Freelance Contractor Application

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Fields marked with an * are required

First Name *

Last Name *

Address 1 *

Address 2

State

Zip / Post Code *

Country

Phone *

Email *

Your website:

Your social media links:

Have you created an account on our Chart House Press website?

I am interested in the following contract positions:

I am interested in working on books in the following genre: (check all that apply)

Do you have a book published under your name (or pen name) now? If so, please give titles, publication date and publisher.

Have you charged for contractor services before? *

Average Hourly Rate (will not be advertised):

What companies have you contracted with before (if any)?

List books you have worked on in the past and describe your contribution to the work:

Reference 1 (name, email, type of reference, work completed together):

Reference 2(name, email, type of reference, work completed together):

Reference 3(name, email, type of reference, work completed together):

Upload Samples, Resume or Any Additional Documents for Consideration