APPLY TO BE A PDC DOULA

Please fill out the form to the best of your ability. New doulas come on as needed.

* Indicates required field

Name *

First

Last

Name of Doula Trainer/Training Organization *

Email *

Date of Training *

Address *

Why did you decide to become a doula? *

Phone Number *

Are you a: *

Birth Doula Post-partum Doula Both

Why do you want to join the Philly Doula Co-op? *

What do you feel you have to offer the Philly Doula Co-op? *

What other relevant training, certifications, degrees and skills do you have that will compliment your doula work? *

What are your goals as a birth professional? *

How many births have you attended to date? *

How many births do you hope to attend in the next 1-year period? *

When do you intend to complete your doula certification requirements? *

What do you identify as your strengths that will contribute to your ability to be a great doula?Comment *

What would you identify as your greatest challenges that you will have to overcome in order to become a great doula? *

Is there anything else about yourself that you would like to share? *

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