NICU Doula Academy Application

Thank you for your interest in the NICU Doula Academy! This 10-week certification program is designed for doulas and support professionals who are passionate about providing trauma-informed, evidence-based, and collaborative care to NICU families.

This short application helps ensure that the program is a good fit for you. It should take no more than 5-10 minutes to complete.

Want more information about NICU Doula Academy? Click below for details, cost and FAQs: https://www.thenicutranslator.com/nicu-doula-academy

Today's Date

Full Name *

Pronouns (optional):

Email *

Phone *

Address

Street Address

City

State

Country

Postal Code

Instagram Handle (if applicable):

What best describes your current role? (Select all that apply) *

Other

How many years of experience do you have in birth/postpartum/NICU support? *

0-1 years (just getting started)

2-4 years

5+ years

What other certifications or trainings have you completed (if any)?

What draws you to becoming a NICU-informed doula? *

How do you currently (or plan to) support NICU families in your work? *

The NICU Doula Academy is built on evidence-based practices, trauma-informed care, and collaboration with medical teams. Are you open to learning and applying these principles? *

Yes, absolutely!

I am open to learning more.

No, this may not be right for me

The program includes interactive live discussions, a community chat, and case study participation. Are you comfortable engaging in a group learning environment? *

Yes, I love learning in community!

I prefer more independent learning but will participate as needed.

I'm not sure

Are you a past student of Navigating the NICU for Doulas? *

Yes

Where did you hear about us? *

✅ I understand that this is a professional certification program that requires active participation and engagement to receive my certificate.

📩 Once you submit your application, we’ll review it and follow up with next step***Please check your spam email for your acceptance letter, occasionally it has ended up there for some*** *

I Understand