CLD/CCCE Training Scholarship Application
Please enter a valid phone number.
Website (absolutely not required; We just want to know you better and see your work in the world!)
How, specifically, did you hear about the scholarship?
For which training do you wish to receive a scholarship?
Certified Labor Doula
Certified Childbirth Educator
Date training begins
For which type of scholarship do you wish to apply? Please select all that apply.
Non-profit organization (See question below)
Organization or individual working primarily with at-risk populations (See question below)
BIPOC birth worker
Military veteran or spouse of veteran
If you selected "Non-profit organization" or "Organization/individual working primarily with at-risk populations" please tell me more about the organization and your role in it or your work with at-risk populations.
Have you committed to pursuing certification as a labor doula/childbirth educator?
Why do you wish to become a labor doula/childbirth educator?
How do you plan to pay forward the financial aid the scholarship offers?
What else do you wish for Debbie to know about you? Tell her more about you!
If you are awarded a scholarship, your space in training will be confirmed only when you have paid the remaining registration fee. Please type your name to indicate you agree to this condition.
If you are awarded a scholarship, how do you wish to be billed for the remaining registration fee?
I prefer to be invoiced via PayPal.
I prefer to be invoiced via Square.
I would like to speak to you about special payment arrangements.
I agree that Debbie Hull may use my image (from training), application answers and announce my receipt of the scholarship on her website, Facebook page, and other social media. My typed name here, in lieu of my signature, indicates that I agree.
Thank you for applying!
I look forward to having you in training soon!
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