The issues and concerns facing Kentucky Career and Technical Teacher Education (KY CTTE), university teacher educators and state department Career and Technical Education (CTE) leaders in providing and preparing the best CTE teachers possible are not unique to Kentucky. In an effort to better understand these issues and concerns a team of state and national CTE leaders charged with planning Kentucky's annual CTE teacher education conference decided to use the conference proceedings as an avenue to stimulate discussions and gain insights on problems new and in-service teachers may be experiencing. The February, 2009, Kentucky Career and Technical Teacher Education Conference's theme "Aligning Career and Technical Education" allowed planning for a collaborative among Kentucky universities; the Kentucky Office of Career and Technical Education; the Kentucky Department of Education, Secondary Division of Career and Technical Education; and the National Research Center for Career and Technical Education. The conference planning process, the conference problem solving driven agenda and a manifest of the issues and concerns facing Kentucky CTE as indicated by conference participants and presenters; can provide useful information for state and national CTE leaders.