Elections

Conflict of Interest and Disclosure Form

Please select which position you're applying for(Required)

Name(Required)

First Last

Member ID(Required)

Email(Required)

Phone(Required)

Address(Required)

City State / Province / Region

I can confirm that I am a DONA certified doula in good standing for one full recertification perion(Required)

Yes

Please provide the name and phone number for three people that can attest to your qualifications

Reference #1

Name(Required)

First Last

Email(Required)

Phone(Required)

Reference #2

Name(Required)

First Last

Email(Required)

Phone(Required)

Reference #3

Name(Required)

First Last

Email(Required)

Phone(Required)

You must submit your current Resume' or CV(Required)

Max. file size: 50 MB.

Please upload your cv/resume'

Please upload a one (1) page letter of intent, which covers the applicant's goals for the position, demonstrates a working knowledge of the time commitment and responsibilities of the position; expresses a desire to serve DONA International and explains why the applicant is the right person for the position(Required)

Max. file size: 50 MB.

Upload your completed Conflict of Interest and Disclosure Form(Required)

Max. file size: 50 MB.

Disclosure of any potential conflicts of interest should be made with the application by completing the Conflict of Interest and Disclosure Form

Elections

Please provide the name and phone number for three people that can attest to your qualifications

Reference #1

Reference #2

Reference #3

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