Postpartum Doulas

Full Name*

Address*

City*

State*

Zip Code*

Phone number*

Email address*

What is the best day and time to contact you?*

How did you hear about Rainbow Nannies?

Which Organization did you choose for your Postpartum Doula Training:*
CAPPADONAICEABirtworks InternationalPRODOULA

Do you hold a certification from the Organization you trained with?
yesno

Describe any other specialized education you've received in Postpartum Care:*
(please name Organization/Institute/Educator)

How long have you been working as a Postpartum Doula?
0 - 5 years5 - 10 years10 years or more

How many Postpartum Doula positions have you worked?*

Do you have experience in:
postpartum day carepostpartum night care

Do you accept Carrot Fertility Benefits?
yesno

Are you certified in First Aid?
yesno

Are you certified in CPR?
yesno

Please check the following areas you have had experience in:
(not including your own children or siblings)

Supporting parents and newborns during hospital stayUmbilical Cord CareCircumcision CareAttending a BrisBreastfeeding SupportBreast Pump SupportBottle RecommendationsFormula RecommendationsNewborn and Infant Care Items and Products RecommendationsCookingLaundryRunning ErrandsSibling CareOwletSnuzaCaring for Premature NewbornsCaring for Infants with GERDCaring for Infants with AllergiesCaring for Infants with Special NeedsCaring for MultiplesSupporting Newborns/Infants in their Developmental MilestonesPreparing Solid FoodsSupporting Single ParentsSupporting LGTBQ+ ParentsSupporting Multicultural familiesSupporting Parents of varying Faiths and BeliefsSupporting Parents who have chosen the Surrogate routeSupporting Parents who have chosen to AdoptSupporting Parents who have experienced a Neonatal LossSupporting Parents with Postpartum Depression or Postpartum Anxiety

If you picked 'Caring for Infants with Special Needs' - please describe:

If you picked 'Caring for Multiples' - How many sets of multiples?

Do you follow A.A.P. safe-sleep guidelines?
yesno

Will you refrain from making any diagnosis; and always refer to the Pediatrician? Please initialize.*

Will you refrain from any mom-shaming or judging? Please initialize.*

What unique skills would you bring to a family as their Postpartum Doula?*

What do you find most rewarding about your work as a Postpartum Doula?*

How would you best describe your overall personality?*

Do you smoke?
yesno

Are you allergic for cats and/or dogs?
yesno

Do you offer to do baby's laundry?
yesno

Do you offer to keep baby's nursery tidy, clean and stocked up?
yesno

Do you offer to cook, and prepare snacks for (a breastfeeding) mom?
Think of lactation cookies and/or energy smoothies
yesno

Are you Trustline registered?
yesno

If not, are you aware that Rainbow Nannies will run a full background check if you are considered by a Family?
yesno

Have you ever been convicted of a crime other than a minor traffic violation?
yesno

Have you ever been indicated as a perpetrator in a child abuse/neglect investigation?
yesno

If the answer to either or both of the above questions is yes, please explain:

Are you legally allowed to work in the US?
yesno

What do you wear while at work?

Do you wear any scents during work hours?
yesno

Do you have at least three Postpartum Doula professional references?
yesno

Do you have a professional resume?
yesno

Do you have a professional contract?
yesno

Do you require a retainer and/or deposit?
yesno

How many weeks or what percentage?

Will you send the Family, (or a representative of) weekly or bi-weekly a professional invoice?
yesno

Do you have general and professional liability insurance?
yesno

If no, are you willing to purchase it?
(depending on the premium you choose, it will be around $400.00 annually)
yesno

What is your Social Media?
Facebook:
Instagram:
Tik Tok:
LinkedIn:

Upload your resume
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