2011-2012 Parent Association

Arkansas Tech University has an office directly for you – the parent. If at any time you have a question, comment, or concern, please feel free to contact our Parent Relations Coordinator, Luke Heffley. He will do his best to work with you and your student to address the situation.

By joining the TECH Parent Association, you will receive regular communication from this office regarding everything from updates to campus events to late-breaking situations as soon as possible. To become a part of the Parent Association, please fill out the form below. If you completed the form during the summer while your student registered for classes or you sent it in by mail, you are already a member and do not need to do it again.

To fill out form electronically, click on the web link below , or you can cut and paste the link into the web address

FIRST TIME JOINING ASSOCIATION...http://questionpro.com/t/ABhz6ZJ17k

If you are already a member and need to UPDATE your contact information, please go here... http://questionpro.com/t/ABhz6ZHmfz

You can also complete the document below and send it to:
Luke Heffley, Parent Relations Coordinator, Arkansas Tech University, 1605 Coliseum Drive, Doc Bryan Building, Room 233, Russellville, AR 72801

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ATU PARENT ASSOCIATION 2011-2012

(PLEASE PRINT)

PARENT NAME(S) ____________________________________________________

ADDRESS ___________________________________________________________


CITY________________________ STATE____________ZIP___________________


HOME PHONE NUMBER    _________________________


#1 CELL PHONE NUMBER _________________________


#2 CELL PHONE NUMBER _________________________

Would you like to receive a text on average one a month?  If so please circle Phone Carrier.  

Verizon          AT&T           Straight Talk          Sprint          T-Mobile        Other___________



EMAIL ADDRESS (please use one letter/symbol per line below)

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __  __ __ __ __ __ __ __ __ __ __

SECOND EMAIL ADDRESS (please use one letter/symbol per line below)
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

STUDENT NAME(S)______________________________________________________

RELATIONSHIP TO STUDENT______________________________________________

Return to Luke Heffley, Parent Relations Coordinator, Arkansas Tech University, Doc Bryan Building Room 233, Russellville, AR 72801

(Rev. 5/11)