Indie Birth New Midwifery School Application for Enrollment

Indie Birth New Midwifery School Application for Enrollment
Name

First NameLast Name
E-mail
Address

Street Address

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CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Tell us why you are interested in pursuing midwifery studies at this time.
What cohort (month/year) are you applying for?
What excites you most about enrolling in the Indie Birth New Midwifery School?
Have you begun or completed an apprenticeship yet? If so, with whom?
Have you previously enrolled in a midwifery school or college? If so, which one?
How did you hear about our school?
What are your personal goals? To become a midwife? To be licensed or certified? To just enrich your learning? Or other.
What about the Indie Birth philosophy do you resonate most with?
Please initial here that submitting this application means you are a serious enrollee. Please do not fill out and submit this app just for fun, of if you are not 100% ready to commit, pay in full and enroll when accepted. Thank you!
Please initial here that you have read all of the information about our school, philosophy and had any remaining questions answered (if not; email support@indiebirth.org first to do that!). Please also initial that you understand the tuition for the school is currently $11,111 and is non-refundable. PLEASE NOTE: We do not accept payment plans, barter or trades for payment.

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Please Submit Application Fee (Non-Refundable):*

Application Fee$50.00

Total $0.00