Media AccreditationApply for media accreditation (* denotes a required field) You must have JavaScript enabled to use this form.Indicates required field Type of Credential on-site virtualNote: Applications for on-site attendance that are not approved will automatically be considered for virtual accreditation.The following as it appears on official photo identification:First (Given) NameLast (Family) NameDate of birth (Day/Month/Year)Country of ResidenceState/Province/Region (if applicable) Contact and InformationMedia Organization NameIf you are a freelancer, please enter “Freelance” and list organizations where you contribute.Media Organization Website (if applicable) Job TitleEmail AddressConfirm Email AddressMobile Phone NumberLink to Social Media AccountsLanguage PreferenceIndicate your preferred language. e.g., English, French, Spanish, Portuguese, etc.Dietary RestrictionsDietary restrictions Dairy Free Gluten Free Kosher Vegan Vegetarian Other (please indicate below) I do not have any dietary needsOtherSpecial AccommodationsSpecial Accommodations Auditory Mobility Visual Other (please indicate below)Pursuant to the Americans with Disabilities Act, I require specific aids or service at the event location. Please indicate type of need(s).OtherI acknowledge and agree that RHRN Global Climate Summit media credentials (on-site and virtual) are not transferable. YesI acknowledge and agree that all work I produce at RHRN Global Climate Summit will be for non-commercial editorial purposes only. YesI acknowledge and agree to not publish embargoed information related to news at RHRN Global Climate Summit before the conference media embargo is lifted. YesI understand that the University of Colorado Boulder media relations office reserves the right to revoke credentials for unprofessional or unethical behavior that doesn't adhere to journalistic standards. Yes