Media Credential

UHSAA Media Credential Request Form

Media Credential Request

Headshots are required to be uploaded. 5mb max, image must be JPG or PNG

Media Outlet

Mailing Address

City

State

Website

Editor's Email Address

Notes/Instructions on where to mail credentials if different from address above

I agree to the terms and conditions (check box)

Name of Credentialed Person

Email address *

Position *

Upload Headshot (5MB size limit; Square dimension recommended)

Only JPG and PNG files accepted

Directions: Select the 'Upload Photo' button and then choose the picture to upload. Then click the yellow 'upload file' button. Once the progress bar shows 100% and all the above fields have been filled out, press the submit button. After submitting you may press the back button to request another credential.

Upload Photo