Scholarship Application

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A limited number of partial and full scholarships are available for outstanding applicants in Kansas who are passionate about reproductive justice and are from groups who are historically underrepresented in birth work including those who are Black/African American, Trans/LGBTQ, Chicano, Native American.

Email *

What is your full legal name? *

What is your home address? *

What phone number can we reach you at if we have questions? *

Are you a member of any of the following populations that are historically underrepresented in birth work? *

Black/African American

Chicano/Hispanic

Native American

LGBTQ

Required

Are you fluent in any language other than English? *

Yes

If you answered YES to the previous question, please list all languages you are fluent in.

Do you have adequate transportation, childcare, and the ability to take time off other jobs to work as a doula within a 20 mile radius of your home? *

Yes

Yes, but only if it was my full time job

What is your current profession? *

Will financial hardship prevent you from enrolling if you don't receive a scholarship? *

Doula work is often very physical in nature, requiring hours on your feet with few breaks. Is there anything that would prevent you from performing these kind of physical tasks required of doulas? *

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