Women Deliver 2019 - Media Application
First name *
Last name *
Email *
Have you attended previous Women Deliver conferences while reporting for your current outlet? *
Country of residence *
Country of citizenship *
Job title *
Required
Region you cover *
Required
Are you registering as a representative of a media organization or a community group? *
For media representatives, please fill in your media organization
For community group representatives, please let us know why you are requesting media access and how you plan to cover the conference (i.e. what external-facing outlets will you use)
Country in which media organization or community group operates *
What topics do you typically cover? *
Required
What is the type of outlet? (check all that apply) *
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Please provide links to at least three relevant articles or news pieces with your byline from the last year. *
Please upload a letter of assignment from your editor/news director on organization letter head *
Required
Please upload a photocopy of your press badge *
Required
How did you hear about this opportunity? (less than 100 words) *
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