Doula Learning Channel Submission Form (I)

PART I: Doula Learning Channel: Course Submission Form 2024

Thank you for your desire to contribute to the Doula Learning Channel. Upon completion of your submission, your information will be reviewed. As part of the approval process, a Zoom call will be scheduled to discuss your course outline. Once approved, an agreement outlining the details will be submitted to you within 14 business days.

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This field is for validation purposes and should be left unchanged.
Educators Name*
First Last
Email to use for all Educator Correspondence*

Note: This should be an email that you will want all of your doula course correspondence to be connected to.
Phone*
Website
Business Social Media Page (if applicable)
2nd Business Social Media Page (if applicable)
Qualifications:*
Please list your training, certification, and/or education in the field(s) that lend to your expertise in the course topic you are submitting.
Experience:*
Please provide detailed information about your relevant experience to the topic you are providing. Include years of experience, education, and/or certifications, if applicable.
Proposed topic for your course:*
What topic would you like to develop a course on?
Include a proposed rough outline for each lesson:*
Be brief yet thorough.
Proposed course content (description)*
Provide a description of what this course will include. Be brief yet thorough.
Anticipated course length:*
Average DLC course is 20 minutes.
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.