UTTC Athletic Department

Thunderbirds Athletics Questionnaire

If you are interested in attending United Tribes Technical College and participating in Thunderbird Athletics (basketball or cross-country), please fill out and submit the following survey.

Full Name:
Mailing Address:
Home Telephone:
Email address:

High School:
HS Address:
HS Graduation Date:
HS Class Rank:
School Telephone:
HS Coach's Name:

(Cross Country) Personal Best Times:
1600m:
3200m:
5000m:
Other:

(Basketball) HS Averages (Senior Year):
Pts. Per Game:
Rebounds:
Assists:
Steals:
Positions(s):

Height:
Weight:
Tribal Affiliation:

Please list Athletic and Academic awards/achievements during high school career:
1.
2.
3.
4.
5.

Major Intended:
2nd Choice:

Hometown Newspaper:
Newspaper Address:

Parents/Guardians Names:

Additional Comments: