General Scholarship Application
Current Mom2Mom Global/Breastfeeding in Combat Boots volunteers are not eligible for this scholarship.
Applicant Information
Name
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First Name
Last Name
Personal Pronouns
Email address
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example@example.com
Phone
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City
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State
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Nearest Military Installation or VA Facility
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Please write N/A if there is not a military installation/VA facility within 50 miles.
Are you currently a volunteer with Mom2Mom Global/Breastfeeding in Combat Boots?
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Yes
No
Volunteering Information
Volunteering with Mom2Mom Global/Breastfeeding in Combat Boots
Did you know that all Mom2Mom Global/Breastfeeding in Combat Boots are eligible to take the MiLC course at the heavily discounted rate of $250? To receive this rate, a volunteer commits to one year of supporting an existing chapter, starting a new chapter, or helping the global administrative team. (Please note that the volunteer rate is equal to or less than the rate you will pay if you receive this general scholarship.)
Would you like to learn more about volunteer opportunities with our organization? (Your response to this question is not a factor in determining scholarship award.)
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Yes! I will follow the instructions at the end of this application to learn more about available opportunities! I understand that if I wish to take advantage of the MiLC volunteer rate, I must commit to volunteering BEFORE enrolling in the course. Further, I understand that if I choose to volunteer, I will no longer be eligible for this scholarship, but will be paying the same (or lower) rate than if I had received the scholarship.
No thanks, I'm not interested in volunteering at this time. I understand that if I choose to become a volunteer in the future but have already begun the MiLC course, I will not be refunded the difference in enrollment fees.
Demographic Data
Demographic Information
Mom2Mom Global/Breastfeeding in Combat Boots collects this information to ensure that we are fulfilling our mission to provide equitable support, information, and advocacy to all breastfeeding military families. All collected data is kept 100% confidential and will be shared only in aggregate totals.
Military Affiliation (please check all that apply):
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Servicemember
Military spouse/partner
Other DOD ID cardholder
Supporter, not a DOD ID cardholder
Other
I identify as (please check all that apply):
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White
Black/African American
Latinx
Native American/Alaskan
Asian/Pacific Islander
Multiracial
Prefer not to say
I identify as (please check all that apply):
Cisgender
Heterosexual
LGBTQIA+
Prefer not to say
Other
Application Questions
Application
Please answer the following questions as thoroughly and candidly as possible.
Please describe your experience in parental/maternal/infant/child/family support.
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Briefly explain your personal goals as a lactation supporter. How will MiLC help you improve your lactation support skills and achieve your goals?
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Describe what inclusivity and racial equity in parental/maternal/child health means to you.
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If selected for this scholarship, I agree to contribute to a written or video blog post for #PutSomeBreastmilkOnIt, the blog of Mom2Mom Global/Breastfeeding in Combat Boots. I will share honest feedback about the course and how I think it will impact my ability to be an effective lactation supporter. I understand that Mom2Mom Global/Breastfeeding in Combat Boots will provide support and assistance in editing and formatting my content.
By submitting this application, I agree to these terms.
Submit
Submit
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