Academy Information

1

Are you ready to become a certified birth assistant within the next 6 months or less?* This field is required.A birth assistant (also known as a midwife’s assistant) is a trained professional who provides assistance to community midwives attending births in out-of-hospital settings (home and /or free-standing birth centers). A birth assistant can perform several duties under the supervision of a midwife including taking maternal and fetal vital signs, charting, setting up equipment, keeping the birth space clean and organized, providing assistance in obstetrical emergencies and more.

Yes, I am.

No, I am not and I am leaving the application now.

2

How important is it for you at this time to become a certified birth assistant to help our community midwives and birthing families?* This field is required.We have a lot of applicants and we want to make sure that the women we invest our time into are committed to taking action as soon as possible. If you are not serious about doing this work now, DO NOT APPLY. 0: being not very important. 5: being extremely important.

0

1

2

3

4

5

3

Do you meet the academy prerequisites?* This field is required.1.) Must be a Black woman, 18 years old or older 2.) Must be an aspiring community midwife (Traditional Midwife, Certified Professional Midwife, Certified-Nurse Midwife, or Certified Midwife) or an aspiring birth assistant with out-of-hospital birth or clinical experience in Labor and Delivery 3.) Must have a valid government-issued photo identification (Driver's License, Passport / Card or Permanent Resident Card) 4.) Must be a High School graduate, equivalent or higher 5.) Must meet the physical requirements: Students are required to have a full range of motion, manual and finger dexterity and eye-hand coordination. Light work is required - Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force constantly to move objects, when it requires walking or standing to a significant degree; or when it requires sitting most of the time.

Yes, I meet the academy prerequisites.

No, I do not meet the academy prerequisites and I am leaving the application now.

4

Did you read the Academy's Frequency Asked Questions (FAQ)?* This field is required.Applicants applying to Black Sisters Birth Academy®, must read our Frequently Asked Questions (FAQ) before applying. Our Frequently Asked Questions (FAQ) can be found on our Program Page: https://www.blacksistersbirth.com/programs

Yes, I did.

No, I did not and I am leaving the application now to read them.

5

E-mail Verification* This field is required.A verification code will be sent to your email to complete your application. Please check your inbox or spam folder after submitting your email. Ensure you use the same email to schedule your interview if applicable.

example@example.com

Email Verified

Confirm Email

Email Verified

The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification

••••

6

Full Name* This field is required.

First Name

Last Name

7

Date of Birth* This field is required.

Date

8

Phone Number* This field is required.

9

Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

10

Upload a Copy of Your Valid Government-Issued Photo Identification* This field is required.(Driver's License, Passport / Card or Permanent Resident Card)

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

11

How did you hear about Black Sisters Birth Academy®?* This field is required.This gives us an idea of the context of the platform you're coming from.

Online search

Social media

Referral

Ads

12

What motivated you to apply to Black Sisters Birth Academy®?* This field is required.

0/300

13

Which one sounds MOST like you?* This field is required.

I am an aspiring birth assistant with out-of-hospital birth experience and I'm ready to embark on my journey to become a certified birth assistant.

I am an aspiring birth assistant with out-of-hospital birth experience and I need to complete a birth assistant training program as part of a hiring requirement.

I am an aspiring midwife with out-of-hospital birth experience and I want to gain practical experience as a birth assistant before applying to midwifery school or pursuing a career in midwifery.

I am an aspiring midwife and I'm required to complete a birth assistant training program before becoming a midwifery apprentice or enrolling in midwifery school.

I am a birth assistant currently working with a midwifery practice and I have no formal education in birth assisting and I am ready to receive formal training and certification.

I am an birth doula with three or more out-of-hospital birth experiences within the last year and I'm ready to support community midwives and birthing families clinically as a certified birth assistant.

I am a licensed healthcare professional (RN, LPN, CNA, PCT, PCA, MD or PA) with at least one year of Labor and Delivery experience within the last year and I'm ready to begin my journey into midwifery care as a midwife's birth assistant first.

I am an birth doula with out-of-hospital birth experiences and I'm ready to support community midwives and birthing families clinically as a certified birth assistant.

