This form is separated from your application form and will not be provided to the short-listing panel. Your answers will be treated in the strictest confidence. The information you provide will only be used for monitoring purposes and to assist us with improving our recruitment process to ensure we are reaching all sections of the community. How you complete this form has no connection to the evaluation of your application in any way. Male Sex: Female What is your ethnic group? Please choose one selection from (a) to (e) and then tick ABOUT YOU the appropriate box to indicate your cultural background. British (a) White Irish Other. Please specify: White and Black Caribbean White and Black African (b) Dual Heritage White and Asian Other. Please specify: British Indian Pakistani (c) Asian Bangladeshi Other. Please specify: British Caribbean (d) Black African Other. Please specify: Chinese (e) Chinese or Other Other. Please specify: ABOUT YOU Do you consider yourself disabled? Yes No ABOUT YOU Please select your age group 16 - 19 20 - 29 30 39 40 - 49 50 - 59 60 and over – ABOUT YOU How would you describe your sexual orientation? Please tick one box only. Heterosexual/straight Gay Man Gay Woman/Lesbian Bisexual
This form is separated from your application form and will not be provided to the short-listing panel. Your answers will be treated in the strictest confidence. The information you provide will only be used for monitoring purposes and to assist us with improving our recruitment process to ensure we are reaching all sections of the community. How you complete this form has no connection to the evaluation of your application in any way. Sex: Male Female ABOUT YOU What is your ethnic group? Please choose one selection from (a) to (e) and then tick the appropriate box to indicate your cultural background. (a) White British Irish Other. Please specify: (b) Dual Heritage White and Black Caribbean White and Black African White and Asian Other. Please specify: (c) Asian British Indian Pakistani Bangladeshi Other. Please specify: (d) Black British Caribbean African Other. Please specify: (e) Chinese or Other Chinese Other. Please specify: ABOUT YOU Do you consider yourself disabled? Yes No ABOUT YOU Please select your age group 16 - 19 20 - 29 30 – 39 40 - 49 50 - 59 60 and over ABOUT YOU How would you describe your sexual orientation? Please tick one box only. Heterosexual/straight Gay Man Gay Woman/Lesbian Bisexual