Esports Recruiting Form Returning Wiley Students

Classification entering the Fall *

Sophomore Junior Senior Graduate Student

ZIP Code *

Email address *

Cell Phone Number *

Address 2

City *

Address 1 *

Last name *

State *

First name *

SOCIAL MEDIA

X (Twitter)

Twitch

YouTube

TikTok

PERSONAL

Date of Birth

Father's Name

Father's Phone

Father's Email

Father's Occupation

Mother's Name

Mother's Phone

Mother's Email

Mother's Occupation

SCHOLASTIC INFORMATION

High School

High School Phone

Graduation Date

GPA

Class Rank

ACT

SAT

Intended Major

PREVIOUS COLLEGE INFORMATION

College Name

GPA

Hours Passed

Years of Eligibility Left

SPORTS

GAMING/IN-GAME METRICS

Primary Game Title

League of Legends, Valorant, Rocket League, Overwatch 2, Super Smash Bros, etc.

In-Game Name (IGN)/Gamer Tag

Include Riot ID, Discord ID, Steam ID, Battle.net Tag, Epic ID etc.

Current Rank/Skill Rating (SR)

e.g., Diamond, Radiant, Grandmaster

Peak Rank/Highest Achieved Rank

Include what season and act

Primary Competitive Role/Position

e.g., IGL/In-Game Leader, Main Tank, Flex, Jungler, Anchor

Secondary Role/Comfort Characters

List of main agents, champions or heroes

COMPETITIVE EXPERIENCE

Do you have organized team experience?

Yes No

If yes, please list past teams and organizations:

High school leagues, amateur teams, VOD review groups

Notable Tournament Achievements:

LAN events, online tournaments, high school leagues like NASEF or PlayVS

Link to Tracker Profile

e.g., Tracker.gg, OP.gg

Link to Gameplay VOD/Highlights

ATHLETIC INFORMATION

HS/College Coach

HS/College Phone

HS/College Email

Position(s)

Athletic and Academic Awards

Questions/Comments

Enter statistics or any additional information you would like the coaching staff to know.

HARDWARE & TECHNICAL SPECS

Primary Playing Platform

PC, PlayStation, XBox, Nintendo Switch, etc.

Internet Connection Type

Ethernet Wi-Fi

CHARACTER, MOTIVATION & CULTURE FIT

Why do you want to join Wiley University's Esports program?

How do you handle, tilt, losses or constructive criticism from a coach?

What are your goals in esports?

e.g., Go Pro, work in esports production, use it to fund your degree, build a community

Are you willing to commit to mandatory practices, physical fitness/wellness sessions and academic study hours?

Yes No

* required field