EQUALITY AND DIVERSITY MONITORING To help us monitor the effectiveness of the group’s equality and diversity policy, please provide the following information. If you do not wish to complete the recruitment and personal information sheet, your application will not be affected in any way. The information on this sheet will be separated from your application form as soon as it is received. It will be processed in line with the requirements of the Data Protection Act 1988 and will be kept secure and separate from your application. First name . . . . . . . . . . . . . . . .Surname . . . . . . . . . . . . . . . . . . . Date of birth . . . . . . . . . o o Male or female? Male Female Relationship status? o o o o o o Single Divorced Married Widowed Separated Partner o o Asian – Indian Black – Caribbean o o White – British Mixed White & Black Caribbean o o Asian – Pakistani Black – African o o White - Irish Mixed White & Black African o o Asian – Bangladeshi Black – Other* o o White – Other* Mixed White & Asian o o Chinese Asian – Other* o o Any Other* Mixed Other* *If you have answered Other, please specify here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Disability o o Do you consider yourself to have a disability? Yes No Do not wish to disclose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If yes, would you have any special requirements to help you attend an interview? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . To make these arrangements, we may need to give details of your disability to the panel.
EQUALITY AND DIVERSITY MONITORING To help us monitor the effectiveness of the group’s equality and diversity policy, please provide the following information. If you do not wish to complete the recruitment and personal information sheet, your application will not be affected in any way. The information on this sheet will be separated from your application form as soon as it is received. It will be processed in line with the requirements of the Data Protection Act 1988 and will be kept secure and separate from your application. First name . . . . . . . . . . . . . . . .Surname . . . . . . . . . . . . . . . . . . . Date of birth . . . . . . . . . Male or female? Male o Female o Relationship status? Single o Divorced o Married o Widowed o Separated o Partner o Asian – Indian o Mixed White & Black Caribbean o Asian – Pakistani o Mixed White & Black African o Asian – Bangladeshi o Mixed White & Asian o Asian – Other* o Mixed Other* o Black – Caribbean o White – British o Black – African o White - Irish o Black – Other* o White – Other* o Chinese o Any Other* o *If you have answered Other, please specify here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Disability Do you consider yourself to have a disability? Yes o No o Do not wish to disclose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If yes, would you have any special requirements to help you attend an interview? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . To make these arrangements, we may need to give details of your disability to the panel.
Equality-and-Diversity-Monitoring-Form-1.docx