New Employee Information Form

You have entered a secure website at Arkansas Tech University. The information you provide through this site will be encrypted and used only as outlined below.

Arkansas Tech University is requesting this information as the minimum necessary to create your role as a staff member in our integrated operating and portal system. The creation of a staff role will allow us to provide you with your new ATU user ID, email, as well as appropriate security access for our information systems.

The information you provide through this site is to enable Arkansas Tech University to provide only those services associated with your staff role. You will still need to have your social security card as well as appropriate identification for employment eligibility determination when you participate in new employee orientation with Human Resources.

Once you have entered the requested information, click on the submit button below.

Thank you for your assistance.

Please enter your full legal name (as it appears on your social security card)

First name:
Middle name:
Last name:

Gender:

Date of birth: / /

Citizenship:

I understand that by the virtue of my employment with Arkansas Tech University, I may have access to records that contain individually identifiable information, the disclosure of which is prohibited by the Family Educational Rights and Privacy Act (FERPA) of 1974. I acknowledge that I fully understand that the intentional disclosure by me of this information to any unauthorized person could subject me to criminal and civil penalties imposed by law. I further acknowledge that such willful or unauthorized disclosure also violates Arkansas Tech University's policy and could constitute just cause for disciplinary action including termination of my employment regardless of whether criminal or civil penalties are imposed. Further, I understand that if I have a question concerning a request for information from student educational records, I will notify my supervisor for assistance.

By clicking on the submit button below, you acknowledge that the information you entered above is correct and signify your agreement to abide by the FERPA requirements.