Registration for Doulas NI training for doulas programme 2024-2025

Privacy note:
Doulas NI are committed to promoting and supporting equality, diversity and inclusivity.
We believe the doula world should be as rich and varied as society is, and as our potential clients and the families we work with are.

For this reason, we are collecting some key data about age, race, etc to help us understand who is training with us and to help us develop future strategies on how to support under-represented groups. We made these questions entirely optional so it is your choice if you want to answer.

We have also asked some questions about how you feel your identity may influence your work as a doula. Please rest assured that this is not a test but just an opportunity for you to start considering how your own life, stories and education are weaved into your own believes and outlook on life.

We are committed to ensuring that your information is secure. In order to prevent unauthorised access or disclosure we have put in place suitable physical, electronic and managerial procedures to safeguard and secure the information we collect online. We will only use the information you provide in this form for the purpose of the training you are registering for and in relation to the commitment stated above. We will not sell, distribute or lease your personal information to third parties.
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Email *
Your details for registration
Full name *
Preferred name
Do you prefer to use specific pronouns?
(if you are unsure what we are referring to, please see here)
Mobile number *
Please provide your full address, including your post code *

Did you attend a free information session?

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If not, where did you hear about this course?

Any health issues and/or allergies DNI need to be aware of for the purposes of the training:

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Any mobility issues DNI to be aware of for the purposes of the training:
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Can you provide some details of how you learn best?
(This is to help us provide options for training materials and assessment; If you are unsure what we mean, have a look online for free learning style questionnaires and you will get an idea - see if you feel the results actually match what you feel works for you)
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Diversity data collection
This is an optional section. If you prefer not to provide (some of) these details, please just skip the questions you do not want to answer.
What is your age group?
Clear selection
What is your gender
What is your country of birth?
Would you like to describe your national identity?
What is your ethnic group?
What religion, religious denomination or body do you belong to? (if any at all)
Do you have any of the following conditions which have lasted, or are expected to last, at least 12 months?
Tell us a little more about you...
This next section is about where you are currently in life and what brought you to this training...
Current occupation *

Do you have any experience of a doula or working as a doula

(please provide some details)

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Why do you want to train as a doula?

(please complete as fully as possible)

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What is your experience of birth and/or motherhood/parenthood?
For example do you have children? Were you ever pregnant? What are your family's birth stories?
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Do you feel that your gender and/or sexual identity may influence your work as a doula and if so, in which ways?
Do you feel that your religion or religious affiliation (or lack of thereof) may influence your work as a doula and if so, in which ways?
Please list any qualifications that you feel may be relevant to your doula role
Agreement
Please read the details below and tick the boxes to confirm that you understand and agree with the statements.

I agree I am enrolling in the Doulas NI Doula Training Course of my own free will and with the understanding that the course will provide me with the knowledge and confidence to use my own abilities to work as a doula, if I should decide to do so.  I understand that this course is a platform to gain insight into the realities of working as a doula, and it is my responsibility to gain wider knowledge and experience if I so desire.


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Required
I agree to confidentiality, respect, compassion and nurturing each other on the course and  at all times.
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Required
I understand that Doulas NI cannot be held responsible for my doula journey and the way I decide to doula in the future.

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Required
Payment

The cost of the course is £750. 

The fee includes access to the pre-course module around 3 weeks before the start of the first in person training; 2 full weekends of in person training with the facilitators; 3 online sessions; e-manual and online graduation.

A minimum deposit of £150 must be paid to retain your place on the training course, together with the completion of this form. If you would like to be considered for a discounted place based on your circumstances, please tick the relevant box below and we will contact you to discuss. There will be one discounted place per training available on a first come, first served basis.

Payment options:
  • Full payment upfront £750
  • Deposit of £150 to secure a place and two payments of £300 by Sunday 1st September 2024
  • Deposit of £150 to secure a place and monthly payments to the total by Sunday 1st September 2024

Please pay by bank transfer using details below quoting your name and "DNI Training24" as reference:

Starling Bank
Name: Sara Benetti
Account Number: 30497073
Sort Code: 608371

(save the details for future payments)

Deposit is non-refundable from 14 days of receipt. Should you suddenly be unable to attend the course, you can have the option to defer your place to a later course. 

Doulas NI reserve the right to change the date of the course and offer an alternative venue in the case of unforeseen circumstances that may prevent us for running the training as planned.


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A copy of your responses will be emailed to the address you provided.
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