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End-of-Life Doula / Trainer Membership Form

Please complete this form ONLY if you are both an EOL Doula AND you provide an EOL training program for other EOL doulas or aspiring doulas.

This will be the one used in the doula and trainer directories

This will be the one used in the doula and trainer directories

Check all that apply

Please describe the doula training program you offer other doulas (max of 350 characters) and list your credentials to be included in your directory listing.

Click all that apply
Check all that apply
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Please check top five reasons
Please check all that apply

Please use a professional head shot, if possible
I acknowledge that by agreeing to have my contact information listed on the NEDA Online Directory I may be contacted by individuals, companies, or groups not associated with NEDA. My contact information will be public and cannot be controlled by NEDA.
NEDA sends out a monthly newsletter as well as webinar announcements to members only. You always have the option to unsubscribe to the emails at any time.
"By clicking the box below, I am indicating that I understand and accept the following terms: 1) Inclusion of my information on the website directory does not constitute endorsement by NEDA or my training organization, if I have one. 2) I am fully responsible for my own contracts, promotion, and interaction with the public. 3) I have read and agree to honor the NEDA Code of Ethics, Conduct, and Scope of Practice. 4) I understand that my listing on the website directory will only be included as long as I am an active member of NEDA (renew each year)."