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Mentorship Program
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* Indicates required question
First & Last Name
*
Your answer
Current Occupation
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Your answer
Phone Number
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Your answer
Address
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Your answer
Email
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Your answer
Have you taken a Doula training yet?
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Yes
No
Why do you want to become a Doula?
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Your answer
What are you hoping to gain from the mentorship program?
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Your answer
How many births would you hope to attend per month?
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1
2
3+
Are you planning to become a certified doula after training?
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Yes
No
What area would you be serving?
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Your answer
Tell me your strengths.
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Your answer
Tell me your weaknesses
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Your answer
What are your short & long term goals in this field?
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Your answer
Would you be interested in joining a Doula collective once you becomes a Doula?
*
Yes
No
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