SMC Full Circle Doula Training Registration Register for one of our online or in-person doula trainings. How did you hear about us? * Please Select Referral Email/Newsletter Facebook Instagram YouTube Family/Friend Former Student News Article TV/Cable News State Agency Website/Search Engine Other
What session would you like to register for? * Please Select December 7 – 10, 2023 (In Person – Gresham, OR) February 5 – March 3, 2024 (Online) April 25 – 28, 2024 (In-Person – Gresham, OR) May 6 – June 2, 2024 (Online) August 5 – September 1, 2024 (Online) October 7 – November 3, 2024 (Online)
Registrant’s First Name *
Registrant’s Last Name *
Phone Number *
Email Address *
Education Level * Please Select Some high school High school graduate or equivalent Trade or vocational degree Some college Associate degree Bachelor's degree Graduate or professional degree
Ethnicity (Optional) Please Select African American or Black African Immigrant American Indian or Alaska Native Asian Latino/Latina/Latinx Native Hawaiian or Other Pacific Islander White Two or More Races I'd rather not say.
Please list the program(s) you have participated in. *
In your own words, please tell us what you hope to gain from training as a SMC Full Circle Doula Birth Companion. *
Which payment method would you like to use?
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