Serene Birthing Services Doula Training Application

Serene Birthing Services Doula Training Application

Complete this application to join our community-centered doula training and start your journey.
APPLICANT INFORMATION
Full Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Home Address
Street Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
City*
State*
Zip Code*
CallTextEmail
BACKGROUND & EXPERIENCE
YesNo
If yes, please list the training(s) and organization(s):
- Organization or certifying body
- BirthPostpartumFull SpectrumOther
- What are you hoping to gain from this training that you did not receive in your previous training?*
- Yes, actively supporting clientsYes, but limited experienceNo, not yet
- HealthcareSocial ServicesChildcareEducationCommunity OutreachAdvocacy WorkOther (please specify)
- Tell me a little about yourself:*
- YOUR WHY
- Why do you want to become a doula?*
- What draws you to Serene Birthing Services and this training?*
- What does community mean to you in the context of birth work?*
- COMMITMENT & AVAILABILITY
  
  This training includes required pre-reading and preparation to ensure all participants enter with a shared foundation. Your commitment to both in-session learning and independent preparation is essential.
- TRAINING LOCATIONS & DATES
- PittsburghErie
- Erie, PA (Hybrid – In Person + Virtual) In-person session dates: • September 11, 2026 • September 25, 2026 • October 9, 2026 • October 30, 2026
- Pittsburgh, PA (Hybrid – In Person + Virtual) In-person session dates: • October 24, 2026 • November 7, 2026 • November 21, 2026 • December 12, 2026
- Additional Details This is an 8-week hybrid training program. Includes in-person sessions and virtual learning. Pre-work and assigned readings are required. Full attendance is expected for all in-person dates.
- Yes, I am able to fully commitYes, with proper scheduling and remindersI may need additional support with thisNo
- Pre-reading material list will be provided upon acceptance and are designed to support your success in the training.
- What helps you stay consistent and accountable when completing assignments or readings?*
- YesNo
- What does your current schedule and availability look like?*
- GOALS & VISION
- What are your goals after completing this training?*
- Birth SupportPostpartum SupportCommunity-Based Doula WorkMentorshipStarting a Doula BusinessAdvocacy / Maternal Health Work
- INVESTMENT, PAYMENT & SCHOLARSHIP
- Yes, I can pay in full- $750 early bird by 4/30, $900 full amount after 5/1Yes, with a payment planI am interested in scholarship opportunitiesI need more information
- YesNoMaybe
- YesNoI need more information
- FINAL QUESTIONS
- Is there anything else you would like me to know about you?
- How did you hear about this training?
- AGREEMENT & ACKNOWLEDGEMENT
- I understand this is an application-based training programI understand submission does not guarantee acceptanceI am committed to fully participating if selectedI understand payment plans and scholarships will be discussed after acceptance
- This is a fill in the blanks field. Please add appropriate blank fields and text.
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Serene Birthing Services Doula Training Application

APPLICANT INFORMATION

Home Address

BACKGROUND & EXPERIENCE

YOUR WHY

COMMITMENT & AVAILABILITY

TRAINING LOCATIONS & DATES

GOALS & VISION

INVESTMENT, PAYMENT & SCHOLARSHIP

FINAL QUESTIONS

AGREEMENT & ACKNOWLEDGEMENT