Recruitment Monitoring Form Monitoring Form Number This sheet will be detached from your application form and will not be seen by anyone involved in the selection process. We will use this information for monitoring our recruitment processes and, if you are appointed, for our personnel/payroll records. Please complete in block capitals or by ticking the relevant box. Surname First Names Preferred Title Known as Previous Other Name(s) Date of Birth Age Place of Birth Post applied for Gender Ethnic Origin Disability Male I would describe my ethnic For definition, please refer to Female origin as: statement overleaf. White In line with this statement, do you Job share English consider yourself to have a Would you like your application to Scottish disability? be considered on a job share Welsh YES basis? Welsh NO Yes Other White English No Irish If you are selected for interview Traveller of Irish Heritage are there any special Religion Gypsy/Roma arrangements we would need to In terms of my religion, I would Other White make for you? describe myself as: YES Christian Black or Black British NO Jewish Caribbean Buddhist African If YES, and you are successful in Muslim Any other black background obtaining an interview, we will Hindu contact you after the shortlist has Sikh Asian or British Asian been drawn up to discuss Of other religion (please specify) Indian arrangements. ...................................................... Pakistani Having no religion Bangladeshi Advert Any other Asian Background Where did you see this vacancy Sexual Orientation advertised? What is your sexual orientation? Mixed Please specify White & Black Caribbean Local Newspaper Heterosexual White & Black African Lesbian White & Asian National Newspaper Gay Any other mixed background Bisexual Professional Journal I would prefer not to say Chinese or other ethnic group Chinese Job Centre White & Asian Other Internet Any other mixed background Other
Recruitment Monitoring Form Monitoring Form Number This sheet will be detached from your application form and will not be seen by anyone involved in the selection process. We will use this information for monitoring our recruitment processes and, if you are appointed, for our personnel/payroll records. Please complete in block capitals or by ticking the relevant box. Surname First Names Preferred Title Known as Previous Other Name(s) Date of Birth Age Place of Birth Post applied for Gender Male Female Job share Would you like your application to be considered on a job share basis? Yes No Religion In terms of my religion, I would describe myself as: Christian Jewish Buddhist Muslim Hindu Sikh Of other religion (please specify) ...................................................... Having no religion Sexual Orientation What is your sexual orientation? Heterosexual Lesbian Gay Bisexual I would prefer not to say Ethnic Origin I would describe my ethnic origin as: White English Scottish Welsh Welsh Other White English Irish Traveller of Irish Heritage Gypsy/Roma Other White Black or Black British Caribbean African Any other black background Asian or British Asian Indian Pakistani Bangladeshi Any other Asian Background Mixed White & Black Caribbean White & Black African White & Asian Any other mixed background Chinese or other ethnic group Chinese White & Asian Other Any other mixed background Disability For definition, please refer to statement overleaf. In line with this statement, do you consider yourself to have a disability? YES NO If you are selected for interview are there any special arrangements we would need to make for you? YES NO If YES, and you are successful in obtaining an interview, we will contact you after the shortlist has been drawn up to discuss arrangements. Advert Where did you see this vacancy advertised? Please specify Local Newspaper National Newspaper Professional Journal Job Centre Internet Other