Scholarship Application
Fill out the form below as accurately as you can. This will guide us in our decision.
First name
Last name
Email
Phone Number
Have you met with a doula and spoken to them about their availability, prices for care, the type of support they provide? Please name the doula you have decided to work with:
What services are you interested in?
Birth Support
Postpartum Support
Birth & Postpartum Education
Breastfeeding Support
What rate did you and your doula decide on?
What are you comfortable contributing toward the agreed upon rate?
Date
Where will you be giving birth?
Do any of the following apply to you?
I/partner have a HSA/FSA
I/partner have family/friends wiling to donate to doula services
I/partner employed with Microsoft, Target, Amazon, or another company that covers doula servcies
I/partner have WA Medicaid/Molina/Apple Health Plan
I am on a health sharing plan (i.e. Medishare, CHM, Samaritan Ministries, etc.)
Marketplace Insurance Plan
Employer Insurance Plan
Tri-Care
None of these apply to me
Tell us your story! We'd love to know why you would like to have a doula as part of your support team, and why you believe you should receive this scholarship. Please include as much information as possible.
How did you hear about this scholarship?
I understand that this information will be shared with PDC doulas who are considering supporting me, but is otherwise confidential.
Apply Now
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