Brilliant Breakthrough Session with Dr. Amin

Please fill out this application for a complimentary Brilliant Breakthrough Session with Dr. Amin. Brilliant Breakthrough Sessions are complimentary, used to assess suitability for ongoing work and reserved for serious consideration only. Please complete the application below to be considered and expect a response within 24 – 48 business hours.

Name *

Preferred Pronouns *

Email *

What is your current status in higher education? *

*If you selected Other please describe your status in the box below

What successes or career highlights have you had in higher education so far? How do you feel about your accomplishments? *

Currently what are the biggest challenges facing your higher education career? *

How much have you invested to solve these challenges? What were your results? *

On a scale of 1 to 10, with 1 meaning not committed and 10 being ready to commit right now, where do you stand on solving your particular career challenges? *

Assuming you had a magic wand, what would you wish for in your higher education career right now? *

Assuming you are provided a solution that works for your career aspirations, where do you stand with funds to invest? *

I am ready and can do so comfortably
I will do whatever it takes to make it happen now
I am all tapped out funds

When it comes to investing in yourself, do you have to consult a partner or spouse? *

No, I can make investment and commitment decisions without a spouse or partner's consent.
Yes, I need to consult my partner/spouse before I can make decisions about my personal and professional development.

If you are selected to work with Dr. Amin through Black Girl Brilliance. LLC., will you be using personal funds or institutional (college/university) funds to invest in your career at this time? *

Personal funds
Institutional funds *

* If you will be using institutional (college/university) funds to invest in your career at this time, what stage are you in with securing those funds?

* If you selected "other" please share any relevant additional information regarding your status with securing resources to invest in your career at this time:

Complimentary Calls last about 45-60mins. Can you make time within the next 48 hours to speak by phone, if your application looks like a good fit for a complimentary call? *

Name