Join the LGDC Team! Name * First Name Last Name Email * Phone (###) ### #### How did you hear about us? Option 1 Option 2 Birthday We love to celebrate birthdays! If comfortable, please provide your birthday MM DD YYYY What services do you provide? Birth Postpartum Sleep training Lactation Meal preparation Prenatal massages Professional cleaning Nanny Placenta encapsulator Childbirth educator Belly binding What makes you a great doula and why would you be a positive addition to our team? Have you previously or do you currently work with any other doula agencies? Explain your experience with them if so What is your level of experience? Are you certified or uncertified? How many years of experience in your field / # of clients. When are you able to start? MM DD YYYY Why do you want to work with us? How did you hear about us? Facebook Instagram TikTok Website Advertisement Referral Other Do you have doula insurance? Address Address 1 Address 2 City State/Province Zip/Postal Code Country How do you prefer to be contacted? Option 1 Option 2 Are you currently working as doula? Option 1 Option 2 Are you currently CPR/ First Aid certified? Option 1 Option 2 Postpartum doulas: what is your availability? Choose any combination that applies 1-3 day shifts a week 3-5 day shifts a week 5-7 day shifts a week 1-3 overnights a week 3-5 overnights a week 5-7 overnights a week I am willing to increase my availability to a shirt term basis to fill in for a doula who may be sick Birth doulas: How many clients are you comfortable supporting per month? 1 2 3 4+ Thank you!
