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VOLUNTEER APPLICATION FORM
ABOUT YOU
Your Name
Email Address
Address
Best way to reach you by phone
INTERESTS
We have many areas where volunteers can get involved. Check any you are interested in:
Assisting in Gatherings and Workshops
Assisting in conferences and guilds
Web design
Indiana Midwifery Taskforce
Midwifery promotion- newsletter, web content
Article writing
Newsletter design/editing/layout
Writing & distributing press releases
Researching topics of choice
Library organization
collating client info binders
Inventory and sorting donations

We are always open to suggestions about developing areas of interest that mesh volunteer skills, passions and energy with our midwifery needs:
Is there anything else about yourself that you would like us to know? Feel free to let us know what interests you about volunteering a for the cause of Midwifery and Midwives.
SKILLS
Do you have any of these focused skills?
Administration
Events planning
Public relations
Office assistant
Research
Public speaking
Advocacy
Writing/editing
Photography
Teaching
Fund raising
Legal expertise
Legislative/lobbying
Graphic, Web Design and content
Midwifery supplies aquisition
Maternity and newborn supplies gathering
Computer knowledge?
HTML
Flash
Outlook
Database software
Excel
Other
Pregnancy/birth experience?
Doula
Birth Assistant
Student Midwife
Childbirth Educator
Labor & Delivery Nurse
RN
CNM
Midwifery Advocate
Lactation consultant
Other skills that you posess that would further the cause of Midwifery
Occassionally we have clients who are interested in having a volunteer doulas attend their birth, Lactation support and Postpartum Doula. Would you like more information about being added to our volunteer list?
Yes
No
AVAILABILITY
I am generally available:
Monday - Friday
Saturday - Sunday
Mornings
Afternoons
Evenings
Nights
Variable
MOTIVATION
What do you hope to get out of volunteering?
Thanks for your interest. As opportunities present themselves, your information will be shared with Indiana Midwifery Taskforce and Indiana Midwives Association midwives.
Company Name
Website
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