ESPORTS Prospect Form
Email
Secondary Email
There are errors with your form submission. Please review and submit again
First Name: *
Last Name: *
Email address *
Address: *
City: *
State: *
Zip: *
I am a: *
Current CCC student
Prospective High school student
Prospective Transfer Student
If you are a CCC Student, what is your primary location? *
Columbus
Grand Island
Hastings
Kearney
Online
High School: *
Graduation Year: *
Games you play: *
What level of eSports are you interested in competing? *
Competitive
Semi-competitive
Non-competitive (recreational)
Unsure
Do you own a PC/Console: *
Yes
No
If yes, identify what PC/Console you own:
Have you ever been on an eSports team or competed in an ESPORTS tournament? *
Yes
No
Coach:
Coach email:
Coach Phone Number:
Have you ever streamed your gameplay or watched other people stream their gameplay (i.e. Twitter, Mixer, Facebook, YouTube, etc.) *
Yes
No
If yes, please explain:
Video Link:
List highest matchmaking rank achieved within the games you play: (For example, Gold-Overwatch)
Athletic honors, Accomplishments, awards:
Comments:
Submit
* required field