Kingdom Shifters Wellness University-Curriculum Development Registration Form
Please fill out the form carefully and as detailed as possible so that we can assist you by giving you the needed tools to activate and build your curriculum
Student Name
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Age
Phone Number
-
Area Code
Phone Number
Student E-mail
example@example.com
What is your time zone?
Marital Status
Single
Married
Divorced
Widowed
Occupation
Employer
What curriculum service are you desiring?
*
60 Minute Consultation($100)
Curriculum Coaching(Fee assessed after consultation)
Copy writer assistance(For help writing the curriculum fees will be assessed after consultation)
Emergency Contact: Please list name, phone, and address
What is the focus of your curriculum?
What is it you desire to achieve through this curriculum?
What age and population of people is the curriculum for?
What has God spoken to you regarding the curriculum vision and purpose?
What challenges are you having with developing the curriculum?
What challenges are you you having with finishing the curriculum?
What are the challenges you are having with implementing your curriculum?
What platforms would you like to utilize for your curriculum?
What are three areas you need to improve on to complete your curriculum?
Do you have samples of your curriculum? If so please provide one here.
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Would you like Assistance with Self-Publishing your work or building your curriculum on a platform?
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