LIAC Media Credential Request Form
The LIAC requires that journalists be employed by a media organization or a freelance journalist with a strong portfolio of published work to qualify for media credentials.

MEDIA CREDENTIAL REQUESTS MUST BE RECEIVED BY JUNE 7
First Name *
Last Name *
Title
Media Outlet *
Editor
Address
Mobile
Email
Website
Please check all that apply
Important: Are you requesting on-site interviews? If so, with whom?
Who is your primary audience? Please select all that apply
Submit
Never submit passwords through Google Forms.
This form was created inside of The Mansion at Glen Cove. Report Abuse