Media Application Name(Required) First Last Phone(Required)Email(Required) Enter Email Confirm Email Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Name of media organization(Required) Position or Title(Required) Type of Media(Required) Photos Videos Drone Other Select all that apply.Other Media Type List of previous publications / websites / social media channels(Required)Upload Work Samples(Required) Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 50 MB, Max. files: 10. Include at least 5 samples of your work. Please agree to the following:(Required) I agree to be interviewed by an APEX Idaho official to verify credentials. I agree to have my issued pink APEX Idaho Hi-Vis vest on at all times, and only enter and exit the track when it is appropriate and safe to do so. I understand I must maintain a level of professionalism, and respect of others and the track. I agree to attend ALL media meetings ON TIME. If accepted, I agree to provide APEX Idaho with at least an entry fee's worth of media via Google Drive upload, within one week of an event's end. When posting to social media I agree to tag @apex_idaho on Instagram, and APEX Idaho on Facebook. I understand my media privileges can be revoked at any time for any reason. Emergency Contact(Required) First Last Emergency Contact Phone(Required)CAPTCHANameThis field is for validation purposes and should be left unchanged. Δ