* I would describe my ethnic origin as: Asian or Asian British Mixed Other Ethnic Group Bangladeshi & Asian Chinese Indian White & Black African Any ethnic group Pakistani White & Black Caribbean Any other Asian background Any other mixed background I do not wish to disclose this Black or Black British White African British Caribbean Irish Any other Black background Any other White background Employment Equality Regulations 2003 * Please select the option which best describes your sexuality Lesbian Gay Heterosexual Bisexual I do not wish to disclose this * Please indicate your religion or belief Atheism Jainism Judaism Buddhism Sikhism Hinduism Christianity Other I do not wish to disclose this Islam Disability Discrimination Act 1995 The Disability Discrimination Act protects disabled people. This includes people with long-term health conditions. If you tell us that you have a disability we can make reasonable adjustments to where you work and your work arrangements and at interview. * Do you consider yourself to have a Yes I do not wish to disclose this disability? No Please state the type of impairment which applies to you. People may experience more than one type of impairment, in which case you may indicate more than one. If none of the categories apply, please mark ‘other’. Physical Impairment Learning Disability/Difficulty Sensory Impairment Long-standing illness Mental Health Condition Other
* I would describe my ethnic origin as: Asian or Asian British Bangladeshi Indian Pakistani Any other Asian background Black or Black British African Caribbean Any other Black background Mixed & Asian White & Black African White & Black Caribbean Any other mixed background White British Irish Any other White background Other Ethnic Group Chinese Any ethnic group I do not wish to disclose this Employment Equality Regulations 2003 * Please select the option which best describes your sexuality Lesbian Gay Bisexual Heterosexual I do not wish to disclose this * Please indicate your religion or belief Atheism Buddhism Christianity Islam Jainism Sikhism Other Judaism Hinduism I do not wish to disclose this Disability Discrimination Act 1995 The Disability Discrimination Act protects disabled people. This includes people with long-term health conditions. If you tell us that you have a disability we can make reasonable adjustments to where you work and your work arrangements and at interview. * Do you consider yourself to have a disability? Yes I do not wish to disclose this No Please state the type of impairment which applies to you. People may experience more than one type of impairment, in which case you may indicate more than one. If none of the categories apply, please mark ‘other’. Physical Impairment Learning Disability/Difficulty Sensory Impairment Long-standing illness Mental Health Condition Other