Esports Recruit Questionnaire

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Email address *

First name *

Last name *

Address 1 *

City *

State *

ZIP Code *

Cell Phone Number *

Date of Birth:

High School Information

High School Name:

City:

State:

Zip Code:

Graduation Date:

GPA (Grade Point Average):

Area of Academic Interest:

Have you attended another college:

Yes No

Have you completed an application for admission to Florida State College at Jacksonville

Yes No

Athletic Information

Primary Game:

Rank:

Secondary Game:

Rank:

Athletic Achievements:

Academic Achievements:

Link to Twitch Profile (if applicable)

Discord Profile Name:

* required field