UCI Esports

FIRST Name

Lived First Name (if different)

MIDDLE Name

LAST Name

Gamer Information:

List your in-game tag for your specified title.

Link to ranked gamer profile (e.g. op.gg, overbuff.com). Please make sure your profile is publicly available. If you have undergone a name change, you should resubmit the form.

Which game would you like to compete in?

League of Legends

Overwatch

Contact Information:

Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Cell Phone Number

By providing your phone number you are opting into receiving marketing and event communications from UC Irvine via SMS. Message and data rates may apply. We will never ask for your personal information by SMS. View UC Irvine’s privacy policies here.

When will you enter college?

I will apply as a:

Would you like information about UCI Undergraduate Admissions?

Yes

No

Student Information:

Gender

Birthdate

List all majors you're interested in.

Primary Major of Interest

Discipline of Interest (optional)

Ethnicity (optional)

School Information:

Current or Last Attended School Name

CEEB Code

This school is a