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Welcome
Guest
Welcome to CHPD and Capital H Group’s consultant application page. We are delighted that you are interested in working with us. To enable us to establish some relevant information about you, please complete this short application form.
Your personal details
Please use this page to tell us about yourself and how we can contact you. You will need to complete all boxes marked with a
*
.
Personal details
Title
*
Choose title
Dr
Miss
Mr
Mrs
Ms
First name
*
Last name
*
Address line 1
*
Address line 2
Town/City:
Region/State:
Post/Zip code
(Postal/Zip code is compulsory for UK or US based consultants)
Country
*
ARGENTINA
AUSTRALIA
AUSTRIA
BELGIUM
BRAZIL
BULGARIA
CANADA
CHILE
CHINA
CYPRUS
CZECH REPUBLIC
DENMARK
EGYPT
FINLAND
FRANCE
GERMANY
GREECE
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRELAND
ISRAEL
ITALY
JAPAN
LUXEMBOURG
MALAYSIA
MEXICO
MOROCCO
NETHERLANDS
NEW ZEALAND
NORWAY
PAKISTAN
PHILIPPINES
POLAND
PORTUGAL
QATAR
ROMANIA
RUSSIAN FEDERATION
SAUDI ARABIA
SINGAPORE
SOUTH AFRICA
SPAIN
SRI LANKA
SWEDEN
SWITZERLAND
THAILAND
TURKEY
United Arab Emirates
UNITED KINGDOM
UNITED STATES
Nearest town/city
*
Aberdeen
Bath
Belfast
Birmingham
Blackburn
Blackpool
Bolton
Bournemouth
Bradford
Brighton
Bristol
Bromley
Cambridge
Canterbury
Cardiff
Cardiff
Carlisle
Chelmsford
Chester
Cleveland
Colchester
Coventry
Crewe
Croydon
Darlington
Dartford
Derby
Doncaster
Dorchester
Dudley
Dumfries
Dundee
Durham
Edinburgh
Enfield
Exeter
Falkirk
Galashiels
Glasgow
Gloucester
Guernsey
Guildford
Halifax
Harrogate
Harrow
Hemel hempstead
Hereford
Huddersfield
Hull
Ilford
Inverness
Ipswich
Isle of man
Jersey
Kent
Kilmarnock
Kingston upon thames
Kirkcaldy
Kirkwall
Lancaster
Leeds
Leicester
Lerwick
Lincoln
Liverpool
Llandrindod wells
Llandudno
London
Luton
Manchester
Medway
Milton keynes
Motherwell
Newcastle upon tyne
Newport
Northampton
Norwich
Nottingham
Oldham
Oxford
Paisley
Perth
Peterborough
Plymouth
Portsmouth
Preston
Reading
Redhill
Romford
Salisbury
Sheffield
Shrewsbury
Slough
Southall
Southampton
Southend-on-sea
St. albans
Stevenage
Stirling
Stockport
Stoke-on-trent
Sunderland
Sutton
Swansea
Swindon
Taunton
Telford
Tonbridge
Torquay
Truro
Twickenham
Wakefield
Walsall
Warrington
Warwickshire
Watford
Western isles
Wigan
Wolverhampton
Worcester
York
Home telephone
Office telephone
Mobile/Cell
Email
*
Website
(ie. http://www.yourwebsite.com)
Trading status
Please indicate your trading status
Limited company
Sole trader
*
Our policy is to only enter into trading arrangements with associates operating as limited companies. Would you be willing to set up a limited company in order to work with CHPD?
Yes
No
Day rate
*
Please indicate your minimum expected day rate for associate work
AUD $
CAD $
CHF
CNY ¥
EUR €
GBP £
HKD $
INR ₨
JPY ¥
KRW ₩
MXN $
MYR RM
NZD $
QAR
RUR
SGD $
USD $
ZAR R
Your documents
*
Please upload a full CV and any relevant supporting documents (doc, docx, pdf, jpg, gif, bmp and png)
Your photo (optional)
Please upload a head and shoulders photo of you in business dress (jpg, jpeg, gif, bmp and png)
Source of application
What prompted your application??
Monster.com
Referral
Internet search
Other media publicity
Already knew of CHPD
If you select Referral, Internet search, Other media publicity or Already knew of CHPD, please provide details