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Equal Opportunities Monitoring Form 1

Monitoring
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0% found this document useful (0 votes)
84 views2 pages

Equal Opportunities Monitoring Form 1

Monitoring
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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EQUAL OPPORTUNITIES MONITORING FORM

EQUAL OPPORTUNITIES MONITORING FORM

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?

White Mixed ethnic background


British White and Black Caribbean
Irish White and Black African
Welsh White and Asian
Scottish Any other Mixed background
Any other White background
Asian or Asian British Black or Black British
Indian Caribbean
Pakistani African
Bangladeshi Any other Black background
Any other Asian background

Other ethnic background


Arab
Chinese
Any other ethnic background

Prefer not to say


6. Disability is defined by the Disability Discrimination Action as:

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.

Do you consider yourself to be a disabled person as defined by the Disabled


Discrimination Act?

Yes No

Prefer not to
say

7. Do you need any adjustments to enable you to attend the interview?

Yes No

If you answered yes, please specify:

8. How would you describe your religion or belief?


Christian Buddhist Hindu Jewish
Prefer not to
Muslim Sikh None
say
Other (please specify):

9. Which of the following describes your sexual orientation?


Bi-sexual Gay Heterosexual Lesbian
Other Prefer not to say

Thank you for completing this form.

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