3-Day Holistic Birth Worker Summer Jam
Please fill out the entire application to the best of your knowledge to determine eligibility to establish a working relationship with The InTune Mother Society DBA The InTune Mother School of Perinatal Health through our 3-Day Summer Jam Holistic Birth Worker VIRTUAL Workshop.
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E-post *
Date of Birth *
MM
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DD
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ÅÅÅÅ
Full Name *
Phone Number *
Are you currently employed or enrolled in another program? *
If currently employed or enrolled, please list your occupation or institution *
Education Level *
Total Houselhold Income *
Do you have children? *
Are you available to commit at least 4 hours per day to complete this training? *
Do you have access to the internet and a loptop or other device to access class? *
Are you able to begin the June 24th, 2022 class which ends June 26th, 2022? *
Are in interested in participating in our 1-Hour Reproductive Consciousness Healing Justice Revival Hour on June 26th, 2022 after the workshop? *
Do you plan to attend births after completing this training? *
Do you have prior birth worker experience? *
Are you a currently trained birth worker? (Check all that apply) *
Have you ever taken this training before? *
If yes, when? (If no, enter NA) *
Are you able to invest $199 in your education? Returning students $144 (We are offering (3) scholarships for those in economic hardship for $50 off full cost of the workshop.) *
What are your goals for participating in this workshop? *
Are you interested in pursuing additional mentorship, apprenticeship, or advanced education? Choose all that apply to your educational goals.
If applicable, please list any other health-related trainings, degrees, licenses, or certifications and dates completed
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