Equal Opportunities Monitoring Information Form
The following information is collected as part of our commitment towards achieving equality of opportunity in our employment practices.

You are not obliged to answer any of the questions, but if you do so, it will help us with our equality monitoring. In accordance with the Data Protection Act, if you are employed, the information you provide will be kept and used for internal monitoring of the diversity of our employees only. The information you give in this section will not be disclosed to the interview panel during the recruitment process. If you do not wish to answer any of the question(s), this will not affect your application in anyway.

Name *
Your answer
Post Applied for: *
Your answer
Reference Number: *
Please state the reference number for the post, as seen on the advertisement and information pack
Your answer
Gender *
Please specify other Gender
Your answer
Age *
Ethnic Origin: Asian, Asian British, Asian Scottish, or Asian Northern Irish
please specify any other Asian group
Your answer
Ethnic Origin: Black, Black British, Black English, Black Scottish, Black Welsh or Black Northern Irish
Please specify any other black group
Your answer
Ethnic Origin: Chinese, Chinese British, Chinese Scottish, Chinese Welsh or Chinese Northern Irish
Ethnic origin: Mixed
Please specify any other Mixed group
Your answer
Ethnic Origin: White
Please specify any other White group
Your answer
Please specify other Ethnic group.
We appreciate that some people, including those of mixed race, may not be happy with the classifications used on monitoring forms. The classifications above are those currently recommended by the Equality and Human Rights Commission. If you wish to classify yourself in some other way,please use the space below to do so
Please specify other Ethnic Origin
Your answer
Disability *
Required
Please detail any special adaptations/equipment you would need to take up employment
Your answer
Sexual Orientation *
Belief *
Please tick the box that describes you
Please specify other Belief
Your answer
Where did you see this position advertised? *
Your answer
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