Apply for a volunteer chaperone licence

I am
Renewing a volunteer licenceApplying for a new volunteer licence

My existing licence has
Not expired yetExpired less than a month ago
If your licence expired more than one month ago, you'll need to go back to the previous page and apply for a new licence.
Enter your licence expiry date

Please upload a copy of your NSPCC chaperone training certificate:

Title
Surname
Forenames
Previous other names(s) known by
Address line 1
Address line 2
Town
Postcode
If you've lived at the above address for less than 3 years, please tell us any others you have lived at in the past 3 years and the dates.
Date of birth
Contact phone number
Email
National Insurance number:
Occupation
Please upload a current head and shoulder colour photograph
Please give full details of your present employer, employer’s address and the type of work you do.
Name, location and dates of the first production you wish to chaperone for
Please state your experience in the care and supervision of children

References
Please name two responsible referees who have known you for more than 2 years. References should be from separate sources and not from the same organisation or employer e.g., your current or most recent employer, a person who has knowledge of and can comment on your work with children, someone who knows you in a professional capacity. References cannot be accepted from a spouse, partner or family relation or from someone with whom you live. They must know of your experience of looking after children (observed you looking after children) and of your suitability to act as chaperone. They must not know you solely in connection with your dancing school or amateur dramatic organisation.
Referee 1
I confirm that I have obtained consent from the following referees for Hertfordshire County Council Statutory Attendance & Participation Team to contact them on my behalf
Title
Surname
Forenames
Email address
Address line 1
Address line 2
Town
Postcode
Context in which known referee:
Period known referee:
Referee 2
Title
Surname
Forenames
Email address
Address line 1
Address line 2
Town
Postcode
Context in which known referee:
Period known referee:

Disclosure and Barring Service
Under arrangements introduced for the protection of children, Hertfordshire County Council will check with the Disclosure and Barring Service (DBS) for the existence and content of any criminal record. You will be required to complete a DBS Application to enable an Enhanced check to be made. Any criminal record may require an interview and Hertfordshire County Council reserve the right to refuse to issue a chaperone licence if it is considered that there is a safeguarding risk. If you are signed up to the DBS Update Service and have an enhanced children’s workforce and children’s barred list DBS check we may be able to use this service, if you give permission. Please contact the Statutory Attendance & Participation Team chaperonedbs@hertfordshire.gov.uk or 01992 588605 for further information.
Charges for a DBS
Voluntary DBS (no payment received other than expenses) admin fee £22.80 includes VAT Professional DBS (payment received) DBS-£40 + admin fee £22.80 £62.80 includes VAT Chaperones will have regular contact with children so this role is exempt from the Rehabilitation of Offenders Act 1974. Therefore you are required to declare any convictions, cautions, bind-overs or prosecutions you may have, even if they would otherwise be regarded as ‘spent’ under this Act.
Have you ever been convicted of any criminal offence?
YesNo

Please give details of offences, penalties and dates.

Are you barred by the Disclosure and Barring Service from working in regulated activity with children or adults?
Yes - childrenYes - adultsYes - both adults and childrenNo
Do you have any convictions, cautions, reprimands or final warnings that are not "protected" as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013) by SI 2013 1198?
YesNo

Do you have an enhanced DBS certificate on the update service?
YesNo

Please attach a copy of your enhanced DBS certificate here so we can check it.

Declaration
I apply to Hertfordshire County Council for approval as a chaperone under The Children and Young Persons Act 1963 and The Children (Performances and Activities) (England) Regulations 2014. I declare that the information provided in the application is true to the best of my knowledge.
I consent to confidential enquiries being carried out by the Disclosure and Barring Service
I declare that I will notify Hertfordshire County Council of any change of name, address, any criminal convictions or change in circumstances that may affect my ability to effectively carry out the duties and responsibilities of a chaperone.

Privacy notice
Why we need your information

The data on this form is being gathered for the purpose of processing Chaperone applications. Hertfordshire County Council will use this information to ensure that the chaperone is working in accordance with the regulations.

Hertfordshire County Council is obliged to collect and process this data under The Children (Performances and Activities) (England) Regulations 2014

What we will do with your information

The information you give us will be held by the Children’s Services; Integrated Services for Learning department of Hertfordshire County Council and will only be used to process applications for chaperones. In order to deliver this service we may share your information with other local authorities, TV/Theatre Producers, Production Organisations, between departments and services within the council so that we can keep our information up-to-date, provide cross departmental support, and to improve our services to you.

We may also share information with third parties if we are legally obliged to do so, for example if it necessary to safeguard or protect a child.
We may also share information with the police or other agencies if it is necessary for the following purposes:
- the prevention or detection of crime
- the apprehension or prosecution of offenders
- the assessment or collection of any tax or duty or any imposition of a similar nature.
How long we will keep your information

Any paperwork associated with your application will be destroyed when your licence is issued.

What are your rights?

Hertfordshire County Council will be the Data Controller for this information.

You have the following rights in relation to this data:
- You have the right to be informed about what information we hold about you and how we use it.
- You have the right to request copies of any information the Council holds about you by making a subject access request.
- If information we hold about you is factually inaccurate you have the right to have it corrected.
- You have the right to object to the way we are using your data.
- You have the right to request that your data is deleted. However we may be unable to delete your data if there is a need for us to keep it. In this case you will receive an explanation of why we need to keep the data.
- You can also request that we stop using your data while we consider a request to have it corrected or deleted. There may be some circumstances in which we are unable to do this however we will provide an explanation if this is the case.
- In certain circumstances you may also request data we hold about you in a format that allows it to be transferred to another organisation.
- In the event that decisions are taken using automated processes you have the right to request that these decisions are reviewed by a member of staff and to challenge these decisions.
If you would like to request copies of your data, request that your data is deleted or have any other queries in relation to data which the Council holds about you please contact the Data Protection Team.

Data Protection Team
Hertfordshire County Council
County Hall
Pegs Lane
Hertford
SG13 8DQ
Tel: 01992 588099
Email: data.protection@hertfordshire.co.uk

You can also contact our Data Protection Officer at dataprotection.officer@hertfordshire.gov.uk or in writing to the address above.

If you are unhappy with the way that Hertfordshire County Council has used your data or with the way we have responded to a request you also have the right to contact the Information Commissioner’s Office www.ico.org.uk.
I consent to the information regarding my registration status as a chaperone being shared with other local authorities, Producers and Production Organisations relating to application made under S37 Children and Young Persons Act 1963 I give my consent for my information to be used in accordance with the privacy notice above.
Date
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Apply for a volunteer chaperone licence

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