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Certification Application (CA-265)

Certification Application (CA-265) 2026

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The document is a Certification Application (CA-265) for a one-year provisional teaching certificate in Kentucky, specifically for individuals seeking certification through an alternative route based on exceptional work experience. It outlines the required personal information, documentation needed for the application, verification processes, character and fitness requirements, and details about the Kentucky Teacher Internship Program. The application emphasizes the importance of demonstrating exceptional qualifications and includes guidelines for submitting supporting documents such as resumes, transcripts, letters of recommendation, and background checks.

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Click ‘Get Form’ to open the Certification Application (CA-265) in our editor.
Begin by filling out Section I, which includes your personal information. Ensure you provide your full name, Social Security Number, date of birth, and contact details accurately.
In the Portfolio Document Checklist, check off the required documents you will submit with your application, such as your resume and letters of recommendation.
Proceed to Section II to verify your qualifications. Attach necessary documentation that supports your exceptional work experience and ensure the district verification is completed by a school official.
Complete Section III regarding Character and Fitness. Answer all questions truthfully and attach any required background check documentation.
Finally, affirm the accuracy of your application in Section IV by signing and dating where indicated.

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