Virtuous Doula Interest Form
Thank you for your interest in becoming a Certified Virtuous Doula (CVD) with Virtuous Doula Training Academy and your interest in the Asase Ye Duru Doula Training Scholarship! We take what we do very seriously and want to ensure that you are prepared and ready to serve your community in a radical way. Please let us know more about you by filling out the information below.
Potential Student's Name
*
First Name
Middle Initial
Last Name
Are you an Illinois Or Missouri Resident
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Illinois
Missouri
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Phone Number
*
In what capacity are you coming to us?
To Become A Doula
I'm Already A Doula But Would Like to Renew With VDTA
I Was Enrolled As A Virtuous Doula and Would Like to Complete My Course Work
Which cohort are you wanting to attend?
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Cohort 8: Dec 17, 2024-March 6, 2025
Cohort 1 (IL): Dec 16, 2024-March 5, 2025
Cohort 1 (Spanish): Dec 17, 2024-March 6, 2025
Cohort 9: Jun 10, 2025-Aug 28, 2025
Cohort 2 (IL): Jun 9, 2025-Aug 27, 2025
Cohort 2 (Spanish): Jun 10, 2025- Aug 27, 2025
I'm trying to recertify with VDTA
I understand that spots in each cohort are limited and I am ok with being moved to another cohort.
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Yes
No
Possibly, with more information.
Other
What is your highest level of education?
*
What do you currently do for a living?
*
Why do you want to transition to birthwork?
*
Do you have any experience with birth/birthwork?
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Yes
No
If yes to the above question, describe your experience below.
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Do you have any experience with community work/advocacy?
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Yes
No
If yes to the above question, describe your experience below.
*
In 500 words or less, please tell us why you're choosing Virtuously B'Earthed Doula Services to complete doula training with.
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Please attach a headshot with your application.
*
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