Please use this form to apply for Eudēmonia media credentials. If you are part of a team, each individual on your team needs to fill out this form. Once submitted, your information will be reviewed and you will receive an email about next steps. Thanks, and to life well lived.
Name
*
First Name
Last Name
Email
*
example@example.com
What is the best phone number to reach you at?
*
Please enter a valid phone number.
Format: (000) 000-0000.
What is your professional title?
*
Enter here
Which media company are you writing for?
*
Enter here
What is their website?
*
Please share information about your media outlet(s) and audience.
*
Please provide details of your planned coverage.
*
Do you have a confirmed assignment for the article or video you are planning?
*
Yes
No
Please select media types your article/video likely will appear in (click all that apply):
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Print
Online
Broadcast
Social
Other
Will you be bringing any video, photography, or recording equipment?
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Yes
No
If yes, please list out all equipment in detail here:
Will you require space in the media room to conduct interviews?
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Yes
No
If yes, please specify interview form (audio recording, video recording, etc.)
How many days will you plan to be in attendance?
*
Friday, Nov 14
Saturday, Nov 15
Sunday, Nov 16
Do you give authorization for the media team to share your information with speakers, brands, partners for media opportunities?
*
Yes
No
Submit
Should be Empty: