Equality monitoring Form Surname Forename(s) Post Applied For Job Reference Number Sex Male Female Date of Birth Nationality How did you hear about this vacancy (please highlight as appropriate) Bournemouth University Website - Jobs.ac.uk Times Higher Education Print advert - Times Higher Education Online – – Other (Please specify publication/ source) ………………………………………… Ethnicity White Other Asian background Gypsy or Traveller Mixed White and Black Caribbean – Black or Black British - Caribbean Mixed White and Black African – Black or Black British African Mixed White and Asian – – Other Black background Other mixed background Asian or Asian British Indian Arab – Asian or Asian British Pakistani Other ethnic background – Asian or Asian British Bangladeshi Prefer Not to Say/ Information Refused – Chinese Religion or Belief No Religion Christian Other Denomination – Buddhist Hindu Christian Jewish Christian Church of Scotland Muslim – Christian Roman Catholic Sikh – Christian Presbyterian Church in – Spiritual Ireland Christian Church of Ireland Any other Religion or Belief – Christian Methodist Church in – Prefer Not to Say/ Information Refused Ireland Sexual Orientation 12. Gender Identity Bisexual Is your gender identity the same gender as Gay Man you were originally assigned at birth? Gay Woman/Lesbian Yes No Heterosexual Other Prefer Not to Say/ Information Refused Prefer Not to Say/ Information Refused 13. Disability The Equality Act 2010 protects employees, job applicants, contract workers and students who fall within the new definition of disability. The Act defines disability as a physical or
Equality monitoring Form Surname Forename(s) Post Applied For Job Reference Number Sex Male Female Date of Birth Nationality How did you hear about this vacancy (please highlight as appropriate) Bournemouth University Website - Jobs.ac.uk Times Higher Education – Print advert - Times Higher Education – Online Other (Please specify publication/ source) ………………………………………… Ethnicity White Other Asian background Gypsy or Traveller Mixed – White and Black Caribbean Black or Black British - Caribbean Mixed – White and Black African Black or Black British – African Mixed – White and Asian Other Black background Other mixed background Asian or Asian British – Indian Arab Asian or Asian British – Pakistani Other ethnic background Asian or Asian British – Bangladeshi Prefer Not to Say/ Information Refused Chinese Religion or Belief No Religion Christian – Other Denomination Buddhist Hindu Christian Jewish Christian – Church of Scotland Muslim Christian – Roman Catholic Sikh Christian – Presbyterian Church in Ireland Spiritual Christian – Church of Ireland Any other Religion or Belief Christian – Methodist Church in Ireland Prefer Not to Say/ Information Refused Sexual Orientation 12. Gender Identity Bisexual Is your gender identity the same gender as you were originally assigned at birth? Yes No Gay Man Gay Woman/Lesbian Heterosexual Other Prefer Not to Say/ Information Refused Prefer Not to Say/ Information Refused 13. Disability The Equality Act 2010 protects employees, job applicants, contract workers and students who fall within the new definition of disability. The Act defines disability as a physical or
General%20Application%20Form-2.docx