SCRIBE WEBINAR MEMBERSHIP FORM & QUESTIONNAIRE
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 operate in your scribe anointing.
SECTION 1 — PERSONAL INFORMATION
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
Age
Phone Number
-
Area Code
Phone Number
Preferred Contact Method:
Email
Phone
Text
Whatsapp
Student E-mail
example@example.com
What is your time zone?
Marital Status
Single
Married
Divorced
Widowed
Occupation
Employer
Emergency Contact: Please list name, phone, and address
SECTION 2 — SPIRITUAL & WRITING BACKGROUND
Do you feel called by God to write?
Yes
No
Unsure
How long have you sensed this calling?
Have you started writing your book or project?
Not Yet
I've written a little
I'm half way
I finished my draft
I am working on revisions
What type of writing are you working on or drawn to?
Testimony / Memoir
Teaching / Devotional
Fiction / Creative Writing
Marketplace / Business
Not sure yet
Describe your writing experience (beginner, intermediate, seasoned):
SECTION 3 — YOUR GOD-GIVEN ASSIGNMENT
What did God speak to you about writing?
What message, revelation, or theme burns most strongly in your spirit?
What challenges are you having with finishing the book?
Who do you believe your book or writing is assigned to reach?
What transformation do you want your readers to experience?
SECTION 4 — GOALS & EXPECTATIONS
What are your top 3 goals for joining this scribe webinar?
What barriers have kept you from writing or finishing your book?
What do you hope to gain spiritually from this membership or training?
SECTION 5 — COMMITMENT & READINESS
How many hours per week can you dedicate to writing?
Are you willing to be accountable to continued progress?
Yes
No
Do you want mentorship or feedback throughout the process?
Yes
No
Occasionally
Do you consent to receive writing resources, encouragement, and scribe-related updates?
Yes
No
SECTION 6 — FINAL REFLECTION
In one sentence, describe why THIS is your season to write
What is your prayer request for this writing journey?
Would you like Assistance with Self-Publishing your work?
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Tier 1
$
197.00
2 hour live masterclass session, workbook download, and replay recording.
Quantity
1
2
3
4
5
6
7
8
9
10
Tier 2
$
797.00
Tier 2 Elite Author Accelerator 2-hour Masterclass, recording plus a 1:1 – 120 minute Scribe Mastery Coaching Session (need to occur within 60 days of the Masterclass or forfeit the session) A focused, high-impact session with real-time strategy, personalized feedback, live brainstorming, and clarity-building guidance—plus a customized Book Map or Chapter Blueprint provided within 48 hours with a personalized outline, clear writing structure, chapter direction, and a next-steps roadmap to stay on track. Can submit the outline and five pages for feedback.
Total
$
0.00
Credit Card
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