Apply for Financial Aid - Doulas of Greater Kansas City

Welcome to our application for financial aid in the hiring of a doula. Note: any financial assistance will be awarded for the hiring of only a doula with our organization, the Doulas of Greater Kansas City.

Application for Financial Assistance

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone (home)
Phone (cell)*
Email*
Estimated Due Date:*
Who is your provider?*
Where are you planning to give birth?*
Who is your doula (if known):
Why are you choosing to work with a birth doula or postpartum doula?*
Tell us about yourself:*
Do you have any special needs or requests?*
Have you ever taken or are you planning to attend a series of childbirth preparation, breastfeeding or infant care classes? If so, what method was/will be taught? When was/is the class?*
List any books or websites you found helpful on the subjects of pregnancy, childbirth, infant care, breastfeeding or the postpartum period:*
How important is this financial assistance to you in order for you to have a doula?*
Are you experiencing financial hardship? Please explain:
Is there anything else you would like us to take into consideration when reviewing your application?*
Where or from whom did you hear about this program?*