Full Application Form

Name and Address Details

Contact Details

Personal Details

Please select Yes/No
Please select Yes/No


Please select Yes/No

*Certain types of employment and professions are exempt from the Rehabilitation of Offenders Act 1974 and in those cases particularly where the employment is sought in relation to positions involving working with children or vulnerable adults, details for all criminal convictions must be given. The information given will be treated in the strictest of confidence and only taken into account where, in the reasonable opinion of Chase & Holland Recruitment Limited, the offence is relevant to the post to which you are applying.
Failure to declare a conviction may require us to exclude you from our register or terminate an assignment if the offence is not declared but later comes to light

Please select Yes/No
Please select Yes/No

Nationality / Visa Information

Please select Yes/No

In line with Home Office guidance on the prevention of illegal working we will need to verify and take a copy of your original ID documentation as evidence of your right to work in the UK if you are engaged by Chase & Holland Recruitment Limited.

Qualifications (most recent first)


Professional Memberships



Position Current/Required


Reference 1

Please give details of two referees one of which should be your current or most recent employer (these referees will not be contacted without your permission).

Reference 2

Candidate Declaration

In checking the box I hereby confirm that the information given is true and correct. I consent to my personal data and CV being forwarded to clients in order to provide work finding services. I consent to references being passed onto potential employers in relation to work finding services. Under Chase & Holland’s GDPR and data protection policy you also consent to Chase & Holland Group of businesses using your personal data for the purpose of work finding services. For the Company to process my data on a computerised database Bullhorn in order to provide me with work finding services.

I also consent to the Company processing my personal data with third parties including the REC for the purposes of internal audits and investigations carried out on the Company to ensure that the Company is complying with all relevant laws and obligations.

I am aware that I have the right to withdraw my consent at any time by informing the Company that I wish to do so.

If during the course of a temporary assignment, the client wishes to employ me direct I acknowledge Chase & Holland Recruitment Limited will be entitled either to charge the client an introduction/transfer fee, or to agree an extension of the hiring period with the client (after which I may be employed by the client without further charge being applicable to the client).