Doula Mentorship Application & Questionnaire
Please fill out this form so we can get to know you a little bit before our phone interview.
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Email *
Name *
What sort of birth work do you practice, primarily? *
Do you have other roles / offerings in your practice? *
How long have you been practicing? *
Are you part of a collective or agency? *
Where, when, and with which organization did you receive your original training? *
Are you already a part of any professional birth worker organizations? If so, can you please describe your role and participation within the group? *
If you could have added one more component to your original training, what would you most want it to have been? *
What do you most want to achieve through this mentorship program? *
Do you feel that you can devote 4-5 hours to this course for the 12 weeks including class time and outside homework? *
Beyond the 12 weeks, do you feel committed to seeking certification through Rosewood? *
Please share your website URL *
How did you hear about the training? *
Is there anything else you'd like us to know about you before the interview?
Phone number and best time to reach you for a 15 minute phone interview prior to acceptance. *
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