Media Credential Request Form

Media Credential Request Form

(Fall 2026-27)

A. Contact Information

Event: *

Golf
Swimming Week 1
Swimming Week 2

Your Name: *

Title: *

Media Agency: *

Type of Media: *

Magazine

Radio Station

Specialty Publication

TV Station

Website/Internet

Weekly Newspaper

Out-of-State Media

Phone Number: *

Business Address:

Street Address

Street Address Line 2

City

State

Postal / Zip Code

Website Address: *

Email: *

Gender: *

Name of School You Wish to Cover: *

Name of Requestee #1: *

Position of Requestee #1: *

Reporter - Staff

Reporter - Stringer

Photographer - Staff

Photographer - Freelance

Videographer - Staff

Videographer - Freelance

Name of Requestee #2:

Position of Requestee #2:

Reporter - Staff

Reporter - Stringer

Photographer - Staff

Photographer - Freelance

Videographer - Staff

Videographer - Freelance

+ Add Requestee - Remove Requestee