Done Dissertation® Velocity Group Coaching Program Application

Name*

First NameLast Name

What is your preferred name?*

Email*

example@example.com

Phone Number*

Please enter a valid phone number. We will text this number after reviewing your application.

What race or ethnicity best describes you? (Please select one)*

What pronouns do you prefer to use? (e.g., She/Her/Hers, He/Him/His, They/Them/Theirs)

What is your current affiliation or status with the U.S. Armed Forces?*

When did you discover Done Dissertation?

Within the last 30 daysWithin the last 60-90 daysWithin the last yearI've known you forever!

How did you find out about Done Dissertation?*

If you selected "other" in the question above please let us know how you found Done Dissertation.

Do you currently have a dissertation chair?*

Do you currently have a dissertation committee in place?*

Have you ever attended a Design Your Done Dissertation workshop event?*

What is the name of the institution that you will earn your doctorate from?*

When did you start your doctoral program?*

Date

When do you expect to earn your doctoral degree?*

Date

What type of degree are you currently pursuing?*

If you selected "Other Degree Type" in the previous question please write in your degree type.

What is the primary field of your doctoral program? (e.g., Education, Engineering, Chemistry, American Studies, etc.)*

What is the name of your specific doctoral program?*

Please be specific about your degree program and avoid acronyms.

How long have you been working on your dissertation?*

What is your dissertation topic?*

Where are you in the dissertation process right now?*

Where do you believe you need the MOST support in order to finish your dissertation?*

After finishing your dissertation do you desire to secure a faculty position? (i.e., tenure-track, adjunct/lecturer)*

After finishing your dissertation do you desire to build a consulting practice/business?*

How much time are you prepared to dedicate to all of the tasks required to finish your dissertation? (i.e., reading, writing, corresponding with dissertation committee)*

Are you in a position to invest a minimum of $6,000 in yourself to get the help you need to write and defend your dissertation proposal or final dissertation in the next four months?*

PLEASE PROVIDE AT LEAST ONE OF THE FOLLOWING SOCIAL MEDIA PROFILES BELOW

Please provide a link to your Linkedln profile. (Note: If you do not have one please type N/A)*

Please provide a link to your Instagram profile. (Note: If you do not have one please type N/A)*

Please provide a link to your Facebook profile. (Note: If you do not have one please type N/A)*

Please provide a link to your Twitter profile. (Note: If you do not have one please type N/A)*

Upload Your REQUIRED Writing Sample

Please submit a writing sample (i.e., your dissertation in its current form or class assignment if you are not yet writing your dissertation). This is REQUIRED to have your application reviewed for entry into the Velocity Group Coaching Program.

Submit Your Writing Sample Here!*

Is there any other information that you would like to share to better help us understand your needs?

Date