Mara Ina Academy — Application Form

Mara Ina Academy — Application Form

Share your programme choice, background, cultural understanding, and motivation so we can review your fit for training.
Section 1 — Programme choice
Programme selection
Which city/country would you like us to come to?
Open to another location if your preferred one is full?
Preferred timing or dates that do not work
Section 2 — About you
Full name

First NameMiddle NameLast Name
Preferred name
Pronouns
Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email address
example@example.com
Phone / WhatsApp
Please enter a valid phone number.Format: (000) 000-0000.
Address, city, country

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Languages spoken and language you feel most at home expressing yourself in
How did you hear about Mara Ina Academy?
Current profession(s) / occupation
Relevant background

Other
Years of experience
Relevant training, certifications and registrations
Do you currently work with pregnant or postpartum families?
If yes, please share a brief description of your current work with pregnant or postpartum families
Please share any experience you have with massage, abdominal work, belly binding, herbs or steaming
Optional: any physical or health considerations we should know to support you during practice days
Dietary needs, allergies or access needs
Section 3 — Roots, lineage and cultural awareness
Do you have Moluccan, Indonesian, Malay, Nusantara, or other Indigenous or ancestral ties to these traditions?
Describe your own cultural background and the postpartum traditions, customs, or care practices in your family or community.
What does it mean to you to learn a practice that belongs to a living culture and lineage?
How will you honour the origin of these practices, credit the lineage and teachers, and avoid appropriating, commercialising, or misrepresenting them?
How do you hold space for families from different cultures, faiths, family structures, and birth experiences, including loss, caesarean, trauma, queer parents, and single parents?
Please confirm each of the following
Section 4 — Written motivation
Why do you want to learn this work, and why now? (minimum 250 words)
What do you hope to bring to postpartum mothers and families through this training?
What do you hope to receive from the training and from the lineage-keeping community?
What challenges or edges do you expect on this path, and what support do you need?
Anything else you would like the academy to know
Section 5 — Practicalities and consent
Payment preference
Consider me for a solidarity place
Note for solidarity place request
Consent to be contacted
Typed signature and date
Should be Empty:

Mara Ina Academy — Application Form

Section 1 — Programme choice

Section 2 — About you

Section 3 — Roots, lineage and cultural awareness

Section 4 — Written motivation

Section 5 — Practicalities and consent