Project Intake Form
Name
First Name
Last Name
Preferred method of contact?
Email
Phone
Text
Other
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What time zone you are in?
Company Name (If Any)
Industry (If any)
Please describe the work you request
What are you trying to achieve?
Please describe your brand (brand language, colors, vision, mission, specific jargon, etc)
Additional Notes
Academic Assignments:
All assignments must be received 10 business days prior to the due date.
Services Requested
*
Current Grade/Degree Level
Institution/School
Course/Subject
Assignment/Project Title
Instructor Requirements
Due Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current Grade or Academic Standing
What type of support are you seeking?
What are you currently working on?
Publications
What have you completed so far?
What are you struggling with?
Required Citation Style
APA
MLA
Chicago
Other
Required Length
Assignment/Project Guidelines
Assignment Instructions/Rubric Attached
Yes
No
Current Draft Attached, if applicable
Yes
No
Not Applicable
Type of Manuscript
Book
E-Book
Children's Book
Memoir
Fiction
Nonfiction
Academic/Scholarly
Other
Working Title
Genre/Topic
Approximate Word Count
Current Stage
Idea/Concept
Outline
Partial Draft
Complete Draft
Editing
Final Manuscript
Previously Published
What type of support do you need?
Have you previously attempted publication?
Yes
No
If yes, please briefly explain
What is your publishing goal?
Please upload any related document here
Browse Files
Drag and drop files here
Choose a file
Similar content, Project information, Competitors, Audience, etc
Cancel
of
Submit
Should be Empty: