Work Cover Sheet - Full Service NOTE: Poets must complete one form for each title. Name* First Last Email* Enter Email Confirm Email Title of Work*Type of Work*Book - FictionBook - MG/YABook - Narrative NonfictionBook - Other NonfictionEssayPoemShort StoryPlease Specify The Type Of Poem*Free VerseForm PoetryProse PoemOtherOther - Please Specify The Type Of Poem*If you selected "Other" above, please specify the type of poem your are submitting in the space below.Page Count*Please enter a value between 1 and 1000.Word Count*Please enter a value between 1 and 150000.Line Count*Please enter a value between 1 and 99.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?*YesNoIf so, please let us know where and when:*Click the plus sign at the end of the line to add more journals. Contains Adult Language or Subject Matter?*YesNoSpecify State/Country:Specify Religion and/or Ethnicity:Indicate appropriate topics that capture the overall theme of work.*Please pick at least three topics. Adventure Dark Subject Matter Death/Dying Experimental Fantasy Gay - LGBTQIA themes Historical Horror Humor Mainstream/Contemporary Memoir Mystery Nature Occult/Supernatural Philosophy Poetry - Lyrical Poetry - Narrative Pop Culture Protagonist - Female Protagonist - Male Psychology Romance - Genre (think Harlequin) Science Fiction Sex Slice of Life Social Issues Surreal Thriller Violence Western Describe emotions.Describe health issues.Describe relationship dynamics.Other topics not covered above. Submit Your Work*Please choose an option below.Upload File NowFile Already Sent - Not Applicable (If you've already sent us your work, no need to attach it here.)Upload File Now*Accepted file types: doc, docx, rtf, txt.