Done Dissertation® Velocity Group Coaching Program Application

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Name* This field is required.
First Name
Last Name
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What is your preferred name?* This field is required.
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Email* This field is required.
example@example.com
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Phone Number* This field is required.
Please enter a valid phone number. We will text this number after reviewing your application with next steps.
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What race or ethnicity best describes you? (Please select one)* This field is required.
American Indian or Alaska Native
Asian
Black or African American
Hispanic/Latino/a
Multi-Racial/Multi-Ethnic
Native Hawaiian or Other Pacific Islander
White/Caucasian
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What pronouns do you prefer to use? (e.g., She/Her/Hers, He/Him/His, They/Them/Theirs)
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What is your current affiliation or status with the U.S. Armed Forces?* This field is required.
None/Not Affiliated
Active Duty
Served in Military
Military Dependent
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When did you discover Done Dissertation?* This field is required.
Within the last 30 days
Within the last 60-90 days
Within the last year
I've known you forever!
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How did you find out about the Done Dissertation Velocity Coaching Program?* This field is required.
Referred by Current or Former Velocity Client
Cohort Sistas
LinkedIn
YouTube
Facebook
Instagram
Twitter
Referral
Event/Workshop/Seminar
Other
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What is the name of the current or former Velocity Client that referred you?
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If you selected "other" in the question above please let us know how you found Done Dissertation.
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What is the name of the institution that you will earn your doctorate from?* This field is required.
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What is the primary field of your doctoral program? (e.g., Education, Engineering, Chemistry, American Studies, etc.)* This field is required.
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What type of degree are you currently pursuing?* This field is required.
Doctor of Philosophy (PhD)
Doctor of Education (EdD)
Doctor of Science (DSc, ScD)
Doctor of Engineering or Engineering Science (DEng, DESc, DES)
Doctor of Arts (DA)
Doctor of Business Administration (DBA)
Doctor of Musical Arts (DMA)
Doctor of Design (DDes)
Doctor of Public Health (DPH)
Doctor of Hebrew Letters (DHL)
Doctor of Music Education (DME)
Doctor of Modern Languages (DML)
Doctor of Nursing Science (DNSc)
Doctor of Theology (ThD)
Doctor of Fine Arts (DFA)
Doctor of Juridical Science (JSD, SJD)
Doctor of Sacred Theology (STD)
Doctor of Canon Law (JCD)
Other Degree Type
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If you selected "Other Degree Type" in the previous question please write in your degree type.
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When did you start your doctoral program?* This field is required.
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When do you expect to earn your doctoral degree?* This field is required.
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Where are you in the dissertation process right now?* This field is required.
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
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Do you currently have a dissertation chair?* This field is required.
Yes
No
I will within the next 30 days
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Do you currently have a dissertation committee in place?* This field is required.
Yes
No
I am in the process of forming my committee
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Have you ever attended a Design Your Done Dissertation workshop event?* This field is required.
Yes
No
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When did you start your doctoral program?
Date
Month
Day
Year
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When do you expect to earn your doctoral degree?
Date
Month
Day
Year
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What is the format of your dissertation?
Please Select
Please Select
5 Chapter Dissertation
3 Article Dissertation
Other Dissertation Format
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If you selected "Other Dissertation Format" in the previous question please write in a description of your dissertation format.
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How long have you been working on your dissertation?* This field is required.
Less than 1 year
1 year
2 years
3 years
4 years
5 years
6 or more years
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What is your dissertation topic?* This field is required.
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What is the name of your specific doctoral program?
Please be specific about your degree program and avoid acronyms.
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Where do you believe you need the MOST support in order to finish your dissertation?
Accountability/Motivation to finish
Confidence/Belief in Myself
Community
Finding your academic voice
Academic Writing Support (e.g., structure, chapter feedback, etc.)
Balancing work/life while writing the dissertation
Working with you dissertation chair and/or committee
Understanding the dissertation process
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After finishing your dissertation do you desire to secure a faculty position? (i.e., tenure-track, adjunct/lecturer)* This field is required.
Yes
No
Maybe
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After finishing your dissertation do you desire to build a consulting practice/business?* This field is required.
Yes
No
Maybe
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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)* This field is required.
I have no time
1-2 hours per week
3-4 hours per week
5 or more hours per week
I am unsure but willing to do whatever it takes to make time
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PLEASE PROVIDE AT LEAST ONE OF THE FOLLOWING SOCIAL MEDIA PROFILES BELOW
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Please provide a link to your Linkedln profile. (Note: If you do not have one please type N/A)
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Please provide a link to your Instagram profile. (Note: If you do not have one please type N/A)
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Please provide a link to your Facebook profile. (Note: If you do not have one please type N/A)
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Please provide a link to your Twitter profile. (Note: If you do not have one please type N/A)
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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.
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Date
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Is there any other information that you would like to share to better help us understand your needs?
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Referrer
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In order for your application to be complete please submit a writing sample. Your writing sample can be your dissertation in its current format or a recent class paper.* This field is required.Your submitted document will be used solely for the purpose of evaluating your application to our program. We will not retain a copy of your document beyond the review process, and we claim no rights to the intellectual property contained within your submission.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Your submitted document will be used solely for the purpose of evaluating your application to our program. We will not retain a copy of your document beyond the review process, and we claim no rights to the intellectual property contained within your submission.
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