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? *

What platforms do you play on? *

Check all that apply

Xbox Series X PS4/PS5 Nintendo Switch PC

High School *

High school GPA *

High School Coach/Advisor (if any) *

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

Do you have a high school diploma or GED? *

Yes No

Are you a full-time student at CVCC (12 hours or more)? *

Yes No

If so, what is your CVCC student ID number? *

What program/major are you planning to study or are studying at CVCC?

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?

* required field

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