Media Credential Request Form

Thank you for your interest in covering a CrossState Credit Union Association event. To ensure a smooth experience and maintain the integrity of our event, all members of the media must complete this form and receive approval prior to attending. Approved media will receive confirmation and on-site access guidelines via email.

Contact Information

Your Name(Required)

First Last

Your Name(Required)

First Last

Your Name(Required)

First Last

Title/Role(Required)

Media Outlet / Organization Name(Required)

Type of Outlet (check one)(Required)

Online

Radio

Television

Podcast

Other

Email(Required)

Phone(Required)

Website or Portfolio Link

Coverage Plans

Which event are requesting to attend?

What are the dates you plan to attend?

What are your coverage goals for this event? (e.g., story topics, interviews, sessions of interest)(Required)

Do you plan to photograph, film, or record during the event?(Required)

Are there specific speakers or attendees you'd like to request an interview with? (Note: Interview availability is not guaranteed.)

Have you ever covered a CrossState or credit union-related event before?(Required)

Yes

If yes, please describe briefly.