Cosmetology Background Affidavit

If you have been convicted of a felony, it is important that you understand that although the Kentucky State Board of Hairdressers will certify the hours you receive in Kentucky, but at the Boards discretion, there is a possibility that you may not become licensed in the state.

By signing this document you understand that while you may enroll into Cosmetology at the College for Technical Education, you may be denied licensure if you have been convicted of a felony offences.  You understand statute 317A 140; Grounds for refusal to issue, renew, revoke, or suspend license, states that conviction of a felony offense may prevent you from gaining licensure with the Kentucky State Board of Hairdressers and Cosmetologists.

I, , am applying for admissions into the College for Technical Education for the Cosmetology program.

My past criminal history includes the following convictions and approximate dates (if none, write none):

I attest that the above represents a complete history of my past criminal convictions.   I further understand that my past criminal history may make it difficult to acquire placement in the field of Cosmetology.


Leave this empty:

Signature arrow

Signature Certificate
Document name: Cosmetology Background Affidavit
lock iconUnique Document ID: c095ab1d4157d0aa0486884b84fb0cf6f1991e89
Timestamp Audit
April 27, 2020 10:12 am EDTCosmetology Background Affidavit Uploaded by Brenda Evans - [email protected] IP
May 1, 2020 9:35 am EDTCTE Enrollment - [email protected] added by Brenda Evans - [email protected] as a CC'd Recipient Ip: