Freelancer Directory Sign-Up for Disability in Publishing

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form is for individuals who identify as being a person with disabilities (including neurodiversity) and are interested in being considered for freelance/work-for-hire opportunities. Respondents will be added to the Disability in Publishing Freelancer database at www.disabilityinpublishing.com (set to launch in early Spring 2022).

Email *

Name *

Would you like your photo to be included? *

Yes

If so, please include a url/link address that points to an image to use as your profile image. This must be a headshot.

The photo must be downloadable as a jpg, gif, or png file. If you cannot do this, please email us the image at disabilityinpublishing@gmail.com with your name and 'headshot' in the subject.

What services do you provide? *

If you provide sensitivity reads on certain disabilities, please list them:

Please provide either a link to a website with contact details or an email address where you can be reached by individuals who are interested in your services *

Acknowledgement *

I acknowledge that Disability in Publishing reserves the right to exclude/remove anyone from the database at any time.

Required

Subscribe to our general email newsletter (optional)

If you'd like to subscribe to our general email newsletter, sign up here: http://eepurl.com/hR_UEL

Comment/Questions?

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms