Community Based Doula Training Application
Training Class Dates: August 12th- September 16th Homeland Heart Community Based Doulas are contracted immediately upon completion of training. This means that you will likely be assigned to a client family by the last day of your training. If you are unable to begin your birth work journey so soon, we ask that you wait until the next opportunity comes around. In addition, Homeland Heart Doulas are expected to be an active part of the organization in an effort to make the largest impact we can on our community. *** YOU MUST IDENTIFY AS A BLACK *** YOU MUST BE AT LEAST 18 YEARS OLD TO APPLY *** YOU MUST BE AVAILABLE TO ATTEND EACH TRAINING SESSION IN IT’S ENTIRETY Once your application has been submitted, it will be reviewed. Selected applicants will be notified of next steps. We appreciate your patience with this process. Due to the heavy volume of applications, we will be unable to respond to inquiries regarding the status of applications. 6-Week Cohort: $350
Do you identify as Black?
Yes
No
First name
Last name
Your preferred pronouns
Email
Phone Number
Address
Date of Birth
How did you hear about our training?
Do you have any doula training/ experience?
Yes
No
If yes, please provide details of training/ experience.
Do you have any prior experience working in the healthcare field?
Yes
No
If yes, what is your experience?
Do you have any experience with breastfeeding?
Yes, I have breastfed
Yes, I have experience with peer support
No, I have not had any breastfeeding experience
If yes, please provide details of experience/ training
Are you CPR/ First Aid certified?
Yes
No
Do you have reliable transportation?
Yes
No
Do you have any other commitments that may hinder your ability to be a reliable program participant? (School, religion, employment, etc.)
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