11/8/2026
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BACKGROUND CHECK
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Do you have a background check that was performed within the last ninety (90) days by the Kentucky State Police (KSP)?
Yes
No
Enter Date of KSP Background Check:
Upload KSP Background Check:
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Upload
Do you have a background check that was performed within the last ninety (90) days by the Federal Bureau of Investigation (FBI)?
Yes
No
Enter Date of FBI Background Check:
Upload FBI Background Check:
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Since you do not have your FBI Background check at this time and if you qualify to submit the Optional Affidavit for Licensure, do you want to upload the Kentucky Board of Licensed Professional Counselors Optional Affidavit for Licensure in order for the Board to review your application once all requirements have been met except for the FBI Background Check?
Yes
No
Upload the Kentucky Board of Licensed Professional Counselors Optional Affidavit for Licensure:
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Upload
Please upload any additional documents or provide details you would like to submit related to your continuing education:
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Additional details:
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