The Founding 100

Founding 100 Interest Form

Thank you for your interest in The Confident Death Doula™ Founding 100. This short form helps us learn more about your background, current practice, and what you would most like to strengthen through the program.

There is no cost or commitment to submit this form. Program investment and enrollment details are included in your confirmation email and reviewed together during your Founding 100 conversation.

Section One

Basic Information

Section Two

Death Doula Education

Have you completed foundational death doula training or other end-of-life doula education?

Please tell us where you completed your death doula or end-of-life doula education.

Section Three

Current Practice

Where are you currently in your death doula practice?
Do you currently have a lawful business structure for your practice?

You do not need to have a lawful business structure or professional liability insurance to submit this Interest Form or reserve your place. If you do not already have them, you will address these professional-readiness requirements during FOUNDATION™.

Section Four

What Would You Like to Strengthen?

What would you most like to strengthen through The Confident Death Doula™?

Select all that apply.

Your selections help us understand your current priorities. The Confident Death Doula™ is a complete 12-month professional development program, and participants complete the program as a whole rather than selecting individual topics or phases.

Section Five

Program Participation

Participants are expected to complete at least 80% of designated required activities throughout the program. Successful completion also requires completion of the Professional Integration Portfolio™, professional profile and required information, assessments, surveys and evaluations, business and insurance readiness, required onboarding items, and applicable professional, legal, safety, confidentiality, and completion requirements.

Are you prepared to participate in the full 12-month program?

Section Six

Anything Else

By submitting this form, you acknowledge that Blueprint Vision Ventures, Inc. will use the information you provide to review your interest in The Confident Death Doula™ Founding 100 and communicate with you about the program. Please review our Privacy Policy and Terms of Use.