01403 286330
music@westsussexmusic.co.uk
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Associate Tutor registration form

Please download and read the ‘How do I become a West Sussex Music Associate / Associate Organisation?; document, then complete this form and provide the necessary documents. We’ll then be in touch again to organise a meeting.

Your details

Name
Address

About your work

Please note: in 2022, we will be integrating this registration form with the process for providing information for the Hub Directory. In the meantime, please also input your details into the Directory form so that you can be added to the public directory - thank you.

Safeguarding & insurance

Enhanced DBS
Are you subscribed to the Update Service? (this is required by all Associates)
Please upload a copy of your Enhanced DBS clearance so we can check via the Update Service.
Please upload a copy of your Enhanced DBS clearance so we can check via the Update Service.
Max. file size: 32 MB.
Certificate number:
Please confirm that you have the required £10m cover with this policy
Please confirm that you have the required £10m cover with this policy
NB. If your PLI cover is provided via a professional body (e.g. MU, IMS etc.), please provide your membership number so we can check that it is current.)
Have you attached a copy of your policy?
Have you attached a copy of your policy?
Training Provider:
Date attended:
Have you attached a copy of your training certificate?
Have you attached a copy of your training certificate?
Last updated:
Does it cover 'Online Teaching?'
Does it cover 'Online Teaching?'
Have you attached a copy of your policy?
Have you attached a copy of your policy?

Declaration:

The information provided by. you on this form will be used to evaluate your suitability to be an Associate Teacher. We will keep your information you have supplied confidential and we will not divulge it to third parties except where required by law or where we have retained the services of a third party to act on our / your behalf. We store and retain all information in compliance with GDPR. I declare that all information given by me is true and accurate.
I agree

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