Record ID
-timestamp and date
Their SteamID
-text box
Their Other id for other games
-text box
Their First Name
-text box
Their Last Name Their Email
-textbox
Date Submitted
-auto populated field
Ingame Name
-text box
Hours played on server
-text http://csstats.wcugaming.org for cs 1.6
Their Messagner program
-Options?
Their Messagner name
-textbox
Admin For Vouch Forum Name
-text box
Are they a Student
– radio button
=On campus
=Off campus
=No
Why they think they would be good for admin
-large text box