Equal Opportunities Monitoring Form PRIVATE AND CONFIDENTIAL The Bumblebee Conservation Trust operates an Equal Opportunities Policy and no person will be discriminated against whilst seeking employment or during such employment with the Trust on the grounds of any protected characteristics such as age, disability, ethnic origin, gender, marital status, political allegiance, race, religious belief, sexual orientation, responsibility for dependants, or unrelated spent criminal convictions. You may choose to leave any or all questions unanswered. TYPE OF ROLE APPLIED CONSERVATION SCIENCE FOR: ADMINISTRATION FINANCE COMMUNICATIONS PUBLIC ENGAGEMENT STRATEGY PROJECTS (e.g. MAB, PtP, SubT) DATE FORM COMPLETED: AGE: GENDER MALE IS THIS THE Yes (Please circle/cross out as FEMALE SAME GENDER No appropriate): TRANSGENDER YOU WERE (please tick/double click to select) OTHER ASSIGNED AT (Please BIRTH? specify)________________ MARITAL STATUS (Please MARRIED circle/cross out as appropriate): CIVIL PARTNERSHIP SINGLE DIVORCED LIVING WITH PARTNER OTHER (Please specify)______________________________ DO YOU HAVE CHILDREN RESPONSIBILITY FOR ELDERLY DEPENDANTS (e.g. children, OTHER elderly, or any other person for NOT APPLICABLE whom you are the main carer)? DISABILITY Do you consider yourself to Yes No (please tick/double click to select) have a physical and/or mental impairment as defined by the Please give details if you wish: Equality Act 2010/ Disability Discrimination Act 1995 (NI)? WHITE: ETHNIC ORIGIN How would you describe your BRITISH identity? ENGLISH IRISH SCOTTISH WELSH OTHER (PLEASE SPECIFY): _____________________________
Equal Opportunities Monitoring Form PRIVATE AND CONFIDENTIAL The Bumblebee Conservation Trust operates an Equal Opportunities Policy and no person will be discriminated against whilst seeking employment or during such employment with the Trust on the grounds of any protected characteristics such as age, disability, ethnic origin, gender, marital status, political allegiance, race, religious belief, sexual orientation, responsibility for dependants, or unrelated spent criminal convictions. You may choose to leave any or all questions unanswered. TYPE OF ROLE APPLIED FOR: CONSERVATION SCIENCE ADMINISTRATION FINANCE COMMUNICATIONS PUBLIC ENGAGEMENT STRATEGY PROJECTS (e.g. MAB, PtP, SubT) DATE FORM COMPLETED: AGE: GENDER (Please circle/cross out as appropriate): MALE FEMALE TRANSGENDER OTHER (Please specify)________________ IS THIS THE SAME GENDER YOU WERE ASSIGNED AT BIRTH? Yes No (please tick/double click to select) MARITAL STATUS (Please circle/cross out as appropriate): MARRIED CIVIL PARTNERSHIP SINGLE DIVORCED LIVING WITH PARTNER OTHER (Please specify)______________________________ DO YOU HAVE RESPONSIBILITY FOR DEPENDANTS (e.g. children, elderly, or any other person for whom you are the main carer)? CHILDREN ELDERLY OTHER NOT APPLICABLE DISABILITY Do you consider yourself to have a physical and/or mental impairment as defined by the Equality Act 2010/ Disability Discrimination Act 1995 (NI)? Yes No (please tick/double click to select) Please give details if you wish: ETHNIC ORIGIN How would you describe your identity? WHITE: BRITISH ENGLISH IRISH SCOTTISH WELSH OTHER (PLEASE SPECIFY): _____________________________