Monitoring Disability: Do you consider yourself to have a disability as defined in the Equalities Act 2010? The Act defines disability as: or mental impairment which has a substantial and long-term “a physical effect on a to carry out normal day to day Please mark with an person’s ability activities”. “x” YES NO If yes please give a brief description of your disability below : Monitoring Gender: FEMALE MALE Sexual Orientation: How would you describe your sexual orientation ? Heterosexual Gay Lesbian Bisexual Prefer not to say Monitoring Age: I am aged: Years Months Date of Birth (DD/MM/YY) Monitoring Religion: I am a member or follower of the following religious group: None/No religion Buddhist Christian Hindu Jewish Muslim Sikh Other Please specify Consent: I hereby give my consent to Cidari Education processing the information given on this form in accordance with the purposes stated above: SIGNED: DATE: NAME: Thank you for completing this form. Please return it with your application.
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” YES NO If yes please give a brief description of your disability below : Monitoring Gender: FEMALE MALE Sexual Orientation: How would you describe your sexual orientation ? Heterosexual Gay Lesbian Bisexual Prefer not to say Monitoring Age: I am aged: Years Months Date of Birth (DD/MM/YY) Monitoring Religion: I am a member or follower of the following religious group: None/No religion Buddhist Christian Hindu Jewish Muslim Sikh Other Please specify Consent: I hereby give my consent to Cidari Education processing the information given on this form in accordance with the purposes stated above: SIGNED: DATE: NAME: Thank you for completing this form. Please return it with your application.
Equal_Opportunities_Monitoring_(Education)(34).docx