Thank you for your interest in the Birth Wellness Coach and Doula Training.

We are so excited to walk alongside you on this journey into birth work.

Please fill out this short application to take the first step toward becoming a certified Birth Wellness Coach and Full Spectrum Doula.

We look forward to learning more about you and the path that brought you here.

Scholarship applications close August 12. Just check the interested in scholarships box on the form to be considered.

All applicants will be notified by email, and we may reach out to schedule a short Zoom interview as part of the selection process.

If you have any questions, please contact us at [email protected]. We are here to help.

Please Note: This form is for NH residence only. If you are interested in this program please click here and we will notify you when we launch in your area.

Captcha

First Name *

Last Name *

Email *

Phone *

City

State

Postal code

Are you in need of a scholarship? *

Yes

Which county in New Hampshire do you hope to serve after certification? (If you're not sure yet, feel free to list your current location or the region you feel most connected to.) *

Why are you interested in becoming a Doula? *

What draws you to birthwork and supporting families during pregnancy, birth, postpartum, and early parenting? *

Do you have any previous training or experience in birthwork, perinatal support, advocacy, social services, or related fields? *

This role includes birth support with 24/7 on-call availability for clients. How do you plan to manage the demands of being on call and providing in-person during labor and birth? *

If you are unable to be on-call 24/7 would you be interested in learning more about our home visitor and educator training? *

Yes

If you are applying for a scholarship, how would receiving it impact your ability to join the program? (Feel free to share any financial, logistical, or personal reasons this support would make a difference.) *

Do you currently provide any perinatal, support, or advocacy services in your community? (If yes, please briefly describe your role, focus, or the kind of support you offer.) *

Do you have reliable transportation or access to support that would allow you to attend in-person workshops, client visits, and births as required by the program? (This helps us understand how to support your success during certification.) *

Yes

Who do you feel called to serve with your certification and training? (This could include specific communities or areas of focus such as VBAC support, cesarean recovery, high-risk pregnancy, home birth, rural families, or others.)

What barriers have you faced in accessing birthwork training or moving forward in this field? (This could include financial limitations, family responsibilities, discrimination, location, or anything else you feel is important to share.)

I understand that scholarships are limited and require a commitment to complete the program in full, including all coursework, mentorship, and certification requirements. *

Yes, I understand and commit.

N/A

Is there anything else you want us to know about you, your story, or your purpose in this work? *

Signature (Typed Full Name):

I consent to receive communications and understand I can opt-out at anytime.