Membership Registration - National Collaboration for Doula Access

NCDA Membership Registration

Are you ready to join NCDA’s National Doula Network? By becoming a member, you will have access to the NCDA’s funding streams, enjoy cost-supported workshops and offerings, and benefit from our resources.

Terms:

CA$40 / Year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Pronouns: Pronouns is not valid

Phone Number:* Phone Number is Required

Date of Birth:* Date of Birth is Required

We are prioritizing membership for folks who belong to BIPGM (Black, Indigenous, and People of the Global Majority) communities/ 2SLGBTQIA+ folks who are also BIPGM. By checking this box I confirm that I'm a part of the BIPGM/ 2SLGBTQIA+/BIPGM community.*

NCDA Members must reside or live in Canada. By checking this box, I confirm that I reside/live in Canada.*

What are you most excited to benefit from being an NCDA member? (community engagement, grant funding, events, etc.):* What are you most excited to benefit from being an NCDA member? (community engagement, grant funding, events, etc.) is Required

What year did you complete your doula training? (If applicable):* What year did you complete your doula training? (If applicable) is Required

With which organization did you complete your doula training? (If applicable):* With which organization did you complete your doula training? (If applicable) is Required

How many clients do you support annually? (Provide an average):* How many clients do you support annually? (Provide an average) is Required

Do you experience any of the following barriers to doula work? (Check all that apply):* Do you experience any of the following barriers to doula work? (Check all that apply) is Required

Lack of income/funding Mental health challenges and/or burnout Difficulty finding clients Difficulty finding mentorship or ongoing learning Difficulty finding connection with other doulas Lack of support from perinatal care providers and health care systems N/A

If the barrier you experience was not listed above, please input here. Write N/A if not needed:* If the barrier you experience was not listed above, please input here. Write N/A if not needed is Required

How confident do you feel when supporting clients experiencing socioeconomic barriers and/or discrimination? 1 = Not confident and 10 = Confident:* How confident do you feel when supporting clients experiencing socioeconomic barriers and/or discrimination? 1 = Not confident and 10 = Confident is Required

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Password Strength Password must be "Medium" or stronger

Terms: CA$40 / Year

Description	Amount
NCDA Membership – Initial Payment	CA$40.00
Total	CA$40.00

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