Application to act as a chaperone

Complete this form to apply to act as a chaperone.

Application to act as a chaperone


Instructions and eligibility checker

This form will take approximately 10 minutes to complete.

Please allow yourself enough time to complete this form in one session as there is not an option to save and come back to it later.

The questions marked with an asterisk (*) are mandatory and require an answer. You do not have to answer all of the other questions, but it would help us if you do.

You can apply for a new or renew an existing licence on this form.

You will need to provide the name and address of two referees.

Your data privacy

Before completing this form please read our general Privacy Policy (opens in a new window).

This explains why we ask for your data, what we do with it and how long we will keep it. It also explains how you can find out what data we hold about you and how you can ask us to delete it.

Eligibility checker

Do you live in West Sussex? Select 'Yes' if you live in West Sussex. This is defined by the local authority to which you pay your Council Tax.
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  • West Sussex County Council will only use this email address to respond to any issues raised.