Doula Learning Channel Submission Form (II)

PART II: Doula Learning Channel: Course Submission Form 2024

Thank you for your desire to contribute to the Doula Learning Channel. Your topic has been approved and we will now need to receive your resume and bio for gaining nurse hours.

Phone
This field is for validation purposes and should be left unchanged.
Educators Name*
First Last
Preferred course communication email*
Phone*
Website
Electronic Press Kit (if applicable)
Resume or CV:*
Drop files here or

Max. file size: 256 MB.
You can upload multiple files if applicable.
Bio and headshot:*
Drop files here or

Max. file size: 256 MB.
The bio should be a brief description as to your qualifications to the course and/or courses you are providing. Please upload a current headshot to use along side your bio. You can upload multiple files here.
Course Approved Title*
Name the title of your course
Consent
I agree to the privacy policy.
I understand that all conversations written and/or verbal are to remain between myself and the ProDoula team. Processes, systems and pricing are to also remain private.