Esports - Get Involved

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Salem State Email Address *

Salem State Affiliation: *

Student

Employee (Faculty/Staff/Administrator)

Student or Employee ID# *

Housing Status

On Campus

Off Campus

Which of the following are you interested in? *

PC Gaming

Console Gaming

Both

What is your primary game of choice? *

Please check any games you play (including your primary) *

Please provide a brief statement as to how this offering will impact you/your wellbeing and/or your sense of connection and belonging *

How did you hear about this program/event? *

This program is sponsored by Wellness U and made possible through the generous philanthropy of Kim Gassett-Schiller ’83, ‘18H and Philip Schiller