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  • Doula Initiative Participant Evaluation and Stipend Application Pt. 1

  • Thank you for participating in a sponsored doula training!

    Please submit ONE evaluation and stipend application per person.

    This application must be completed and is a mandatory requirement for reimbursement. There are two portions to this application. The first portion is an evaluation that is anonymous, while the second portion is the application for the stipend that will require you list your contact information to upload your verification documentation.  

    To complete the application, you will need:

    1. Completed and signed W-9 form.
    2. Certificate of attendance for the three (3) recorded webinars.
    3. Verification of applying for the Doula Registry.
    4. Verification of being a Medicaid Provider. 

    Please be sure to have all the information available before you start the application process. 

  • Sponsored Training Reflections & Evaluation

  • Date of training attended (please enter the final day of training)
     - -

  • New Doula Training Recorded Webinars

  • Do you feel more prepared to begin your doula business after completeing the three required trainings?*

  • MDHHS Doula Registry

  • Become a Medicaid Provider

  • Sponsored Training Experience

  • Do you feel the expectations for the Post-Training Requirements and process for applying for the seed money stipend were clearly communicated?*
  • Would you like a member of the Doula Initiative team to reach out to you in relation to your experience?*

  • This completes the first portion of the application that is anonymous.

    Please click submit to complete the application.

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