Join or Update your PNSW profile

To be included on this registery, you must have graduated from the Perinatal Support Worker Program or be working through the experiential component of your registration. To add your name or update your profile, please complete the form below.

It is important you keep watch of your page to ensure all documents are updated so you remain in "Active Status".

Please submit all required documents

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Please select the closest statement *

I have completed my in class PNSW program and working on my experiential hours. I have graduated from the PNSW program.

What year did you start your experiential or graduate from the program? *

Upload your Vulnerable Sector Police Check *

Max file size: 20MB

Upload your $2 million liability insurance (Insurance must indicate Perinatal Support Worker on it) *

Max file size: 20MB

Upload your CPR-C *

Max file size: 20MB

Upload a recent headshot (this is to protect your identity) *

Max file size: 20MB

Comments or questions *

I understand that filing this request does not guarantee my acceptance onto the registry. Once your submission has been reviewed, someone from our team will be in touch via email. *

I understand

Submit