Enrolled Student Registration

Below are the midwifery program registration materials. You must already be a matriculated midwifery program student to use these forms (If you're not a midwifery student, go to Upcoming Classes for Community Registration materials.) To register, print the forms, fill them out and return them to the school. If you need other forms, please contact us so we can get them to you!

We currently do not offer on-line or phone registration. You must mail, fax or hand in these forms plus payment (or proof of payment at PayPal) to Birthingway. Here are instructions on How To Make A Payment.

All forms are in PDF format. You need software to read them such as Adobe Reader (Free) or Preview (Pre-installed on all Apple computers).

2014 Spring Registration Packet

Add/Drop Forms

Course Add Form
Course Withdrawal/Drop Form


Independent Study Forms

Independent Study Intent Form

Research Project Forms

If you would like to register for Research Project, please print out all of the following forms. A completed Registration Form for Research Project must be submitted to Birthingway by the first day of the term, otherwise you will be automatically dropped from Research Project.

Registration Form for Research Project
Research Project Guidelines

Midwifery Clinical Training Credit Forms

If this is your first time working with a midwife, and you have not attended our Clinical Training Workshop, please meet with our Faculty Coordinator to discuss your clinical training. You must either attend the workshop or meet with the Faculty and Midwifery Program Coordinators before beginning your clinical training. In addition, you must notify the school of your intent to begin clinical training by completing and submitting the “Intent to Work with a Preceptor” form to the Faculty Coordinator. The preceptor must be approved by Birthingway before you can begin working together.

 

Preceptor Search Questionnaire - MIDWIFERY PROGRAM  - This form is filled out by students who are beginning the preceptor search process.

2014 Spring Clinical Training Credit Registration Form - MIDWIFERY PROGRAM

2014 Winter Clinical Training Credit Registration Form - MIDWIFERY PROGRAM

Additional Preceptor Signature Form - MIDWIFERY PROGRAM

Additional Student Midwife-Client Feedback Form - If you need extra copies.

You need to complete the following forms every term that you register for Clinical Training Credit:
Please read the instructions carefully for information about registering for Clinical Training Credit.

Clinical Training Timesheet - MIDWIFERY PROGRAM  - You are responsible for entering the hours you have worked. At the end of the term, the preceptor must sign off on the time sheets, and then you must turn in the timesheets, showing completion of the minimum number of hours to receive credit.

“Evaluation of Preceptor by Student” form - MIDWIFERY PROGRAM  - This must be completed and turned in at the end of the term to receive credit.

“Evaluation of Student by Preceptor” form - MIDWIFERY PROGRAM  - (evaluation of student by preceptor) This must be completed by your preceptor, and you must turn in by the end of the term to receive credit.

Intent to Begin Clinical Training

Skills Assessment Checklist Packet -  Your preceptor will review the Skills Assessment checklists and update them with dates and preceptor initials. You must fax or turn in a copy of the checklists at the end of the term to receive credit.

If you have any questions about your clinical training, please contact the Midwifery Program Coordinator.

 


Lactation Clinical Training Credit Forms

You need to complete the following forms every term that you register for Clinical Training Credit:
Please read the instructions carefully for information about registering for Clinical Training Credit.

If you wish to register for Lactation Clinical Training Credit with the Birthingway Breastfeeding Center, please contact Lucina Armstrong.

If you wish to take clinical training credits outside the Birthingway Breastfeeding Center, please use the following form:

2014 Spring Lactation Clinical Training Registration Form - LACTATION PROGRAM

2014 Winter Lactation Clinical Training Registration Form - LACTATION PROGRAM

Additional Preceptor Signature Form - LACTATION CONSULTATION PROGRAM

Clinical Training Timesheet - LACTATION CONSULTATION PROGRAM  - You are responsible for entering the hours you have worked. At the end of the term, the preceptor must sign off on the time sheets, and then you must turn in the timesheets, showing completion of the minimum number of hours to receive credit.

“Evaluation of Preceptor by Student” form - LACTATION CONSULTATION PROGRAM  - This must be completed and turned in at the end of the term to receive credit.

“Evaluation of Student by Preceptor” form - LACTATION CONSULTATION PROGRAM  - (evaluation of student by preceptor) This must be completed by your preceptor, and you must turn in by the end of the term to receive credit.

Intent to Begin Clinical Training

Clinical Competencies Checklist

If you have any questions about your clinical training, please contact the Midwifery Program Coordinator.