Volunteer Expression of Interest

Thank you for your interest in volunteering with Lamaze International. A description of all volunteer opportunities can be found on our website. Please review those options prior to filling out this form. Please note that Lamaze will attempt to connect each prospective volunteer with their choice of Council, Committee, or volunteer opportunity. In some instances, we may not be able to connect you with your first choice. For any questions, please contact us at info@lamaze.org.

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* 1. First Name

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* 2. Last Name

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* 3. Email

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* 4. State or Territory of Employment

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* 5. Please indicate your membership status

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* 6. If you have current or past experience in the perinatal health field (LCCE, childbirth educator, nurse, etc.), please select the appropriate work setting in which your experience took place.

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* 7. If any, what underserved communities do/did you serve? Please select all that apply.

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* 8. If you attended a childbirth education seminar through a Lamaze-accredited program, please indicate which program you attended:

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* 9. Select the top two (2) Lamaze committees in which you are interested in participating.
Note: An expression of interest does not guarantee your appointment to any Lamaze committee or Council positions. If you are not interested in serving on a Lamaze committee, please select that option in the first dropdown.

  Committee
First Choice
Second Choice

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* 10. Provide a statement describing your interest in your selected committee(s).
Please limit your responses to 2-3 sentences per committee.

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* 11. Based on the committee selected above, please detail the skills you have that would contribute to your success on the committee. Include any relevant employment, volunteer, or leadership positions that contribute to your abilities.
Please limit your responses to 3-4 sentences per committee.

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* 12. Please select any short term volunteer opportunities that you are interested in:
NOTE: An expression of interest does not guarantee your appointment to any Lamaze volunteer opportunity. If your interests align with our current volunteer needs, Lamaze will contact you to discuss an appointment.

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* 13. How much time do you have available to volunteer with Lamaze (i.e. hours per month)?

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* 14. Resume/CV

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