WHITE: BLACK / AFRICAN / CARIBBEAN / BLACK BRITISH: ENGLISH/ WELSH/ SCOTTISH / NORTHERN AFRICAN IRISH/ BRITISH CARIBBEAN IRISH ANY OTHER BLACK / AFRICAN / CARIBBEAN GYPSY OR IRISH TRAVELLER BACKGROUND ANY OTHER WHITE BACKGROUND (PLEASE DESCRIBE): (PLEASE DESCRIBE): OTHER ETHNIC GROUP: ARAB ANY OTHER ETHNIC GROUP I DO NOT WISH TO PROVIDE THIS INFORMATION (PLEASE DESCRIBE): RELIGION: NO RELIGION CHRISTIAN (INCLUDING CHURCH OF ENGLAND, CATHOLIC, PROTESTANT AND ALL OTHER CHRISTIAN DENOMINATIONS BUDDHIST HINDU JEWISH MUSLIM SIKH ANY OTHER RELIGION (PLEASE DESCRIBE): I DO NOT WISH TO PROVIDE THIS INFORMATION SEXUAL ORIENTATION: HETEROSEXUAL HOMOSEXUAL BISEXUAL I DO NOT WISH TO PROVIDE THIS INFORMATION THE EQUALITY ACT DEFINES DISABILITY AS FOLLOWS: A PERSON HAS A DISABILITY IF S/HE HAS A PHYSICAL OR MENTAL IMPAIRMENT WHICH HAS A SUBSTANTIAL AND LONG-TERM ADVSERE EFFECT ON THEIR ABILITY TO CARRY OUT NORMAL DAY-TO-DAY ACTIVITIES DO YOU CONSIDER YES (PLEASE PROVIDE DETAILS BELOW) YOURSELF TO HAVE A NO DISABILITY? I DO NOT WISH TO PROVIDE THIS INFORMATION PHYSICAL IMPAIRMENT (PLEASE DESCRIBE): SENSORY IMPAIRMENT(PLEASE DESCRIBE): MENTAL HEALTH CONDITION (PLEASE DESCRIBE): LEARNING DISABILITY (PLEASE DESCRIBE):
WHITE: ENGLISH/ WELSH/ SCOTTISH / NORTHERN IRISH/ BRITISH IRISH GYPSY OR IRISH TRAVELLER ANY OTHER WHITE BACKGROUND (PLEASE DESCRIBE): BLACK / AFRICAN / CARIBBEAN / BLACK BRITISH: AFRICAN CARIBBEAN ANY OTHER BLACK / AFRICAN / CARIBBEAN BACKGROUND (PLEASE DESCRIBE): OTHER ETHNIC GROUP: ARAB ANY OTHER ETHNIC GROUP (PLEASE DESCRIBE): I DO NOT WISH TO PROVIDE THIS INFORMATION RELIGION: NO RELIGION CHRISTIAN (INCLUDING CHURCH OF ENGLAND, CATHOLIC, PROTESTANT AND ALL OTHER CHRISTIAN DENOMINATIONS BUDDHIST HINDU JEWISH MUSLIM SIKH ANY OTHER RELIGION (PLEASE DESCRIBE): I DO NOT WISH TO PROVIDE THIS INFORMATION SEXUAL ORIENTATION: HETEROSEXUAL HOMOSEXUAL BISEXUAL I DO NOT WISH TO PROVIDE THIS INFORMATION THE EQUALITY ACT DEFINES DISABILITY AS FOLLOWS: A PERSON HAS A DISABILITY IF S/HE HAS A PHYSICAL OR MENTAL IMPAIRMENT WHICH HAS A SUBSTANTIAL AND LONG-TERM ADVSERE EFFECT ON THEIR ABILITY TO CARRY OUT NORMAL DAY-TO-DAY ACTIVITIES DO YOU CONSIDER YOURSELF TO HAVE A DISABILITY? YES (PLEASE PROVIDE DETAILS BELOW) NO I DO NOT WISH TO PROVIDE THIS INFORMATION PHYSICAL IMPAIRMENT (PLEASE DESCRIBE): SENSORY IMPAIRMENT(PLEASE DESCRIBE): MENTAL HEALTH CONDITION (PLEASE DESCRIBE): LEARNING DISABILITY (PLEASE DESCRIBE):
equalities_monitoring_form_9_0.docx