Professional Membership

Complete all sections and upload required documents to apply.

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Start Your Application

Enter your basic details to begin. You'll receive a unique link to resume your application.

First name

Last name

Phone number

Email Address

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About You

First name *

Last name *

Date of Birth *

Ethnicity *

Address *

Postal Address

Phone *

Email *

Business Name

Website / Social

Your Training & Education

List all End of Life Doula courses you have completed. Attach certificates separately in the Document Upload section.

Your EOL Doula Experience

Example 1 *

Describe an example including setting/context, role, skills used, ethical/cultural considerations, and outcome/learning.

Example 2

Example 3

Further Requirements

Do you agree to actively provide Doula Services? *

Yes No

Do you agree to an interview by one or more committee members? *

Yes No

Do you agree to submit proof of up to 10 hours of professional development each year? *

Yes No

Will you take out professional indemnity insurance? (recommended)

Yes No

Do you wish to be listed as a practicing End of Life Doula in our directory? *

Yes No

Are you willing to provide a current Ministry of Justice criminal record check? *

Apply here: www.justice.govt.nz/criminal-records/

Yes No

Are you willing to attend regular ELDAA meetings and events, and engage with and support your local ELDAA community? *

Yes No

Are you willing to work remotely where there is no other available Professional Member in a Client's area? *

Yes No

EOL Doula Standards & Core Competencies

Please tick the competencies you are confident in providing.

Referees

Please provide two referees who have witnessed your work with the dying, or who have worked alongside you in a related field.

Referee 1 *

Full Name *

Role / Relationship *

Email *

Phone *

Referee 2 *

Full Name *

Role / Relationship *

Email *

Phone *

Declarations

Please confirm all statements below to proceed.

I confirm the information provided is accurate and complete. *

I have read and agree to the ELDAA Code of Ethics. *

I have read and understand the Scope of Practice. *

I agree to actively provide Doula Services as part of my professional membership. *

I agree to an interview by the committee if required. *

I commit to completing 10 hours of professional development per year. *

I agree to provide a Ministry of Justice criminal record check. *

I agree to attend regular ELDAA meetings and support my local community. *

Document Upload

Upload your supporting documents below. You can upload multiple files per category.

⏳ Please wait for each file to finish uploading before selecting the next one. Uploads run one at a time so the system can keep track of your documents correctly.

Documents: 0 / 6 required categories

Application Complete

Your Professional Membership application has been completed. Thank you!

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