Cotton Babies Educator Program Application

Cotton Babies is proud to support mothering professionals who work with parents or young children, such as nurses, midwives, physicians, baby wearing educators, IBCLC educators, social workers, birth and postpartum doulas. If you are a mothering professional and would like to participate in our referral program, we have a variety of resources and opportunities for you. Please take a few minutes to complete this application.

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* 1. Contact Information

Name *

Company

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Phone Number *

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* 2. Do you have a website?

URL

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* 3. What is your area(s) of expertise? Please select all that apply

Birth and Postpartum Doula

Midwife

Nurse

Doctor

Babywearing Educator

IBCLC Educators

Social Worker

I am not a professional, but I am actively teaching my friends about cloth diapers. I am interested in knowing more about the educators program.

Other (please specify)

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* 4. Is your business for profit or non-profit?

for profit

non-profit

Other (please specify)

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* 5. Does your business operate in states other than the address listed above?

Yes

If yes, please specify.

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* 6. Approximately how many clients do you see on an annual basis?

Less than 25

25-50

50-100

101-499

500+

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* 7. Do you sell any retail products through your business?

Yes

If yes, please briefly describe the type of merchandise you offer.

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* 8. Select your knowledge level of cloth diapering

None

I have never used cloth diapers but I general understanding of the benefits

I have cloth diapered my child

I have a lot of knowledge of the types, styles, and options in cloth diapering

I'm a cloth diapering expert! :D

Other (please specify)

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* 9. How likely is it that you would recommend Cotton Babies products to a friend or colleague?

Not at all likely

Extremely likely

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* 10. How likely is it that you would recommend Cotton Babies services to a friend or colleague?

Not at all likely

Extremely likely

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* 11. How do you advertise your services? Please select all that apply.

Word of mouth

Social media

Newsletter

Blog

Local print ads

Local television ads

Local radio ads

Website

None of the above

Other (please specify)

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* 12. Do you have a Facebook page?

Yes, please list your Facebook URL.

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* 13. Do you have an Instagram account?

Yes, Please list your Instagram IDs?

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* 14. Do you have a Twitter account?

Yes, Please list your Twitter IDs?

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* 15. Do you have a blog?

Primary URL

Secondary URL

Additional URL

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* 16. Do you have a vlog?

Primary URL

Secondary URL

Additional URL

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* 17. Would you like to join the Cotton Babies Educator Facebook Group?

Yes

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* 18. Would you like to receive the Cotton Babies Educator newsletter?

Yes

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* 19. Thank you for your interest! We will be in touch in 15 business days.

Submit application.