Submit Your Cross Certification Application

Instructions

  • Choose the appropriate application (Birth, Postpartum, or End-of-Life Doula) below.
  • Be sure to have proof of professional doula training on hand to submit with your application. This should either be a PDF or jpg file that you can attach to an email.
  • Complete the application and submit it.
  • We will review your application and follow up within two weeks.
  • PLEASE NOTE that using the wrong application or failure to accurately complete the application will delay the review process.
  • Do not submit more than one application unless you have paid $125 (each) for the Cross Certification and passed the related exam.

Birth Doula Cross Certification Application

"*" indicates required fields

WAS YOUR DOULA TRAINING AT LEAST 16 HOURS IN LENGTH?*
DID YOU COMPLETE A MINIMUM OF 3 HOURS TRAINING IN BREASTFEEDING?*
REQUIRED READING CHECKLIST*
Please check the books you have read.
I AGREE TO ABIDE BY THE LIFESPAN DOULAS SCOPE OF PRACTICE*
I AM HEREBY APPLYING TO BE A CERTIFIED BIRTH DOULA THROUGH LIFESPAN DOULAS.*

Postpartum Doula Cross Certification Application

"*" indicates required fields

WAS YOUR DOULA TRAINING AT LEAST 16 HOURS IN LENGTH?*
REQUIRED READING CHECKLIST*
Please check the books you have read.
I AGREE TO ABIDE BY THE LIFESPAN DOULAS SCOPE OF PRACTICE*
I AM HEREBY APPLYING TO BE A CERTIFIED POSTPARTUM DOULA THROUGH LIFESPAN DOULAS.*

End-of-Life Doula Cross Certification Application

"*" indicates required fields

WAS YOUR DOULA TRAINING AT LEAST 16 HOURS IN LENGTH?*
REQUIRED READING CHECKLIST*
Please check the books you have read.
I AGREE TO ABIDE BY THE LIFESPAN DOULAS SCOPE OF PRACTICE*
I AM HEREBY APPLYING TO BE A CERTIFIED END-OF-LIFE DOULA THROUGH LIFESPAN DOULAS.*