Midwives Alliance of Pennsylvania Membership Form

Please use this form to join MAP. If you have any questions please feel free to contact: Nicole Schwartz or Alison Cutts.
    Please check as many as apply.

  • Membership Information

  • An invoice for your membership dues will be generated from the information you provide in this section.
    You can check more than one "Yes" box if you provide both midwifery and supportive services.
  • This can include a specific region, key cities, towns and/or countries.
    This is used to determine which Region you are organized with. We are not strict about Regions. Please choose the area that you feel most comfortable with.
    You may choose more than one

  • Administrative Information and Preferences

    There are times when a membership wide vote must be taken (votes on Govering Council officers, approval of Practice Guidelines, and support of legislation). Please choose which method of voting you'd prefer to utilize. This can be changed in the future by contacting a member of the Governing Council.
    We'd like to keep all members up to date with events, legislative updates, and other items of interest.
    Regional Represenatives are volunteer leaders that take responsibility for organizing the members in their geographic Region.
    This is a member-only Google group/email listserv. Use the "Other" response if you'd like to join using an email that is different from what what is provided on the membership form. A space is provided below for your alternate address.
  • This is a member-only, closed Facebook group. If you are interested in joining, please provide your Facebook ID/Name so an invitation can be generated for you.
 

Comments are closed.