Indiana Tech Esports
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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
*
Date Format: 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 Info
Highest Rank Achieved
Bronze
Silver
Gold
Platinum
Diamond
Master
Grandmaster
Battle Tag
*
Hearthstone Info
Highest Rank Achieved
*
Battle Tag
*
LoL Info
Summoner 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
*
, B.S.
Accounting, A.S.
Accounting, B.S.
Biology, B.S.
Biomedical Engineering, B.S.
Bus. Admin. - Business Communication, B.S.
Bus. Admin. - Entrepreneurial Studies, B.S.
Bus. Admin. - Financial Services, B.S.
Bus. Admin. - Health Care Admin., B.S.
Bus. Admin. - Human Resources, B.S.
Bus. Admin. - Management, A.S.
Bus. Admin. - Management, B.S.
Bus. Admin. - Management Info. Systems, B.S.
Bus. Admin. - Marketing, B.S.
Bus. Admin. - Production Mgmt., A.S.
Child Development, B.S.
Communication, B.A.
Computer Engineering, B.S.
Computer Science, B.A.
Computer Science, B.S.
Criminal Justice, A.S.
Criminal Justice, B.S.
Criminal Justice - Administration, B.S.
Criminal Justice - Crime Analysis, 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.
Energy Engineering, B.S.
Exercise Science, B.S.
Fashion Marketing & Mgmt., B.S.
Fitness and Recreation, B.S.
Forensic Science, B.S.
General Studies, A.S.
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.
Mechanical Engineering, B.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 Management, A.S.
Recreation Therapy, B.S.
Software Engineering, B.S.
Software Engineering - Gaming, B.S.
Software Engineering - Systems, B.S.
Web Design, A.S.
Web Development, B.S.
Academic Honors
Class 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?
Date Format: 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?
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First Choice
Second Choice
Third Choice