5. Sexual Orientation What is your sexual orientation? [ ] bisexual [ ] gay man [ ] heterosexual [ ] lesbian [ ] other [ ] I prefer not to say 6. Religion or belief What is your religion or belief? [ ] Buddhist [ ] Christian [ ] Hindu [ ] Jewish [ ] Muslim [ ] Sikh [ ] Other [ ] No Religion or Atheist [ ] I prefer not to say 7. What is your principal place of residence? Please enter the County or City that you live in along with the first part of your postcode e.g. Dyfed SY23; London SE18 County/City_____________________ Post Code [ ] [ ] [ ] [ ] 8. What is your principal employment, if any? Please describe your main employment and tick the occupational sector box that best describes you: Employment __________________________________________ [ ] Mostly Civil Service [ ] Mostly Private Sector [ ] Mostly Third Sector [ ] Mostly wider Public Sector [ ] Mixed [ ] I prefer not to say Only the information provided in section 9 (Political Activity) below will be made available to the panel if you are called for interview. 9. Do you hold any other public appointments? [ ] 1 [ ] 2 [ ] 3 [ ] 4 [ ] 5-9 [ ] 10 or more [ ] prefer not to say 10. Political Activity Have you undertaken any political activity for a political party in the past five years? [ ] No [ ] If yes, please indicate the activity undertaken and for which party/parties: [ ] held office [ ] public speaking [ ] stood for election [ ] made donations to a party (if so, please say how much _______________) [ ] any other political activity (if so, please specify ______________________) Party/Parties___________________________________________________
5. Sexual Orientation What is your sexual orientation? [ ] bisexual [ ] gay man [ ] heterosexual [ ] lesbian [ ] other [ ] I prefer not to say 6. Religion or belief What is your religion or belief? [ ] Buddhist [ ] Christian [ ] Hindu [ ] Jewish [ ] Muslim [ ] Sikh [ ] Other [ ] No Religion or Atheist [ ] I prefer not to say 7. What is your principal place of residence? Please enter the County or City that you live in along with the first part of your postcode e.g. Dyfed SY23; London SE18 County/City_____________________ Post Code [ ] [ ] [ ] [ ] 8. What is your principal employment, if any? Please describe your main employment and tick the occupational sector box that best describes you: Employment __________________________________________ [ ] Mostly Civil Service [ ] Mostly Private Sector [ ] Mostly Third Sector [ ] Mostly wider Public Sector [ ] Mixed [ ] I prefer not to say Only the information provided in section 9 (Political Activity) below will be made available to the panel if you are called for interview. 9. Do you hold any other public appointments? [ ] 1 [ ] 2 [ ] 3 [ ] 4 [ ] 5-9 [ ] 10 or more [ ] prefer not to say 10. Political Activity Have you undertaken any political activity for a political party in the past five years? [ ] No [ ] If yes, please indicate the activity undertaken and for which party/parties: [ ] held office [ ] public speaking [ ] stood for election [ ] made donations to a party (if so, please say how much _______________) [ ] any other political activity (if so, please specify ______________________) Party/Parties___________________________________________________
OCPA-2017-Monitoring-Form.docx