Candidacy Survey | Arkansas Tech University

Name:*Include your present last name, first name, and middle initial

T Number:*Please include the "T" before the number.

Gender:

Male

Female

Do not wish to respond

Ethnicity

White

Black

Non-resident Alien

American Indian/Alaskan Native

Hispanic

Multiple Ethnicities

Other

ATU Email Address:*

Additional Email:*Please include a non-ATU email address.

Contact Numbers:*Please include your home and cell phone numbers.

Home Address:*

Birth Date:*

In what semester and year are you completing this Admission to Candidacy Survey?e.g., Summer 2016, Fall 2016, Spring 2017, Summer 2017, Fall 2017, etc.

If you are an MAT or NTL student, please select your content area: