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End-of-Life Doula Trainer Membership Form

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

This will be the one used in the trainer directory

This will be the one used in the trainer directory

Check all that apply
Click all that apply

Please list the percentage of your household income that comes from your doula work.

Please describe the training program you offer to other doulas (max of 350 characters) and list your credentials to be included in your directory listing.
Please check top five
Please check all that apply
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.

Please use professional head shot, if possible.
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).