Doula Application to join Calm & Confident Doula Care

You will want to consider your answers in advance and may want to look through all the questions prior to completing this form. Be prepared to complete the application in one sitting as there is no “save and return” option.* items are required.

Today's Date

YYYY

Name

First Name

Last Name

Phone

(###)

###

####

Email Address

Service Area

Number of clients served as a Birth Doula

Number of clients served as a Postpartum Doula

Birth Doula Training Date/ Organization/ Trainer

Postpartum Doula Training Date/ Organization/ Trainer

Other training relative to doula work:

Doula Certifications:

How many Birth Clients do you want in a month?

How many Postpartum Clients do you want in a month?

Postpartum: What times of day are you most interested in working? What times of day are you not willing or able to work? How many hours in a week would be ideal for you?

Describe how you see your role as a birth doula

Describe how you see your role as a postpartum doula

What do you really love about being a doula?

What are your greatest challenges as a doula?

Your doula website if you have one

http://

Describe yourself—how do you identify?

Describe the sort of person/ client who would be the best fit for you and why

Why do you want to join Calm and Confident Doula Care?

What aspects of the agency model are most appealing to you? (mentoring, collective collaboration, business aspects, client acquisition, other)

What aspects of the agency model are potentially concerning or uncomfortable for you? (restrictions and requirements on activities, agency fees, accountability requirements (scheduling and reporting), conflict with other work, other)

Contact information for a Character Reference:

Cart (0)