Application Form

In joining the Doula Association of Ireland prospective members also agree to abide by our code of ethics. Please ensure that you have read these terms and are happy to incorporate them in your work before sending in your application form.

 
Name *
Name
Home Address *
Home Address
Phone *
Phone
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Doula Options *
Please tick each doula service you will offer to clients
Please list other skills or qualifications you bring to your doula work
Insurance *
Do you currently hold professional indemnity insurance for your doula practice? If Yes, please forward a copy of your policy to us. If No, please note that members are required to be insured when on-call or working postpartum with clients.
Applying for Annual Membership *
Full Membership (RD) applicants are required to have completed an approved training course and have submitted paperwork for at least three births in the role of doula. Full membership Doula Under Training (D/UT) applicants will have completed an approved training course but have not yet completed their three births. Associate Members are not currently active but want to remain with the DAI.
Please list all doula training you have taken, or Certificates of Attendance (where relevant). A copy of these must be forwarded to the DAI for membership.
How many births attended, or labour support, have you provided to date?
How many births attended, or labour support, have you provided in the last 12 months?
Are you actively supporting clients at present?
If you are on Sabbatical, when do you hope to return to your doula work?
Would you like your name and particulars to be added to the DAI website Referral List
Website Details *
Please tick what contact information you want included on the DAI website
Is there any further information you want included on the DAI website?
Please provide a short introduction of yourself (max 100 words) that we will use as your bio on the DAI website
Please list the areas and hospitals you intend to service as a doula.
Would you consider volunteering to work with clients for the DAI?
Would you consider volunteering to work for the DAI at public events e.g. working a stall at a baby fair?
Would you consider supporting the work of the DAI Committee by taking on a role? (Please specify)
Agreement *
In submitting this application form and ticking the box, you are agreeing to abide by the Articles of the Doula Association of Ireland Constitution, Code of Ethics and the Standards of Practice.

Additional Information

To complete membership, the following information is required:

  • a letter of reference from a birth professional (eg. Midwife, LLL leader, Cuidiú, IBCLC, DAI member).  
  • your training certificate with your particular course/prospectus.
  • a signed copy agreeing to abide by the DAI Code of Ethics. Please ensure that you have read these terms and are happy to incorporate them in your work before sending in your application form.  
  • a copy of your professional indemnity insurance policy.  
  • Persons applying for full membership as a registered doula (RD) should also enclose three written birth reports as per DAI birth report format (available from the Secretary) and a copy of the client confidentiality release form for each of the three clients. Not more than one of the births shall have been a Caesarean Section, and in such a case the Doula is required to have provided pre & post operative support at the hospital.  

The Secretary will process your application and once accepted you will be sent payment details for annual membership fees.