Recruitment ESports Interest Form Step 1 of 4 - Personal Info 25% Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Phone*Date of Birth* MM slash DD slash YYYY Parent/Guardian Name Second Parent/Guardian Name What team are you interested in?* Hearthstone League of Legends Overwatch Media Streaming Team Overwatch InfoHighest Rank Achieved Bronze Silver Gold Platinum Diamond Master Grandmaster Battle Tag* Hearthstone InfoHighest Rank Achieved* Battle Tag* LoL InfoSummoner Name Current Rank Diamond Platinum Gold Silver Bronze Primary Role Top Mid Jungle Support ADC Secondary Roles Top Mid Jungle Support ADC High School Name* College Name (if applicable) High School Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code High School Phone High School Graduation Year* High School GPA* College GPA (if applicable) Intended Major*Accounting, A.S.Accounting, B.S.Biology, B.S.Biomedical Engineering, B.S.Business Administration - Business Communication, B.S.Business Administration - Construction Management, B.S.Business Administration - Entrepreneurial Studies, B.S.Business Administration - Financial Services, B.S.Business Administration - Health Care Admin., B.S.Business Administration - Human Resources, B.S.Business Administration - Insurtech, B.S.Business Administration - Management, A.S.Business Administration - Management, B.S.Business Administration - Management Info. Systems, B.S.Business Administration - Production Mgmt., A.S.Child Development, B.S.Communication - Journalism & Broadcasting, B.A.Communication - Sports Media, B.A.Computer Engineering, B.S.Computer Science, B.A.Computer Science, B.S.Criminal Justice, A.S.Criminal Justice, B.S.Criminal Justice - Rehabilitative Services, B.S.Cybersecurity, B.S.Digital Graphics & Design, A.S.Digital Graphics & Design, B.S.Electrical Engineering, B.S.Electrical Engineering Technology, A.S.Emergency Response Management, B.S.Exercise Science, B.S.Fitness and Recreation, B.S.Forensic Science, B.S.General Studies, A.S.General Studies, B.A.Health Information Management, B.S.Health Information Technology, A.S.Health Science, B.S.Human Services, B.S.Industrial Manufacturing Engineering, A.S.Industrial Manufacturing Engineering, B.S.Information Systems, B.A.Information Systems, B.S.Information Technology, A.S.Marketing, B.S.Mechanical Engineering, B.S.Mechanical Engineering Technology, A.S.Mechanical Engineering Technology, B.S.Network Engineering, B.S.Network Management, A.S.Organizational Leadership, B.S.Pre-Law, B.S.Psychology, B.S.Recreation Therapy, B.S.Software Engineering, B.S.Software Engineering - Gaming, B.S.Software Engineering - Systems, B.S.Sport Management, B.S.Supply Chain Management - Data Analytics, B.S.Supply Chain Management - Quality Management, B.S.Web Development, B.S.Academic HonorsClass Rank (x of x) SAT Score (Verbal and Math) ACT Score (Verbal and Math) Do you plan to take either test again? Yes No Please indicate which test will you retake. SAT ACT Both When are you planning on retaking it? MM slash DD slash YYYY Do you intend to apply for financial aid? Yes No Have you filed for FAFSA? Yes No Have you applied for admission at Indiana Tech?* Yes No Would you like to schedule a visit? Yes No What other colleges you are interested in?If there are more than one, please separate them using a comma.How did you hear about Indiana Tech eSports? Untitled First Choice Second Choice Third Choice