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Esports Interest Form
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Interested in Intercollegiate Athletics at Wake Tech?
Please complete the sections below that pertain to you.
Contact Information:
Email address *
First name *
Last name *
Address 1 *
Address 2
City *
State *
ZIP Code *
Cell Phone Number *
Date of Birth (MM/DD/YY): *
Are you an international or F-1 student? *
Yes
No
Academic Information:
High School Name: *
High School Graduation Date: *
Current High School GPA:
Have you applied to Wake Tech? *
Yes
No
Wake Tech ID number (if applicable):
Anticipated College Major:
Student Type: *
First Time in College
Transfer
Other
Game Information:
Game(s) Played: *
Not all games will be offered by Wake Tech.
Overwatch
League of Legends
Rocket League
Hearthstone
Super Smash Bros. (Nintendo Switch)
FIFA (Playstation)
Madden NFL (Playstation)
Other Games Played Not Listed Above:
Please provide your in game name tag (example: blizzard#1234) *
Please include player names and the game associated.
Please list highest rank achieved in the last three months, game, and main role.
Please include rankings, game name, and positions played.
How did you hear about Wake Tech Esports?
Gender:
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Female
List any other information you would like to share with Wake Tech Coaching Staff:
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