Parent Interest Survey
Thank you for your interest in Cxmmunity. As a parent, Cxmmunity wants to support you and your student by providing resources that will aid and enlighten the academic and career potentials of Esports & Gaming. This interest survey is how we send you opportunities that best fit your needs and aspirations.


Students can complete this form for themselves (students older than 13).
Email *
First Name
 *
Last Name
 *
Your Student's First Name
 *
Your Student's Last Name
 *
Phone Number
 *
City
 *
State *
Why are you connecting with Cxmmunity?
 *
Required
How did you learn about Cxmmunity?
 *
Your Student's School Name
 *
If graduated, use the last school you attended.
Your Student's Major / Degree Field
 *
Your Student's Highest Level of Education
 *
What is your student's current job status?
 *
Select all of the skills your student is interested in:
 *
Required
Is there anything you'd like to tell us about you or your student?
 *
Do you want to receive an email with resources for your student?
 *
[Subscribe to Newsletters] I want to receive opportunity emails from Cxmmunity.
 *
Opt-out at any time. Save Cxmmunity to your address book.
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Gaming Cxmmunity Co.. Report Abuse
Google Forms