ACORN Recruitment: Diversity Monitoring Form
ACORN wants to meet the aims and commitments set out in its equality policy. This includes not discriminating under the Equality Act 2010, and building an accurate picture of the make-up of the workforce 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.

Please only submit a response if you apply for a role advertised.
What department are you applying for?
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Gender
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Are you married or in a civil partnership?
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Age
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Ethnicity
Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belonging to. Please tick the appropriate box.
White
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Mixed/multiple ethnic groups
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Asian/Asian British
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Black/ African/ Caribbean/ Black British
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Other ethnic group
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Do you consider yourself to have a disability or health condition?
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If 'yes', 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 (The information in this form is for monitoring purposes only. If you believe you need a ‘reasonable adjustment’, then please discuss this with your manager, or the manager running the recruitment process if you are a job applicant).
What is your sexual orientation?
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What is your religion or belief?
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What is your current working pattern?
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What is your flexible working arrangement?
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Do you have caring responsibilities? If yes, please tick all that apply
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