Academy Information

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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 healthcare professional specifically trained to support community midwives with births in out-of-hospital settings, such as homes 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.
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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.
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Do you meet the academy prerequisites?* This field is required.1. Must be a Black woman, 18 years old or older, seeking training and certification as a birth assistant. 2. Must have a valid government-issued photo identification (Driver's License, Passport / Card or Permanent Resident Card). 3. Must have proof of a High School diploma, (GED) or higher. 4. Must have proof of a valid CPR Certification through the American Heart Association or American Red Cross or Canadian Red Cross. 5. Must have proof of a valid NRP Certification through the American Academy of Pediatric or Canadian Paediatric Society. 6. 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. 7. Birth Experience/Clinical Background: Must meet ONE of the following criteria to qualify for the Online Program: 1.) Experienced Birth Worker: This category applies to: Certified birth doulas, Midwifery Portfolio Evaluation Process (PEP) applicants, or birth assistants currently working with a midwifery practice with no formal training or certification. For Certified Birth Doulas: - Must submit proof of a valid birth doula or full-spectrum doula certification. - Must submit proof of at least three or more out-of-hospital birth experiences. REQUIRED: Three (3) Out-of-Hospital Birth Observation Record Forms must be completed and submitted with your application based on your criteria. CLICK HERE TO DOWNLOAD: Out-of-Hospital Birth Observation Record Form. For Midwifery Portfolio Evaluation Process Applicants: - Must submit proof of a current Preceptorship Agreement from a NARM Registered Preceptor. - Must submit proof of at least three or more out-of-hospital birth experiences. REQUIRED: Three (3) Out-of-Hospital Birth Observation Record Forms must be completed and submitted with your application based on your criteria. CLICK HERE TO DOWNLOAD: Out-of-Hospital Birth Observation Record Form. For Birth Assistants: - Must submit one (1) professional reference letter from a current or previous midwifery practice or free-standing birth center. - Must submit proof of at least three or more out-of-hospital birth experiences. REQUIRED: Three (3) Out-of-Hospital Birth Observation Record Forms must be completed and submitted with your application based on your criteria. CLICK HERE TO DOWNLOAD: Out-of-Hospital Birth Observation Record Form.
Yes, I meet the academy prerequisites.
No, I do not meet the academy prerequisites and I am leaving the application now.
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Did you read the Academy's Frequency Asked Questions (FAQ)?* This field is required.Applicants applying to Black Sisters Birth Academy®, you 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.
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Which one sounds MOST like you?* This field is required.PLEASE NOTE: If the selection: None of the above-- applies to you, please leave this application and apply to our online program PLUS or hybrid program at https://www.blacksistersbirth.com/programs.
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 a Midwifery PEP applicant with three or more out-of-hospital birth experiences and I want to gain practical experience as a birth assistant before or during my midwifery apprenticeship.
I am a certified birth doula with three or more 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 ---- (If None of the above, please leave this application and apply to our online program PLUS or hybrid program at https://www.blacksistersbirth.com/programs)
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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.
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Full Name* This field is required.
First Name
Last Name
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Date of Birth* This field is required.
Date
Month
Day
Year
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Phone Number* This field is required.
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Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Proof of Identification: Upload a Copy of Your Valid Government-Issued Photo Identification* This field is required.(Driver's License, Passport / Card or Permanent Resident Card)
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Select files to upload
Max. file size: 10.6MB
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Education: Upload a Copy of Your High School diploma, (GED) or higher.* This field is required.(Driver's License, Passport / Card or Permanent Resident Card)
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Max. file size: 10.6MB
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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
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What motivated you to apply to Black Sisters Birth Academy®?* This field is required.
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Birth Experience/Clinical Background: Upload a Single File of Your Required Documents* This field is required.PLEASE NOTE: TO ENSURE ALL DOCUMENTS ARE RECEIVED, PLEASE MERGE THEM INTO ONE FILE BEFORE UPLOADING. FOR EXPERIENCED BIRTH WORKERS: Please submit copies of the following required documents that apply to you: 1.) FOR CERTIFIED BIRTH DOULAS REQUIRED: 1.) Must submit proof of a valid birth doula or full-spectrum doula certification. 2.) Must submit proof of at least three or more out-of-hospital birth experiences. 3.) Three (3) Out-of-Hospital Birth Observation Record Forms: CLICK HERE TO DOWNLOAD: Birth Observation Record Form (2.) FOR MIDWIFERY PORTFOLIO EVALUATION PROCESS (PEP) APPLICANTS REQUIRED: 1.) Must submit proof of a current Preceptorship Agreement from a NARM Registered Preceptor. 2.) Must submit proof of at least three or more out-of-hospital birth experiences. 3.) Three (3) Out-of-Hospital Birth Observation Record Forms: CLICK HERE TO DOWNLOAD: Birth Observation Record Form (3.) FOR BIRTH ASSISTANTS REQUIRED: 1.) Must submit one (1) professional reference letter from a current or previous midwifery practice or free-standing birth center. 2.) Must submit proof of at least three or more out-of-hospital birth experiences. 3.) Three (3) Out-of-Hospital Birth Observation Record Forms: CLICK HERE TO DOWNLOAD: Birth Observation Record Form
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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CPR Certification: Upload a Copy of Your Valid CPR Certification * This field is required.Approved organizations: The American Heart Association or American Red Cross or Canadian Red Cross.
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Select files to upload
Max. file size: 10.6MB
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NRP Certification: Upload a Copy of Your Valid NRP (Advanced Provider) Certification* This field is required.Approved organizations: The American Academy of Pediatric or Canadian Paediatric Society.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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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
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What are your expectations from a birth assistant program like ours?* This field is required.
Comprehensive education
Flexibility
Hands-on experience
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What is your biggest concern / challenge in becoming a birth assistant right now?* This field is required.
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What is your current level of experience in midwifery care, out-of-hospital births or Labor and Delivery 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
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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.
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Tell us what inspired you to want to become a birth assistant?* This field is required.
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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.
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Are you able to be on-call for births including nights when scheduled?* This field is required.
Yes
No
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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
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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
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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.
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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.
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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
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Are you financially capable to pay the tuition for this program?* This field is required.Education is an investment. If you qualify for enrollment for our Online Program, an investment of $1,500 USD is required. Payment Plan Options (Online Program): - One Time Payment: $1,500 USD - 5 Installments of $345 USD for 5 months 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. If you are not financially capable of making this investment, DO NOT APPLY.
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.
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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.
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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.
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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
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