Crisis Fund

photos courtesy of Rob Goldman www.rgoldman.com

LIDA "Families in Crisis Fund"

In an effort to support families in crisis, LIDA is proud to announce we are in the initial stages of establishing a "Families in Crisis Fund" to help support families with a serious illness, death, natural disaster, single or teen mothers and women suffering from postpartum depression who have an accompanying financial hardship.

If you are interested in making a tax deductible donation to the "Families in Crisis Fund" please mail it to:

Long Island Doula Association, Inc.
112 Jefferson Street
East Islip, NY 11730
(Make checks payable to Long Island Doula Association, Inc.)

To pay through paypal, just click on the "Donate" button and enter the amount of your donation. If a contribution is made on behalf on someone....please make a note of this in the comments so we can send them a card informing them of your generous donation in their name.

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Notice: LIDA, Inc. is a not-for-profit corporation whose purpose is to promote the mutual advancement of the interests of it's members who may be, but are not required to be doulas. As such, LIDA, Inc., cannot and does not accept any responsibility for the individual conduct of it's members and any contracts between a member and her cllient are exclusive to the member and her client.

Contact u at info@lidoulas.com for information on our association, our mission, or our crisis fund. Please e-mail or call members directly onour "member lists" to discuss specific services.

If you feel you are in need of a Labor or Postpartum doula, Childbirth Educator or Breastfeeding specialist but don't have the resources to afford one, please fill out our "Families in Crisis" Application below. All information is kept strictly confidential and is for the sole purpose of qualifying applicants.

Familes in Crisis Fund Application

Name
Street Address
City,State, Zip code
Phone Number with area code
Your date of birth
e-mail address
Baby's due date:
How did you hear of "Families in Crisis?
Single Mother? Yes or No?
Teen Mom? Yes or No?
Have you or your partner been diagnosed with a sudden debilitating illness? Yes or No?
Has there been a sudden death or either the new mother or father/partner? Yes or No?
Have you recently received a diagnosis of postpartum depression, post-traumatic stress disorder or postpartum/antipartum anxiety disorder? Yes or No?
Has your partner been or will he/she be deployed for military purposes? Yes or No?
Have you or your partner recently been laid off? Yes or No?
How much severance are you being awarded?
How much is your unemployment?
How much is your disability?
Is your household income less than $60,000 a year? Yes or No?
Is your household income less than $40,000 a year? Yes or No?
Are you receiving Alimony, Child Support?
Are you receiving any other financial support? If so, please explain.
Are you receiving social services? WIC, Disability, Welfare, etc. Yes or No?
Please explain social services received
Do you own a home? Yes or No?
Do you own more than one home? Yes or No?
What is your monthly mortgage/rental payment?
How much do you have in savings?
How much money do you currently have in investments?
Please list other personal assests (boats, rv, etc.)
What are you living arrangements? (live with parents, friends?)
Are you seeking the help of a labor support doula? Yes or No?
If yes, where are you giving birth?
Will anyone else be accompanying you at the birth? Yes or No?
If yes, please state relationship
Are you seeking the help of a postpartum doula? Yes or No?
Is there any other information you would like us to consider in regards to your request for assistance?
By submitting this application you attest that all information is accurate and truthful to the best of your knowledge. If found otherwise, you are subject to disqualification. Any questions, please contact LIDA at info@lidoulas.com or call 631-574-2205

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