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Birth Doula | Information Form
Thank you for showing interested in joining Sankofa Moon's Doula Team.
Please complete the information below so that we can send you application materials. We'll be in touch.
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Email
*
Your email
First & Last Name
*
Your answer
Phone Number
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Your answer
What are your preferred pronouns?
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She/her
He/Him
They/Them
Other
What type of doula services do you provide? (check all that apply)
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Fertility
Birth
Posptartum
Birth & Postpartum
Full Spectrum Doula
Other:
Required
Are you trained or certified?
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Trained
Trained and currently pursuing requirements for certification
Trained and considering certifying
Certified
Other:
How many births have you attended?
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Your answer
New doulas are welcome here! If you are new to doula work, what has been your experience since completing your training?
Your answer
Are you trained in any other birth work profession? If so, please list below:
Your answer
What organization provided your trainings and/or certifications? Please list all applicable.
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Your answer
How did you hear about us?
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Your answer
Do you have any questions or comments?
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Your answer
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