Chitosan is a natural polysaccharide derivative of chitin component that has been used in a wide range of fields because of their outstanding advantages, including non-toxicity, biodegradability, biocompatibility, anti-allergic, anticoagulant, antifungal and antimicrobial. Due to its excellent properties, it attracted significant attention in numerous applications such as medicine, food, and analysis fields. Recently, this polymer has been broadly utilized for the preparation of molecularly imprinted polymers (MIPs) and MIP composites. MIP is a synthetic receptor obtained by the polymerization of functional monomers in the presence of a template. The extraction of the template leaves behind specific cavities. In fact, according to our bibliographic studies about this topic, we found that chitosan is generally used in two different ways: (1) as imprinting polymer with a selected crosslinking agent to create specific cavities for the template, and (2) as additive material for MIP composite preparation. That is exactly the main goal of this review, which will be focused on discussing the roles of chitosan for MIP and MIP composite elaborations, after presenting some generalities about chitosan and MIP. A brief overview of the recent applications of MIPs and MIP composite based on chitosan is presented, but the focus is primarily put on separation and sensing applications. Among that, those designed to separate/detect heavy metals, drugs, biomolecules, and pesticides are highlighted.