Please submit your completed requirements via fax or email.

Fax: 610-553-5482

Email: ppfdoulabymyside@verizon.net (For MA & RI Applicants)

Email: pettawaypursuit@verizon.net (For PA Applicants)

PA Doula Applicants

1. Resume

2. Interview Questions Form

3. Application Form

4. Photo Release Form

5. Emergency Contact Information Form

6. Tablet-Use Agreement Form 

7. Background Check Form

8. W-9 Tax Form

9. Independent Contractor Agreement Form

10. Confidentiality Agreement Form

11. Proof of Doula Certificate and Trainings

​12. Professional Liability and Workmen's Compensation Insurance

13. CPR child and adult certification

14. Complete a Pettaway Pursuit Foundation Orientation

Contact Us

Phone: 610-553-5479

Fax: 610-553-5482

Email: pettawaypursuit@verizon.net

Address: 11 Owen Avenue, Lansdowne,

                PA 19050

Click Form to Download

1. Resume

2. Interview Questions Form

3. Application Form

4. Photo Release Form

5. Emergency Contact Information Form

6. Tablet-Use Agreement Form 

7. Background Check Form

8. W-9 Tax Form

9. Independent Contractor Agreement Form

10. Confidentiality Agreement Form

11. Proof of Doula Certificate and Trainings

​12. Professional Liability and Workmen's Compensation Insurance

13. CPR child and adult certification

14. Complete a Pettaway Pursuit Foundation Orientation

MA/RI Doula Applicants

Requirements for PPF Doula Applicants