Equality & Diversity Monitoring

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Park View School wants to meet the aims and commitments set out in its equality policy and to ensure that all applicants are considered solely on their merits. Therefore, we need to be able to check that decisions are not influenced by unfair or unlawful discrimination, under the Equality Act 2010, and building an accurate picture of the make-up of the workforce in encouraging equality and diversity.
The school would like your co-operation to achieve this, but completion of this form is voluntary.
Personal information that you provide will be treated with the utmost confidence and will only be used for the purpose of equal opportunities monitoring and statistical analysis. This form will not be used during the recruitment process.

Email *

Title *

Miss

Mrs

Other:

Surname: *

Forename(s): *

What is your gender?

Female

Male

Prefer not to say

Other:

Clear selection

What is your sexual orientation?

Heterosexual

Gay woman

Gay man

Bisexual

Prefer not to say

Other:

Clear selection

Are you married or in a civil partnership?

Yes

Prefer not to say

Clear selection

What is your Age?

16-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65+

Prefer not to say

Clear selection

What is your ethnicity? Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please select from the groups listed below.

White - Please select the appropriate box:

English

Welsh

Scottish

Northern Irish

Irish

British

Gypsy or Irish traveller

Prefer not to say

Other:

Clear selection

Mixed/multiple ethnic groups - Please select the appropriate box:

White & Black Caribbean

White & Black African

White & Asian

Prefer not to say

Other:

Clear selection

Asian/Asian British - Please select the appropriate box:

Indian

Pakistani

Bangladeshi

Chinese

Prefer not to say

Other:

Clear selection

Black/African/Caribbean/Black British - Please select the appropriate box:

African

Caribbean

Prefer not to say

Other:

Clear selection

Other ethnic group - Please select the appropriate box:

Arab

Prefer not to say

Other:

Clear selection

What is your religion or belief?

No religion or belief

Buddhist

Christian

Hindu

Jewish

Muslim

Sikh

Prefer not to say

Other:

Clear selection

Do you consider yourself to have a disability or health condition?

Yes

Prefer not to say

Clear selection

If you answered yes to the above, what is the effect or impact of your disability or health condition on your ability to give your best at work? Please write in here:

What is your current working pattern?

Full-time

Part-time

Prefer not to say

Clear selection

What is your flexible working arrangement?

None

Flexi-time

Staggered hours

Term-time hours

Annualised hours

Job-share

Flexible shifts

Compressed hours

Homeworking

Prefer not to say

Other:

Clear selection

Do you have caring responsibilities? Please select all that apply:

None

Primary carer of a child/children (under 18)

Primary carer of disabled child/children

Primary carer of disabled adult (18 and over)

Primary carer of older person

Secondary carer (another person carries out the main caring role)

Prefer not to say

A copy of your responses will be emailed to the address you provided.

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