Application for Doula UK Course Approval Doula UK Course Approval Application Fee Application for Doula UK Course Approval Course Leader Details First Name * Surname * Email * Contact Number * Please tell us about your training and experience * It is a requirement that the course leader completes training in LGBTQ+, disability and cultural competency. Please list the courses you have attended below. * Doula UK can signpost you to training or course leaders may choose their own. Course Details Business Name * Course Name * Course Description (brief summary) * Course Timeframe * Course requirements for graduation * * I confirm that this course follows the Doula UK Core Curriculum 2021 Doula UK can offer a bursary of free course provider membership for the first two years to courses that are approved and are 51% lead by people from under-represented groups. Including, but not limited to, people who are Black, Asian, LGBTQ+, disabled or otherwise marginalised. Further to this we are able to offer a grant for up to two applicants a year to pay for the approved assessor fee. Please let us know if it is your intention to apply for either the bursary or grant. Yes I believe I am eligible and would like to apply for the membership fee bursary Yes I believe I am eligible and would like to apply for a grant to cover my approved assessor fee If you have selected yes to either of the above we will be in touch to discuss this further with you. Doula UK Membership Are you a member of Doula UK? * I have active Doula UK membership I am not a Doula UK member You will need to be a member of Doula UK to run a course approved by Doula UK. If you are not yet a member please indicate above and we will send you details of how you can become a member. Your Doula UK profile link (copy and paste the web address) Doula UK Policies Please read the Code of Conduct (doula.org.uk/doula-uk-code-of-conduct/) and tick the box to confirm you agree to abide by it. * I understand and agree Please read the Doula UK Philosophy (doula.org.uk/doula-uk-philosophy/) and tick the box to confirm that you understand it. * I understand and agree Please read the Doula UK Equality, Diversity and Belonging Policy (https://doula.org.uk/doula-uk-equality-diversity-belonging-policy/) and tick to confirm that you understand and agree to follow the policy. * I understand and agree Diversity Monitoring Evaluation White 1. English / Welsh / Scottish / Northern Irish / British 2. Irish 3. Gypsy or Irish Traveller 4. Any other White background, please describe4. Any other White background, please describe Mixed / Multiple ethnic groups 5. White and Black Caribbean 6. White and Black African 7. White and Asian 8. Any other Mixed / Multiple ethnic background, please describe8. Any other Mixed / Multiple ethnic background, please describe Asian / Asian British 9. Indian 10. Pakistani 11. Bangladeshi 12. Chinese 13. Vietnamese 15. Any other Asian background, please describe15. Any other Asian background, please describe Black / African / Caribbean / Black British 16. African 17. Caribbean 18. Any other Black / African / Caribbean background, please describe18. Any other Black / African / Caribbean background, please describe Any other background not listed, please describe What is your age? 18-24 25-39 40-54 55-65 +65 What is your gender? Female Male Non-binary Transgender Intersex Gender nonconforming I identify as:I identify as: What is your sexual orientation? Straight Bisexual Gay I identify as:I identify as: Do you consider yourself to have a disability? Yes, I am registered as disabled Yes, but I am not registered as disabled I am not disabled, but have a long-term or chronic health condition No, I do not have a disability or health condition Please attach your supporting documents including: course leader CV, certification of training (including cultural, LGBTQ+ and disability training), a sample course graduate certificate or diploma. Drop a file here or click to upload Choose File Maximum file size: 67.11MB Admin notes (hidden from front end) submit my application