Kalauokekahuli Ka ʻĀmana Koʻokua Cohort ʻElua Mentorship Application

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Aloha!

Mahalo nui for your interest in the 2023 Ka ʻĀmana Koʻokua Mentorship Cohort ʻElua Program. This free program requires 48 contact hours between mentor and mentee over the course of the year (August 2023 - June 2024), which includes participating in one-on-one virtual and/or in-person meetings, monthly special-topic workshops, and at least one each prenatal, birth, and postpartum shadowing. Limited mentorship positions are available. As such, please provide detailed responses.

Please complete the application by Friday, June 16, 2023, and feel free to direct any questions to us at kalauokekahuli@gmail.com.

Email *

First Name and Last Name: *

Phone Number: *

Address: (please include zip code) *

Social media handles:

As Kalauokekahuli seeks to positively influence prenatal and birth outcomes for Native Hawaiian and Pacific Islanders, do you identify as a Native Hawaiian and/or Pacific Islander? (This program is for Native Hawaiians and/or Pacific Islanders only.): *

Yes

If you identify as Pacific Islander, please specify your background if you feel comfortable doing so:

What are your pronouns? *

What language(s) are you comfortable speaking? *

Please tell us about yourself (ʻohana, background, culture, education, experience in birth/birthwork, etc.): *

Please share why you are called to participate in this koʻokua mentorship program: *

Please share your philosophy on birth and if there is a certain part of our community you are most invested in serving (i.e. Native Hawaiians, Pacific Islanders, younger moms, single moms, LGBTQIA2S+ birthing people, etc.) and why? *

Is there a specific topic or area that you are interested in or that you hope we focus on?

What do you hope to gain from this mentorship program? *

This mentorship program requires a total of 48 contact hours between mentor and mentee over the year (including one-on-one virtual and/or in-person meetings, monthly special-topic workshops, shadowing prenatals and at least one birth). Please share about your other responsibilities (ʻohana, work, personal, etc.) and a little about how you see this program fitting into your life. *

While no previous experience in birthwork is necessary to be a part of the cohort, we do ask that potential koʻokua (doulas) are committed to serving as Kalauokekahuli Koʻokua (with compensation) for at least a year following the completion of the program. Is this something you would be able to agree to? *

Yes

Maybe

If you answered "Maybe" above, please explain:

If accepted into this mentorship program, how do you plan to continue in birthwork upon completion and how do you envision your birthwork practices/services will look? *

Due to the grant-funded nature of our programs, reporting is required for us to continue receiving grantor support. Will you be able to participate in program surveys/requests for information, testimonials, and/or photos? *

Yes

Maybe

This program is open to all genders, sexualities, and is inclusive of māhū/queer/trans Kanaka and Pacific Islanders. *

I understand

How did you hear about this opportunity?

Please share any other relevant information you would like us to know:

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

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