Child Maltreatment Registry Check

All ASN employees must complete the child maltreatment registry check (sometimes called child background check) every 2 years. This is done through an online form: CLICK HERE

Note: If the form is filled out incorrectly, we will have to have you redo it.

  1. Click Start
  2. Under “Reason for Registry Check” Select “None of the above applies, but you would like a registry check.”
  3. Under “Organization Requesting the Report ” enter Arkansas Support Network
  4. Under “Representative” enter Human Resources
  5. "Mailing Address" is 6836 Isaac's Orchard Road, Springdale, AR 72762
  6. "Phone Number" is (479) 927-4100
  7. For “Email” put asnhrdepartment@supports.org
  8. Fill out your info under Applicant Information
  9. Select the number of addresses you need to cover the past 10 years
  10. Enter your addresses. Make sure you include the entire address including city, state, and zip code. Do not include P. O. boxes.
  11. If you have children select yes for “Do you need to list any children?”
  12. Enter children's names, D.O.B., relationship, and Social Security Numbers.
  13. Click “Click here to have the form sent to your email.” (You will receive an email asking you to sign the form.)
  14. Follow the link in the email and sign the document. (You will receive a second email with a copy of your signed form.)
  15. Forward the signed form to asnhrdepartment@supports.org or upload it using the "Submit Ticket" button at the top right of this page.