Esports Recruit Questionnaire

Email address *

First name *

Last name *

Address 1 *

Address 2

City *

State *

Cell Phone Number *

Todays Date *

What games do you play? *

Rocket League Overwatch Super Smash Bros Madden Rainbow 6 Siege Valorant CS:GO Hearthstone Other

What platforms do you play on? *

Xbox One PS4 PC Nintendo Switch

Year you will graduate *

GPA *

SAT or ACT score *

High School *

High School Coach/Advisor (if any) *

High School Coach Phone Number / Email (if any): *

Do you live stream? *

Yes No

Do you have Discord? If so, what is your username?

Link to Online Skills Video or Video Clips

Why are you interested in CVCC Esports?

What program/major do you plan to study at CVCC?

* required field

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