None of the above

14

What are your expectations from a birth assistant program like ours?* This field is required.

Comprehensive education

Flexibility

Hands-on experience

15

What is your preferred method of learning?* This field is required.Answering this helps us make sure we direct you in the right direction instead of wasting your time providing you a program that wouldn't be a fit.

Independent

Social

One-on-One

16

What is your biggest concern / challenge in becoming a birth assistant right now?* This field is required.

0/300

17

What is your current level of experience with out-of-hospital births or Labor and Delivery care or Midwifery care, (i.e.: personally, professionally or academically)?* This field is required.So we can know where you're at to help get you where you want to go and best tailor our program offer to you.

None

Some

Experienced

18

Do you have any experience working with birthing families or community midwives? If so, tell us about it and how many years of experience do you have in birth work?* This field is required.

0/300

19

Tell us what inspired you to want to become a birth assistant?* This field is required.

0/300

20

Do you have a home birth midwifery practice and/or a free-standing birth center within a 50-mile radius that you are willing to travel to?* This field is required.This is so we can get an idea of the midwifery services in your area.

Yes, I do and I'm willing to travel to one.

No, but I'm willing to travel outside of a 50-mile radius to one.

No, and I'm not willing to travel outside of a 50-mile radius to one. I am leaving the application now.

21

Are you able to be on-call for births including nights when scheduled?* This field is required.

Yes

No

22

Do you have good support systems for yourself and /or your family (e.i.: Healthy networking relationships, reliable childcare, etc.)?* This field is required.

Yes

No

23

What personal qualities describes you?* This field is required.1 of 4

I am easily distracted and need assistance with staying focused.

I am self-motivated and a task-oriented leader

24

What personal qualities describes you?* This field is required.2 of 4

I am quick to response to questions without thinking them through.

I am able to think ideas through before responding.

25

What personal qualities describes you?* This field is required.3 of 4

I am flexible and quick on my feet.

I am nonchalant.

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What personal qualities describes you?* This field is required.4 of 4

I am stressed and nervous during emergencies.

I am calm and collective during emergencies.

27

Where do you plan to practice as a birth assistant?* This field is required.This is so we can get an idea of your expectations.

Home birth practice

Free-standing birth center

Hospital

28

Are you financially capable to pay the tuition for this program?* This field is required.Education is an investment. Based on the details provided regarding our programs, you’re aware that if you qualify for enrollment in our Online Program, an investment of $3,000 USD is required. For our Hybrid Program, an investment of $5,000 USD is required. Payment Plan Options (Online Program): - One Time Payment: $3,000 USD - 5 Payments of $690 USD for 5 months Payment Plan Options (Hybrid Program): - One Time Payment: $5,000 USD - 5 Payments of $,1,150 for 5 months Additional Payment Options: Buy Now Pay Later (BNPL) services (e.g. Affirm, Klarna, PayPal or AfterPay) are available upon enrollment when paying in full. PLEASE NOTE: If you are accepted into the academy during your interview session, please be prepared to make your tuition payment or initial installation payment at that time.

Yes, I am able and ready to pay in full.

Yes, I am able and would like to use the payment plan option.

No, I'm not financially capable to pay the tuition and I am leaving the application now.

29

Black Sisters Birth Academy® enroll a limited number of qualified students. If your application is accepted are you committed to completing the remainder of the application process?* This field is required.

Yes, I am ready.

No, this isn't an immediate priority I can commit too and I am leaving the application now.

30

If you are enrolled into one of our programs, are you committed to following the curriculum, learning the material, completing all your assignments on time, implementing and taking accountability that when you have questions you will ask for help.* This field is required.

Yes, I am ready.

No, this isn't an immediate priority I can commit too and I am leaving the application now.

31

ACKNOWLEDGEMENT* This field is required.I acknowledge that the information given on this application is true and accurate. I acknowledge that I agree to the Application Review Policy of Black Sisters Birth Academy®. I also agree to the terms of services and privacy policy. By submitting this application you agree to the receive email updates and marketing from Black Sisters Birth Academy®.

Yes, I agree.

No, I do not agree and I am leaving the application now.

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Mandatory Passing Score: 210