eSports Submission | The Simmons Sports Management Group, LLC

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eSPORTS SUBMISSION FORM

Please complete the secure online survey below.

Let Us Get to Know You

First Name*

Last name*

Your email*

Phone*

Mailing Address*

Date of Birth*

Grad Year*

NCAA ID Number

GPA*

Class Rank

SAT Score

ACT Score

Current/Entended Major

Father's Name*

Father's Email*

Father's Phone*

Father's Alma Mater

Mother's Name*

Mother's Email*

Mother's Phone*

Mother's Alma Mater

Preferred Game Type*

First-Person Shooter

Real-Time Strategy

Turn-Based Strategy

Massive Multiplayer Online

Preferred Focus*

Personal Player Statistics

Achievements

Gameplay Objectives

Skill Level*

Rookie

Intermediate

Advanced

Average Number of Hours Gaming per Week?*

Best Gaming Accomplishment thus far?*