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The application will typically take about 20-30 minutes to complete. When you are finished, click on the "SUBMIT APPLICATION" button at the end of the application and you will receive a message telling you that the application has been submitted.

You will receive an email providing you with your Registry ID number. You will also receive a letter with your Registry ID card, plus other gifts and information.

If you need assistance with the application, please call (888) 429-1585 or (870) 972-3055.
The Registry verifies trainers, approves training and tracks the professional development of Practitioners. The purpose of the Registry is to ensure quality, continuity and accessibility to professional development opportunities for the early childhood practitioners of Arkansas.

The information on this application is used collectively for policy decisions and will not affect your Professional Pathway level. All information is kept confidential.

Member Registry Application


Section 1: Personal Information


Name:

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Home Mailing Address:

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American Indian or Alaska Native (A person having origins in any of the original peoples of North and South America (including Central America) and who maintains tribal affiliation or community attachment)

Asian (A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent. This includes, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam)

Black or African American (A person having origins in any of the Black racial groups of Africa)

Native Hawaiian or Other Pacific Islander (A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands)

White (A person having origins in any of the original peoples of Europe, the Middle East, or North Africa)

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Hispanic or Latino (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race)
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Department of Human Services
Division of Child Care and Early Childhood Education
P.O. Box 1437 Slot S-160 | Little Rock, AR    72203-1437
(888) 429-1585
DHS DCCECE
  
Copyright © 2017 State of Arkansas. All Rights Reserved. 1.10 (09 12 2017 1600)