CU Birth Fund Grant Application

The CU Birth Fund (https://www.cubirthfund.org/) gives grants to pay for doula or homebirth midwife services. This support is offered to pregnant people of color living in East Central Illinois. The fund wants to help make pregnancy and birth safer and more positive for Black, Indigenous, People of Color (BIPOC) families.

Find out how the fund works on our FAQ page.

The CU Birth Fund is a program with Urbana-Champaign Reproductive Justice (UCRJ). Applying does not guarantee you will get the grant. We will review every application and decide based on available funds. We will contact you with a decision or any follow-up questions within two (2) weeks.

Questions? Email cubirthfund@ucrj.org

Please provide the following information to apply for funding assistance:

First name

Last name

Phone

Age

Ethnicity

Race

White

Black or African American

American Indian or Alaska Native

Asian (Chinese, Filipino, Asian Indian, Vietnamese, Korean Japanese, etc.)

Native Hawaiian or Other Pacific Islander (Native Hawaiian, Samoan, Chamorro, etc.)

Other

Zip Code

Please select the county in which you live

Are you pregnant now?

Where will you have your baby?

Hospital

Birth Center

Home

Other

When is your due date?

What help do you need?

Midwifery services

Doula services

Other

Do you already have a doula?

Yes, I have a doula

No, I do not have a doula

Other

If yes, give their name(s) and contact info. (If no, write N/A.)

Would you like help finding a doula and/or midwife? If yes, please describe what you look for in a doula/midwife.

Do you have a doula/midwife in mind? If yes, please include their name and their contact information.

Estimated cost of doula and/or midwifery services (if known).

What services are you seeking help for? (prenatal visits, labor support, postpartum care, etc.)

Do you need support or services in a language besides English? If yes, please specify which language.

Do you need any special help like wheelchair access or sign language, etc? If yes, please explain.

Please share any other information you think is important for us to know (optional).