Arkansas Social Work Licensing Board

Mandatory Reporting

Attention all licensed social workers and applicants.

Act 1489 of the 87th General Assembly requires that the Arkansas Social Work Licensing Board report information that the Board has not gathered in the past. It is Mandatory that all licensee's and applicants complete and submit the following information no later than June 30, 2010. This information will not be used for anything other than reporting to the agency or commission required by law.

* Required Fields

First Name:*

Middle Name:

Last Name: *

Social Work License #: *

Gender: *

Ethnicity: *

Race: *

Place of Birth City: *

Place of Birth State: *

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