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Esports Questionnaire
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General
Legal First Name
Preferred Name
Last Name
Email Address
Country
Street
City
Region
Postal Code
Cell Phone Number
Date of Birth
Date of Birth
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Citizenship
Afghanistan
Aland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Bassas Da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius, and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos Islands (Keeling Islands)
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Coral Sea Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Europa Island
Falkland Islands (Islas Malvinas)
Faroe Islands
Federated States of Micronesia
Fiji
Finland
Foreign/Unknown
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia, The
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong S.A.R.
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jersey
Jordan
Juan De Nova Island
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau S.A.R.
Macedonia, Republic of North
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle of
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Oman
Pakistan
Palau, the Pacific Islands of
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Svalbard and Jan Mayen
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tromelin Island
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Background
Mother's First Name
Mother's Last Name
Mother Type (HIDDEN)
Brother
Child
Club Coach
Employer
Father
Friend
Guidance Counselor
Legal Guardian
Mother
Other
School Coach
Sister
Spouse
Step-Father
Step-Mother
AAU Coach
Father's First Name
Father's Last Name
Father Type (HIDDEN)
Brother
Child
Club Coach
Employer
Father
Friend
Guidance Counselor
Legal Guardian
Mother
Other
School Coach
Sister
Spouse
Step-Father
Step-Mother
AAU Coach
Academic
When are you interested in attending Heidelberg?
Fall 2024
Fall 2025
Fall 2026
Fall 2027
Fall 2028
Spring 2025
Spring 2026
Spring 2027
Spring 2028
Student Type
Freshman
Transfer
Top Intended Major
Accounting
Acting
Art
Athletics Coaching
Biochemistry
Biology
Business Administration
Chemistry
Communication
Computer Science
Criminology
Cybersecurity
Data Analytics
Education
Engineering
English
Environmental & Watershed Science
Exercise Science
Finance
Gender and Identity Studies
German
Health & Wellness
Health Science
Healthcare Administration
History
Human Resource Management
International Studies
Legal Studies
Literature
Management
Marketing
Media
Music
Music Education
Musical Theatre
Nursing
Philosophy
Political Science
Pre-Athletic Training
Pre-Dentistry
Pre-Law
Pre-Medicine
Pre-Nursing
Pre-Occupational Therapy
Pre-Optometry
Pre-Osteopathy
Pre-Pharmacy
Pre-Physical Therapy
Pre-Physician Assistant
Pre-Podiatry
Pre-Veterinary
Psychology
Sociology
Spanish
Sport Management
Supply Chain Management
Theatre
Theatre Production
Video Game Production
Writing
Undecided
Recruit Type (HIDDEN)
Adult
Traditional
Market Segment (HIDDEN)
Continuing Education Units
Graduate
Undergraduate
High School Name
High School Code (HIDDEN)
Marking High School (HIDDEN)
Graduate
High School
Undergraduate
High School Graduation Year
GPA
Marking College (HIDDEN)
Graduate
High School
Undergraduate
Esports Information
Discord Username
Preferred Gamertag
What game(s) are you interested in competing in? (Select all that apply)
What game(s) are you interested in competing in? (Select all that apply)
League of Legends
Overwatch 2
Rainbow Six Siege
Rocket League
Super Smash Bros. Ultimate
Valorant
Other Esports games you're interested in playing?
League of Legends Roles
League of Legends Roles
Top Lane
Jungle
Mid Lane
ADC
Support
League of Legends Rank
Iron
Bronze
Silver
Gold
Platinum
Diamond
Master
Grandmaster
Challenger
Unranked
Overwatch 2 Roles
Overwatch 2 Roles
Damage
Support
Tank
Overwatch 2 Rank
Bronze
Silver
Gold
Platinum
Diamond
Master
Grandmaster
Top 500
Unranked
Rainbow Six Siege Rank
Copper
Bronze
Silver
Gold
Platinum
Emerald
Diamond
Champion
Unranked
Rocket League Rank
Bronze
Silver
Gold
Platinum
Diamond
Champion
Grand Champion
Supersonic Legend
Unranked
Super Smash Bros. Ultimate: Main Characters Used
Super Smash Bros. Ultimate: Global Smash Power
Valorant Roles
Valorant Roles
Controller
Duelist
Initiator
Sentinel
Valorant Rank
Iron
Bronze
Silver
Gold
Platinum
Diamond
Ascendant
Immortal
Radiant
Unranked
Have you played on a competitive Esports team before?
Have you played on a competitive Esports team before?
Yes
No
Do you have any questions you would like to ask regarding the Heidelberg Esports program?
Esports Code (HIDDEN)
Esports Code (HIDDEN)
Baseball
Basketball
Basketball (M)
Basketball (W)
Cheerleading
Cross Country/Track (M)
Cross Country/Track (W)
Cross Country/Track and Field
Esports
Football
Golf
Golf (M)
Golf (W)
Lacrosse
Lacrosse (M)
Soccer
Soccer (M)
Soccer (W)
Softball
Stunt
Swimming
Swimming (M)
Swimming (W)
Volleyball
Wrestling (M)
Wrestling (W)
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Undergraduate Admission
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