Work Cover Sheet - A La Carte

Work Cover Sheet - A La Carte
NOTE: Poets must complete one form for each title.

Published anywhere (including your personal website or blog) means published. We handle only unpublished work because editors want FIRST RIGHTS. Please see this article for more information: Click Here.
Name*

First NameLast Name
Email*
example@example.com
Is your work in ready-to-go shape? No further revisions will be accepted.*

YesNo
Would you like to submit your work to our team of professional proofreaders? Add proofreading services for only $.03 per word for prose and $7 per poetry page.

YesNo
Please come back and fill out the form when all of your work is in ready-to-go shape. Thank you.
Title of Work*
Type of Work*
My submission materials for my book are a 1-2 page(s) double-spaced synopsis and 12-14 double-spaced pages totaling no more than 15 pages together.*

Yes, I am submitting a 1-2 page(s) double-spaced synopsis and 12-14 double-spaced pages totalling no more than 15 pages together.No, what I'm submitting does not meet the above-mentioned limits. (Please talk to your strategist regarding the difference between what is requested here and what you are submitting.)
All poems must be submitted today.*

All of my poems will be submitted today.Some of my poems will be submitted today.
Please come back and complete this form when ALL of your poems are ready to submit on the same day. Thank you.
Please Specify The Type Of Poem*
Other - Please Specify The Type Of Poem*
Page Count*
Word Count*
Line Count*
Description of Work*
Please write a 1-3-sentence description of this piece (synopsis), give us your impression of the story/writing, any other comments you feel will help us place this story. For poetry, one or two words will suffice.
Have you previously submitted this work elsewhere?*

YesNo
Please enter all journals, agent, and agency names where you have previously submitted your work to below. Make sure for Literary Agents to list the NAME of the Agent and the AGENCY NAME.*
Has this work been published? (online or in print)*

YesNo
All short stories, essays, and poems submitted to Writer's Relief MUST be unpublished!
Contains Adult Language?*

YesNo
Contains Adult Subject Matter? (rape, violence, incest, family violence, assault, animal cruelty, racism, and erotica/sex)*

YesNo
If contains Adult Subject Matter please specify:
Specific State/Country referenced in the work:
Specify Religion and/or Ethnicity/Race referenced in the work:
Indicate appropriate topics that capture the overall theme of work. Please pick at least three topics.*

AdventureCOVID-19Dark Subject MatterDeath/DyingExperimentalFantasyGay - LGBTQIA themesHistoricalHorrorHumorMainstream/ContemporaryMemoirMysteryNatureOccult/SupernaturalPhilosophyPoetry - LyricalPoetry NarrativePoliticsPop CultureProtagonist - FemaleProtagonist - MalePsychologyRomance - Genre (think Harlequin)Science FictionSexSlice of LifeSocial IssuesSurrealThrillerViolenceWestern
Describe emotions.
Describe health issues.
Describe relationship dynamics.
Other topics not covered above.
Submit Your Work*

Upload File NowFile Already Sent - Not Applicable (If you've already sent us your work, no need to attach it here.)
Upload File Now*

Please upload your poem / short story / essay here in *.docx format.
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Upload File Now*

Please upload the first 12-14 double-spaced pages (depending on how long your synopsis is) here in *.docx format. The total number of pages for both documents should be 15.
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Upload File Now*

Please upload a 1-2 page (double spaced) synopsis of your book in *.docx format to be sent along with your query pages to literary agents.
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