Student Application for Enrollment with Transfer of Previous Work

Complete and submit the following application form. Once you click 'Submit,' follow the prompts to submit your $250 application fee through our website. Once we receive your application form and $250 application fee, you will be contacted by e-mail to schedule an admissions interview with one of our Administrative staff. We look forward to speaking with you! 

Name *
Name
Address *
Address
Phone *
Phone
http://
Have you attended Heart & Hands Intensives with Elizabeth Davis? *
If you have completed Beginning/Intermediate Heart & Hands, please enter your date of completion below.
If you have completed Beginning/Intermediate Heart & Hands, please enter your date of completion below.
If you have completed Advanced Heart & Hands, please enter your date of completion below.
If you have completed Advanced Heart & Hands, please enter your date of completion below.
Prior academic experience
An official high school transcript or equivalent, sent directly from the granting institution, is required to complete enrollment. Please request that your transcript be sent directly to NMI, PO Box 128 Bristol VT 05443.
Are you currently enrolled in a midwifery school or program? *
For each completed midwifery course (or course within a midwifery curriculum) that you intend to transfer to NMI, please provide the following in addition to the names, locations and dates entered below: 1) A working copy of your transcript (PLUS an official transcript sent directly from the midwifery program to NMI, PO Box 128, Bristol VT 05443, or nmioffice@nationalmidwiferyinstitute.com; 2) Course descriptions from the school, and; 3) Learning objectives for courses completed.
Have you previously completed midwifery course work or instruction with a midwifery school or program? *
For each completed midwifery course (or course within a midwifery curriculum) that you intend to transfer to NMI, please provide the following in addition to the names, locations and dates entered below: 1) A working copy of your transcript (PLUS an official transcript sent directly from the midwifery program to NMI, PO Box 128, Bristol VT 05443, or nmioffice@nationalmidwiferyinstitute.com; 2) Course descriptions from the school, and; 3) Learning objectives for courses completed.
Previous clinical experience
For all previous clinical experience documentation, please submit by mail to NMI, PO Box 128, Bristol VT 05443. To be counted, each clinical experience must be signed for by a qualified supervising preceptor. Contact NMI at nmioffice@nationalmidwiferyinstitute.com for forms and answers to questions about documenting experience obtained prior to enrollment.
Births attended with clients for whom the apprentice provided at least one prenatal visit in a primary or assisting role, and supervised student primary birth.
Births attended with clients for whom the apprentice provided at least 5 supervised student primary prenatal visits spanning 2 trimesters, supervised student primary birth, supervised student primary newborn exam performed within 12 hours of the birth, and 2 supervised student primary postpartum exams occurring between 24 hours and 6 weeks following birth.
Other questions