IBMS Networking and Preceptors

Indie Birth Midwifery School

Networking and Preceptor Interest Form
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Are you you interested in precepting an IBMS student in the near future?*

YesNo
Where are you located and what area do you serve?
Do you have any special areas of interest or expertise you would 1) be interested in sharing on a guest call with our students, or 2) creating commissioned content about?
Do you have a timeline you'd like to share about when you would be looking to start with a new apprentice?
What are you looking for in an apprentice?
What was your own apprenticeship like?
What has your experience been like as a preceptor (if applicable)?
Can you share a little bit about your practice? Style, volume, clients, longevity, plans for growth, etc.
Can you share any relevant website links for your midwifery practice, social accounts, and preferred contact info?
Thank you for completing this form! We appreciate you and your work in the world so much. We will follow up about collaboration or potential student matches as we are able :)
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Indie Birth Midwifery School