Member's Circle Application

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Why Join Members Circle?

Collaborative Environment

Work alongside experienced birth workers and supportive peers.

Ongoing Learning

Access exclusive training opportunities, workshops, and resources to keep growing.

Make a Difference

Be a part of a community that’s focused on providing compassionate, holistic birth support.

Members Circle Application

If you’re ready to take the next step in your birth work journey, please complete the application form below. Share your story, your experiences, and your goals as a birth professional. The Members Circle is all about supporting and empowering birth workers like you, and we can’t wait to learn more about what inspires you to make a difference in the lives of families.

Let’s grow together!

First name

Last name

Phone

Address

Business/Organization Name (if applicable):

Perinatal Training & Education

What perinatal-related training, certifications, or degrees have you completed? Please list them (e.g., doula training, lactation certification, childbirth educator course, etc.).

Which organizations or schools provided your training?

Year(s) of completion:

Are you currently pursuing additional training or certifications? If so, please describe.

Proof of Training

Please upload proof of training and certifications (e.g., certificates, diplomas, transcripts, or membership cards from certifying organizations).

Please upload a copy of your certification(s), training docs or relevant documentation.

Business Background

How long have you been working as a birth professional?

What roles do you currently hold (e.g., birth doula, postpartum doula, lactation consultant, midwife, educator)?

Describe your current business structure (e.g., sole proprietor, part of an agency, or employee):

What services or products do you offer?

Do you currently have a website or social media presence? Please share any links.

Birth Worker Goals

What inspired you to become a birth worker?

What are your top three professional goals for the next year?

Are you looking to expand your skills, grow your business, or focus on self-care? Please elaborate.

How do you envision the Members Circle helping you achieve your goals?

Character & Approach

How would clients or colleagues describe your approach to birth work?

What values guide your work with families?

Share a time when you went above and beyond for a client or colleague.

Collaboration & Mentorship

Describe your experience working collaboratively with other birth workers or professionals.

How do you typically contribute to a team environment?

What are you hoping to gain from mentorship opportunities in the Members Circle?

Are you open to giving and receiving constructive feedback?

Additional Insights

What’s one challenge you’re currently facing in your work?

What unique skills, perspectives, or experiences do you bring to the Members Circle?

Is there anything else you’d like us to know about you?

Agreement & Commitment

By applying to the Members Circle, you’re committing to being an active, collaborative participant in the community.

Check this box if you are you willing to engage in discussions, attend events, and contribute to a positive, supportive environment.

Birth Connections