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Inclusive Boards | Diversity Monitoring Form
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Our client(s) wants to meet the aims and commitments set out in their equality and diversity policy. This includes not discriminating under the single Equality Act 2010, and building an accurate picture of the make-up of the workforce and board members in encouraging equality and diversity. The organisation needs your help and co-operation to enable it to do this, but filling in this form is voluntary.

This form will ask information about your gender identity, your ethnicity, background, disability status, special category information and other relevant information we feel will support in building as full a picture as possible. You have every right to skip a question, but where possible, please answer all questions. If you have a particular reason for not wanting to answer a question, leave that question blank.

The information you provide will stay confidential, and will be reviewed and processed separately from the application(s) you make.

If you would like a copy of this form in another format please contact:

Thank you for completing this form.
Full Name
Please detail the position you are applying for
Please state the name of the organisation you are applying to
Which age bracket do you fall into?
Clear selection
What is your gender?
Clear selection
If you identify as transsexual, transgender (in that you have effected a permanent change of gender identity) or as intersex which group do you identify with?
Clear selection
Is your gender identity the same as the gender you were originally assigned at birth?
Clear selection
Are you married or in a civil partnership?
Clear selection
How would you describe your ethnic origin?
Clear selection
Do you consider yourself to have a disability or health condition?
Clear selection
If 'Yes', please state below
What is your sexual orientation?
Clear selection
What is your religion or belief?
Clear selection
What is your current working arrangement?
Clear selection
Do you have caring responsibilities?
Clear selection
What type of school did you mainly attend between the ages of 11 and 16?
Clear selection
What is the highest level of qualifications achieved by either of your parent(s) or guardian(s) by the time you were 18?
Clear selection
Thinking back to when you were aged about 14, which best describes the sort of work the main/ highest income earner in your household did in their main job?
Clear selection
Where did you hear about this opportunity?
Clear selection
Data Protection and Privacy Notice

Maintaining the confidentiality of your information is of utmost concern to us. The information collected as part of this form will be held in confidence and will only be used for the purpose set out in relation to executive search and advisory.   For the purposes of the General Data Protection Regulation ("GDPR") and UK data protection laws, the data controller is INCLUSIVE BOARDS LIMITED. To find out more about how we store and process data, please visit 

How will the information be used (data)?

Data management will follow General Data Protection Regulation ("GDPR") and UK data protection laws. We will not publish any information about you that could identify you to someone else publicly. Data provided to us will be used for the purposes set out at the time of collection and, where relevant, in accordance with any preferences you express.

Who will the data be shared with?

By answering the questions you are giving consent to having your data stored and processed by Inclusive Boards for the purposes of executive search and advisory. Inclusive Boards may distribute, share and publish anonymous information, statistics and data from in the form of reports, graphs, tables, text and other formats ONLY for the purposes of executive search and advisory. Inclusive Boards will not be sharing any data collected with any entity outside of the EEA.

Your rights under GDPR

You have the right to withdraw your answers to this form at anytime by contacting You also have the right to request to review, modify or delete your responses at any time. You can find the full list here of your rights under GDPR here:

I have read carefully the data protection and confidentiality information and by ticking the box below, I agree to give consent to Inclusive Boards to process data collected in this form including personal and special category data in accordance with the information provided. *
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