Doula Application - Birthways, Inc. Chicago Doula Services

Join Our Team

Employment Application

Apply today and tell us how you can meet the needs of pregnant and parenting people!

Your Personal Information

Your Name(Required)

First Last

Your Email Address(Required)

Enter Email Confirm Email

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Phone(Required)

How did you hear about this job opportunity?

If you were invited to apply by an employee or Community Leader, who referred you?

Why are you interested in working with Birthways/Doulas Milwaukee?

Background Information

Skip any questions that do not apply or that you do not feel comfortable answering. We hire based on your professional experience and education. For an emerging doula, your own personal experiences can be considered a great asset. Personal experience parenting it is not a requirement to become a doula.

Do you have personal experiences as a parent, or supporting a friend or family member, that gave you insight into the needs of new parents?

If yes, feel free to tell us about the experience and how it prepares you to support others.

What kind of help/support do you think is the most meaningful in these situations?

Education, Training, Volunteer and Professional Experience

Please describe any type of education, training, volunteer roles or professional experiences you have in these areas. Include titles, roles, and/or licensure as applicable. If not applicable, type NONE. Please note, you'll be given an opportunity to elaborate on your Doula specific training in the section that follows.

Highest level of education completed(Required)

Education or experience related to Reproductive health?(Required)

Education or experience in Health education, health coaching, or health advocacy?(Required)

Education or experience related to Human Lactation?(Required)

Education or experience in the area of Mental Health and/or Perinatal Mood and Anxiety Disorder support?(Required)

Education or experience in holistic, complementary, or alternative medicine, mind/body practices or healing arts?(Required)

Education or experience in nursing or other medical professions?(Required)

Education or experience in Mindfulness?(Required)

Education or experience in Early Childhood/Newborn/Childcare Experience (working with children other than your own)?(Required)

Other education or experience?

Doula-Specific Training and Experience

You will be asked to provide documentation in support of all trainings, certifications, continuing education, conferences, workshops, etc. at future interview.

Please list any Doula Trainings you have attended. Include whether it was for Labor Support, Postpartum, Bearevement, etc.(Required)

Include Dates, Training Organization, Trainer's Name, Location. **If you have not completed Doula Training, please write NONE.

Are you a Certified as a Doula? Include Certifying Organization Name, Date of Certification, Date of Expiration/Renewal.(Required)

If you have not completed Doula Training, please write NONE.

If you are already a practicing independent doula, do you have Professional Liability Insurance?

Please choose one of the 3 options below

Please identify any additional Certifications you may have.

Check all that apply.

First Aid Certification

Infant CPR Certification

Neonatal Resuscitation Certification

Advanced Lactation Certificate (CLE, CLC, PC - not IBCLC)

International Board Certified Lactation Consultant (IBCLC)

Perinatal Educator Certification

Placenta Encapsulation Certification

Prenatal / Postpartum Yoga Certification

Licensed Massage / Infant Massage Therapist

Licensed Health Care Provider or Advanced Degree relating to Women's Health (RN, MPH, etc.)

Prenatal Fitness Educator / Trainer

Newborn Care Specialist Certification

Sleep Consultant Certification

Advanced Degree in Infant Mental Health / Child Development

Other

Postpartum Doula: How many clients have you supported as a Postpartum Doula?

Select one of the options below

Labor Support Doula: How many clients have you supported as a Labor Support doula/how many births have you attended?

Select one of the options below

Areas of Expertise or Special Interest

In what languages are you fluent? Proficient?

Any areas of special interest or expertise in working with the childbearing year/early parenting?

Any talents you would like to share related to meal preparation, household support, organization, pet care or other personal services?

Are you comfortable with pets? Any allergies?

Availability and Preferences

Please check your primary area of interest in working with Birthways/Doulas Milwaukee:(Required)

Postpartum Doula

Labor Support Doula

Lactation Consultant

Childbirth Educator

Sibling Care During Labor Doula

Other

Postpartum: How many hours per week would you like to work?(Required)

(Check all that apply)

4-20 hours/week

20-30 hours/week

30-40 hours/week

I need to work a minimum of 40 hours/week

I like flexibility and /or have variable availability

I will be combining this with another job or responsibility that will need to be coordinated with this position

Other

Do you prefer daytime or overnight shifts?(Required)

Please include days of week and hours you would prefer

Labor Support: How many labor support clients would you ideally like to work with each month?(Required)

None

1/month

2/month

3/month

4+/month

Other

Do you have a car that you are able to use for traveling to and from work?(Required)

Choose yes or no below

Are you flexible with regard to location (city/suburbs) or have location limitations?(Required)

Do you anticipate needing to change your schedule at any point during the year?(Required)

(ie. taking a lighter schedule during the summer or during school vacations, or working more in-between your school semesters)

Upload Your Resume(Required)

Upload your resume in .pdf, .doc or .docx format

Accepted file types: pdf, doc, docx, Max. file size: 25 MB.

Upload Your Cover Letter

If applicable, upload your cover letter in .pdf, .doc or .docx format

Max. file size: 50 MB.

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Founded in 1997

Not just another doula or childbirth education provider...

When you work with Birthways, you benefit from partnering with nationally recognized experts and the most experienced doula service provider in the Chicago area.

Learn More About Our Doulas

Join Our Team

Employment Application

Your Personal Information

Background Information

Education, Training, Volunteer and Professional Experience

Doula-Specific Training and Experience

Areas of Expertise or Special Interest

Availability and Preferences

Founded in 1997

Not just another doula or childbirth education provider...

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