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Healthy Start Daddy Doula Training Application
Healthy Start will be sponsoring birth doula training opportunities for prospective male community doulas. The trainings that have been selected for sponsorship include a range of dates. All are virtual learning opportunities. Sponsored trainings must be selected from the list below and must be completed by the listed dates to be considered. Those selected for sponsorship will be contacted directly by a Healthy Start representative to coordinate the details of the provided training. Both workshops are approved for DONA Certification and fulfill the childbirth education and breastfeeding requirements needed.
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Full Name:
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Your answer
Email Address:
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Your answer
Phone Number:
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Your answer
Physical Address:
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Your answer
Race:
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American Indian or Alaska Native
White or Caucasian
Asian
Black or African American
Native Hawaiian or other Pacific Islander
Multiracial
Ethnicity:
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Hispanic or Latinx
Non-Hispanic
Haitian
Multiethnic
Other
Age:
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Your answer
Gender:
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Male
Female
Non-Binary
Other
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Are you a current or past Healthy Start Participant?
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Yes
No
Which training would you like to attend?
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8 week evening course: 9/5, 9/7, 9/19, 9/21, 9/26, 9/28, 10/5, 10/7 (from 5-8pm CT)
3 full day course: 9/13, 9/14, 9/15 (from 8AM-4:30PM CT)
3 full day course: 10/10, 10/11, 10/12 (from 8AM-4:30PM CT)
3 full day course: 11/14, 11/15, 11/16 (from 8AM-4:30PM CT)
How do you plan to use the information learned from the provided training?
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Your answer
After training is complete, are you interested in applying for certification?
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Yes
No
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