Partial Grant for Black, Latin and Indigenous Birth Professionals and Request to Register for Dancing For Birth™ Professional Training

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Thank you for your interest. We have a limited amount of partial grants available. Please fill out this brief questionnaire to apply for a partial grant and a spot in an upcoming Professional Training. Those selected will receive $100 towards the training fee. You may reach us at info@dancingforbirth.com with any questions.

电子邮件地址 *

First Name *

Last Name *

City *

State or Province *

Country *

Phone Number *

Current occupation *

What professional training pertaining to birth, health and wellness, have you received, if any? Check as many as apply. *

Midwife

Birth Doula

Postpartum Doula

Childbirth Educator

Nurse

Obstetrician

Lactation Consultant

Dance

Yoga

Group Fitness Instructor

Massage Therapist

None

必填

Other Training

What interests you most about Dancing For Birth™? *

Birth Method and Labor Techniques

Prenatal Fitness

Postnatal Fitness

Movement-Based Childbirth Education

Celebration/Support Circle

Another Interest

What are your goals for attending the training? Check as many as apply. *

To learn the Dancing For Birth™ birth method to assist people during labor

To learn the Dancing For Birth™ birth method for my own birth

For professional enrichment

To earn the designation 'Dancing For Birth™ Professionally Trained'

To lead Dancing For Birth™ prenatal/postnatal class (requires Certification)

To earn Dancing For Birth™ Certification and the Credential: DFB (requires Certification)

To earn Continuing Education Contact Hours

To deepen my knowledge by repeating this training

To teach Dancing For Birth ™ birth method to professionals (requires Instructor Certification followed by Trainer Certification)

To improve quality of care and inform policy at the birth facility where I'm employed

To elevate human rights and birth rights

必填

Another Goal

Please briefly describe your birth philosophy *

Dancing For Birth™ is committed to inclusivity and respect for all birthing families. Will you uphold our commitment to not discriminate on the basis of race, color, religion, sexual orientation, gender, gender expression, age, national origin, disability, marital status, birth plan and birth place? *

Yes

必填

To be considered for our partial Grant for Black, Latin and Indigenous Birth Professionals, please tell us about yourself and how your attendance at this training will make a positive impact for you and your community. *

What else would you like us to know?

How did you first hear about Dancing For Birth? *

Friend/colleague

Social Media

Conference or Summit

Internet Search

Article

School/University

Care Provider

其他:

Thank you for your application. We will get back to you as soon as possible. Please don't forget to hit the 'submit' button below.

您回复的副本将通过电子邮件发送到您提供的地址。