Membership - Doula Beginnings

Personal Information

Full Name

Date of Birth

Contact Information (Phone number)

Email Address

Mailing Address

City

State

Post Code

Country

Profile Photo (Accepted formats: JPG, PNG, JPEG.)

Professional Background

What is your preferred doula role?

How many years of experience do you have as a doula?

How many births or families have you supported as a doula?

Training and Certification

Have you completed doula training?

Name of the training program(s) you completed

Date of completion for each training program

Are you currently certified as a doula?

Additional Qualifications

Do you hold any additional certifications relevant to your doula practice?

Currently Pursuing Training?

Experience and Practice

Briefly describe your doula experience

Are you available for local, remote, or both types of doula support?

Do you have a website or social media profile for your doula business?

Are you currently working with a doula agency or independently?

What is your preferred method of communication with clients? (Phone, email, in-person, etc.)

Membership Questions

Why do you want to become a member of this doula organization?

What benefits are you seeking from this membership?

Are you willing to adhere to the organization's code of ethics and professional standards?

Are you open to participating in networking events or continuing education opportunities provided by the organization?

Standards of Practice

Code of Ethics

Agreement and Consent

Do you agree to abide by the policies and code of conduct of this doula organization?

By submitting this application, I consent to the organization verifying the information provided, including my training and certification.

Specialisations and Additional Information

Do you have any Specialisations?

Birth Doula

Postpartum Doula

Other

Any additional information you'd like to share regarding your practice or personal doula philosophy?

Registration