DIVERSITY RECRUITMENT MONITORING FORM Please complete this monitoring form and return with your application form. The charity is committed to equal opportunities in employment, with the aim of ensuring that everyone who applies to work for us receives fair treatment. To help us achieve this aim we ask you to complete this monitoring form. This information will be used to monitor the effectiveness of our Diversity and Equality Policy and for no other reason. The request for this information and how it is used is within the scope of the Data Protection Act 1998 which allows for the collation and reporting of sensitive data for monitoring purposes. This information will be kept separate from your application form to ensure that none of the information you have provided is used in the selection decision. POST APPLIED FOR HOW TO COMPLETE THIS FORM:- Please mark your response by putting an in the box. ‘X’ Ethnic Origin: I would describe my racial or cultural origin as: British Irish Other Please specifiy Black or Black African Caribbean Other British: Please specifiy Other Asian or Asian Indian Pakistani Bangladeshi Please specify British: Dual or Multiple and Asian White and White and Any other dual Heritage: Black African Black or mulitple Caribbean heritage Please specify Chinese or Other Chinese Any other Ethnic Group: Ethic Background Please specify Monitoring Disability: Do you consider yourself to have a disability as defined in the Equalities Act 2010? The Act defines disability as: physical or mental impairment which has a substantial and long-term effect on a “a person’s ability to carry out normal day to day activities”. Please mark with an “x”
DIVERSITY RECRUITMENT MONITORING FORM Please complete this monitoring form and return with your application form. The charity is committed to equal opportunities in employment, with the aim of ensuring that everyone who applies to work for us receives fair treatment. To help us achieve this aim we ask you to complete this monitoring form. This information will be used to monitor the effectiveness of our Diversity and Equality Policy and for no other reason. The request for this information and how it is used is within the scope of the Data Protection Act 1998 which allows for the collation and reporting of sensitive data for monitoring purposes. This information will be kept separate from your application form to ensure that none of the information you have provided is used in the selection decision. POST APPLIED FOR HOW TO COMPLETE THIS FORM:- Please mark your response by putting an ‘X’ in the box. Ethnic Origin: I would describe my racial or cultural origin as: British Irish Other Please specifiy Black or Black British: African Caribbean Other Please specifiy Asian or Asian British: Indian Pakistani Bangladeshi Other Please specify Dual or Multiple Heritage: and Asian White and Black African White and Black Caribbean Any other dual or mulitple heritage Please specify Chinese or Other Ethnic Group: Chinese Any other Ethic Background Please specify Monitoring Disability: Do you consider yourself to have a disability as defined in the Equalities Act 2010? The Act defines disability as: “a physical or mental impairment which has a substantial and long-term effect on a person’s ability to carry out normal day to day activities”. Please mark with an “x”