DIVERSITY MONITORING

We are committed to equality

We are committed to ensuring that all job applicants and members of staff are treated equally, without discrimination because of gender, sexual orientation, marital or civil partner status, gender reassignment, race, colour, nationality, ethnic or national origin, religion or belief, disability or age. This form is intended to help us maintain equal opportunities best practice and identify barriers to workforce equality and diversity.

Please complete this form and click ‘submit’ at the bottom. The form is kept separate from your application and is directed to a completely different location. The information on this form will be used for monitoring purposes only and will play no part in the recruitment process.

All questions are optional. You are not obliged to answer any of these questions but the more information you supply, the more effective our monitoring will be. All information supplied will be treated in the strictest confidence. It will not be placed on your personnel file.

Thank you for your assistance.

How would you describe your nationality and/or ethnicity (please tick)?

A White
British - English, Scottish or WelshIrishOther White background
B Mixed Race
White and Black CaribbeanWhite and Black AfricanWhite and AsianWhite and AsianOther Mixed background
C Asian British or Asian
IndianPakistaniBangladeshiOther Asian background
D Black or Black British
CaribbeanAfricanOther Black background
E Chinese and other groups
ChineseOther ethnic group
F Prefer not to say
Prefer not to say

If you are lesbian, gay or bisexual, are you open about your sexual orientation?

At home
YesPartiallyNo
With colleagues
YesPartiallyNo
With your manager
YesPartiallyNo
At work generally
YesPartiallyNo

Religion or belief

I have no particular religion or beliefPrefer not to say

Disability
The Equality Act 2010 defines a disability as a "physical or mental impairment which has a substantial and long-term adverse effect on a person's ability to carry out normal day-to-day activities". An effect is long-term if it has lasted, or is likely to last, more than 12 months. Do you consider that you have a disability under the Equality Act (please tick)?

YesNoPrefer not to sayUsed to have a disability but have now recoveredDon't knowPrefer not to say

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