Community Member Form

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The Australian Doula College

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ADC Community Member Form

We're so excited that you want to join our wonderful community

The Community Membership is for graduates of the Australian Doula College
The membership is valid for 12 months and can be renewed annually
You will have your resource centre access and your doula directory listing added within 7 working days

Once you click on 'Submit Form' you will be taken to the payment portal where you will be able to pay for your annual membership fee of $110.00

First Name

Last Name

Email for Client Contact

Phone Number

Address

City/Town in which you work

State in which you work

Postcode you would like listed on the directory

Please select your Doula certification

Birth & Postpartum Doula

End Of Life Doula

Full Spectrum Doula

Other

Institute or Organisation you completed your doula training with

Australian Doula College

Other (not eligible for Directory Membership)

* You must have studied with Australian Doula College in order to sign up for the Community Membership

Your website URL

Your Instagram URL

Your Facebook URL

Please list the language(s) that you speak:

What services do you provide?

Preconception and Fertility Support

Pregnancy Support

Birth Support

Postpartum Support

End of Life Support

Advanced Care Planning

End of Life Vigil Services

Please list any other modalities, services or skills you have here:

Please tick if you DO NOT want to be listed on the Doula Directory

Your About You Section

Upload your bio photo

Please upload a SQUARE (1X1) Image that is a JPEG or PNG (Max 15MB)

Upload an additonal image of you and your work

JPEG or PNG (Max 15MB) - Please ensure you have permission to use these photos

Working With Children Check Expiry

WWCC Details

Upload a PDF file (Max 15GB)

CPR Expiry (must be renewed every 12 months)

Upload CPR Details

Upload a PDF file (Max 15GB)

I agree to the ADC Code of Conduct and Online group guidelines as outlined in the membership booklet.

View Membership Booklet

Level 1, 61-65 Shepherd Street, Marrickville, NSW, 2204

02 9518 0841

Website Design INDABA Collective

The ADC acknowledges the Traditional Custodians of the land on which we work and live, and recognises their continuing connection to land, water and community. We pay respect to Elders past, present and emerging.

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ADC Community Member Form

We're so excited that you want to join our wonderful community

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