Application for Doulas Etc. Mentorship

Once you begin the application, you must not close the window, or your work will not be saved, and you will be required to start over. Open a new browser if you need to reference any online information.

After you submit this application, an invoice will be sent to the email address you provide within 24 hours.

Once you submit your $25 non-refundable application fee, your application will be submitted for review and you will be notified within two weeks of your application status.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Email

When did you complete your doula training?

MM

DD

YYYY

Which organization did you train with?

Have you taken a childbirth education course? With whom?

Other birth related courses?

Primary Service area?

Which Doula would you like to be your Mentor

What do you hope to achieve by receiving mentorship with Doulas Etc?

Please include at least three things you hope to achieve.

In your opinion, what is the most important thing a doula should know?

Explain the scope and code of ethics for doulas.

Share your philosophy of birth.

Share your review of 2 birth related books from the approved DE book list.

Reviews should be concise but cover the main subjects of the books.