NCDA Membership by molly@arcanacreative.ca | Feb 8, 2024 | 0 comments 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 -- Select Country -- Canada Afghanistan Åland Islands Albania Algeria Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belau Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Croatia Cuba CuraÇao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Republic of Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Norway Oman Pakistan Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Martin (Dutch part) Saint Pierre and Miquelon Saint Vincent and the Grenadines San Marino São Tomé and Príncipe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia/Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom (UK) United States (US) Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Western Samoa Yemen Zambia Zimbabwe 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 Less than 55-1010-1515+ 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):* 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 Email:* Invalid Email Password:* Invalid Password Password Confirmation:* Password Confirmation Doesn't Match 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 Stripe Pay with your Credit Card via Stripe Checkout JavaScript is disabled in your browser. You will not be able to complete your purchase until you either enable JavaScript in your browser, or switch to a browser that supports it. This site collects names, emails and other user information. I consent to the terms set forth in the Privacy Policy. 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