Esports Interest Form

Interested in Intercollegiate Athletics at Wake Tech?

Please complete the sections below that pertain to you.

ZIP Code *

Email address *

Cell Phone Number *

City *

Address 2

Address 1 *

Last name *

State *

First name *

Date of Birth (MM/DD/YY): *

Are you an international or F-1 student? *

Yes No

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(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:

Male Female

List any other information you would like to share with Wake Tech Coaching Staff:

* required field