Name
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First Name
Last Name
Email
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Phone
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Tell us a little bit about yourself and what drew you to this work.
Which doula training program did you do? When did you do it? (If you're applying for another specialty, please provide background on your training and expertise.)
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How long have you been a postpartum doula (or other specialist)?
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What types of visits or services do you provide? (days, overnights, IBCLC visits, cooking, massage, birth doula, sibling doula, etc)
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What town do you live in? How are you far you willing to drive for a client?
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Roughly how many shifts (if postpartum doula shifts, please specify days and/or overnights) do you have available per week to work?
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Do you have any additional skillsets that are applicable to working with this population? (lactation training, massage therapy training, etc.)
Do you have additional experience with newborns or new mothers? (ie. nannying)
Are you a smoker?
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Can you easily provide references that can speak to your professionalism, reliability, and communication in your recent work with this population?
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We work closely to pair clients and practitioners based on everyone's specific wishes around vaccination status. We don't require our practitioners to be vaccinated, and we support all choices. Please specify your status (included boosted if applicable) on the following vaccines: COVID, TDAP, and flu.
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Are you currently on call for clients in your private practice (birth doula, sibling doula, etc)?
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Do you speak any languages other than English?
How did you hear about us?
Are you interested in serving on our Sanctuary Cares/research study team? Payment is $35/hour.
