BIPOC California Midwife Needed Mentor Recruitment Happening Now Paid Mentorship Opportunity $3,200 paid out through 4 quarterly payments in 20211 year commitment includes: BIPOC Aspiring Midwives Mentor Application Name * First Name Last Name Email * Phone * (###) ### #### What are your preferred gender pronouns * They/ Them/ Their She/Her/Hers He/ Him/His Other Do you identify as Black, Indigenous, Person of Color * yes no If you answered yes to the previous question, please specify how you identify: * Title Nurse Midwife Certified Professional Midwife Why do you wish to be a mentor? * I wish to mentor ____ aspiring midwives * 1 2 Please describe journey to an educational program, years of experience, your midwifery care setting * This information will aid in support to matching process The UCSF Mentorship & Belonging Program is also recruiting mentors for current BIPOC students, would you also be interested in providing paid mentorship to a UCSF midwifery student? The Mentoring Program’s mission is to develop meaningful mentorship opportunities for midwifery students throughout their UCSF midwifery education. We believe the common investment in midwifery students’ academic and personal success will strengthen the larger BIPOC midwifery community. The program aims to address the inequities encountered by BIPOC students, provide meaningful and sustainable mentorship support, and exercise transparency and accountability. Yes Maybe later No Thank you Please share how you learned about this recruitment effort * Any comments or thoughts you wish to communicate at this time? Thank you sharing your interest! We will reach out to identified mentors mid January with program guidebook, matches made, and orientation details.