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The following information is for statistical purposes only:

Gender*


 

Ethnicity*


 

Race*






 
Please be aware that the Arkansas Department of Education has access to and must consider any background check reflecting a conviction (pleading guilty or nolo contendere (no contest) or being found guilty by a jury or judge) for any offense listed in Ark. Code Ann. 6-17-410 as well as any felony involving physical or sexual injury, mistreatment, or abuse against another, including records that have been expunged, sealed or subject to a pardon.  For any questions about this, please call the ADE legal office at (501) 682-4227.

Have you ever held an Arkansas teaching license?*


 

Have you ever had a license revoked in any state?*


 

Have you ever had a "true finding" with the Arkansas Department of Human Services Child Maltreatment Central Registry?*


 

Have you ever pled guilty or pled nolo contendere (no contest) or been found guilty of a crime?*


 

If yes, was the crime a