. If there is a month this year that you prefer to teach, please list it as well.
Your answer
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