Application For Matron's Licence

Present Employer
Address:
Type of Work:
Professional Qualifications:
Have you ever been approved Yes No
As a Matron?
Are you a Registered Child Yes No
Minder or Foster Carer?
If yes to either of these questions
Please give the name and address of
The Licensing Authority.
Do you have a current First Aid Qualification? Yes
No
Do you have a Full Driving License? Yes No
Would your car insurance allow you
To carry passengers whilst you are Yes No
Employed as a Chaperone?
Are your Registered Disabled? Yes No
Please give Reg. Number.