Register for Hospital Professionalism Training

(required training before joining PDX Doulas)

Next Training Date: To be determined
Hours: 8:15am - 4:15pm on a Saturday
Early Bird Registration: $50
Late Registration: $60 (Less than 14 days prior to class)

Please fill out the online registration form. Once there are a minimum of 10 attendees you will be notified of the next scheduled date. Payment should be submitted within one week of notice but must be received no later than one week prior to training date to secure your reservation.

Payment should be made to:
PDX Doulas
PO BOX 820325
Vancouver, WA 98682
1. Are you currently in the certification process? NOTE: Doulas interested in contracting with PDX Doulas must be within the certification process and close to certifying or already certified. *

Please select an answer from the drop-down box.
2. When was your last doula training? * / MM / DD YYYY
Please enter a date in the MM/DD/YYYY format
3. Concerning the training that you have had thus far as a doula, what information have you found most relevant or useful? *

Please your most relevant or useful information
4. Also concerning your training thus far, what did you like most and least about it? *

Please enter what you liked most and least about the training
5. From what organization are you or will you be certified? *

Please enter the organization
6. How many births have you attended *

Please select the number of births you have attended from the drop-down box
7. Tell us a little about your birth passion. What brought you to birth? What keeps you there? *

Please tell us about your birth passion
8. What would you say are the 3 most challenging things about the doula profession, and why? *

Please enter information about the 3 biggest challenges
9. What, specifically, would you like to learn at this advanced doula training? *

Please enter what you would like to learn
All personal information is confidential
Name * Title First Last Suffix
Please enter your full name
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Please enter your complete address
Phone * - (###) - ### ####
Please enter your area code and phone number in the correct format
Email *

Please enter a valid email address
Best time to contact *

Please enter the best time to contact
Type the letters you see in the image below.

Register for Hospital Professionalism Training

Register for Hospital Professionalism Training

All personal information is confidential