Velocity Consultation Application

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.Please provide the email that you use most frequently.
example@example.com
3
Phone Number* This field is required.We will use this number to confirm your consultation time.
Please enter a valid phone number.
4
Phone NumberWe will use this number to confirm your consultation time.
Area Code
Phone Number
5
What is the name of the institution you will earn your doctorate from?* This field is required.Please DO NOT use acronyms as many universities share similar acronyms.
6
Where are you in the dissertation process right now?* This field is required.If your program has you writing your dissertation while taking classes please select the answer that best describes what chapter you are working on.
Please Select
Please Select
Recently completed coursework
Working on comprehensive exams
Writing the dissertation proposal (Chapters 1-3)
Completed the dissertation proposal and waiting to defend
Collecting data
Finished collecting data and working on data analysis
Writing Chapters 4 and 5
I have defended my dissertation and want support to turn my dissertation into publications and consulting income
Should be Empty: