All ASN employees must complete the adult maltreatment registry check (sometimes called adult 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.
- Click Start
- Fill out your information
- Select the number of addresses you need to cover the past 5 years
- Enter your addresses. Make sure you include the entire address including city, state, and zip code. Do not include P.O. boxes
- Under “Agency Name/Contact Person” enter Arkansas Support Network
- Under “Agency Type” enter Non-Profit (no charge)
- The mailing address is 6836 Isaac's Orchard Road, Springdale, AR 72762
- Under “Agency Email” enter asnhrdepartment@supports.org
- Click “Click here to have form sent to your email.” (You will receive an email asking you to sign the form.)
- Follow the link in the email and sign the document. (You will receive a second email with a copy of your signed form.)
- Forward the signed form to asnhrdepartment@supports.org or upload it using the "Submit Ticket" button at the top right of this page.