Equal Opportunities Monitoring Form 1
Equal Opportunities Monitoring Form 1
We are committed to promoting fairness and eliminating discrimination from recruitment and selection
practices. We will ensure that no job applicant or employee received less favourable treatment with directly
or indirectly, on the grounds of age, race, disability, gender, marital status, religion or faith or sexual
orientation.
To monitor and audit the effective delivery of this commitment, we require all applicants to provide
information asked for in this monitoring form. This will only be used for this purpose, will form no part of the
interview process and will be treated in strict confidence.
The form will be detached from your application form and transferred to our Human Resources database to
help monitor the diversity of applications we receive. This will enable us to develop appropriate policies and
procedures in respect of diversity and equal opportunities.
1. Gender
2. Gender
Assignment
Other
3. Marital
Married Single Divorced (please
Status:
specify)
4. Nationality:
5. How would you describe your ethnic origin?
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. The disability could be physical,
sensory or mental and must be expected to last at least 12 months.
Yes No
Prefer not to
say
Yes No