EQUAL OPPORTUNITIES MONITORING FORM – STAFF, TRUSTEES & VOLUNTEERS Age UK East Grinstead & District aims to everyone fairly and according to their needs, to ensure that services are free from discrimination and prejudice. We also want to make sure that we can support as many people as possible with different needs and from different backgrounds and cultures. To help us do this we would be grateful if you would answer the questions below. Providing this information enables us to monitor our approach to equalities and all information given will be treated in strictest confidence and stored securely. The form will not be used at any stage in the selection process. A disability or health problem does not preclude consideration for the job and applications from suitable people with disabilities are welcome. Please tick boxes as applicable. Date of Birth ____________________ Your Gender Male Female Prefer not to say Your Ethnic Origin: British Irish Any other White background please specify ...................... – White & Black Caribbean Mixed White & Black African & Asian Any other Mixed background please specify ...................... – or Asian Indian British Pakistani Bangladeshi Any other Asian or Asian British background please specify – ............................................... Black or Black African British Caribbean Any other Black or Black British background please specify – ............................................... Other Chinese Romany Gypsy/Irish Traveller Any other ethnic background please specify ...................... –
EQUAL OPPORTUNITIES MONITORING FORM – STAFF, TRUSTEES & VOLUNTEERS Age UK East Grinstead & District aims to everyone fairly and according to their needs, to ensure that services are free from discrimination and prejudice. We also want to make sure that we can support as many people as possible with different needs and from different backgrounds and cultures. To help us do this we would be grateful if you would answer the questions below. Providing this information enables us to monitor our approach to equalities and all information given will be treated in strictest confidence and stored securely. The form will not be used at any stage in the selection process. A disability or health problem does not preclude consideration for the job and applications from suitable people with disabilities are welcome. Please tick boxes as applicable. Date of Birth ____________________ Your Gender Male Female Prefer not to say Your Ethnic Origin: British Irish Any other White background – please specify ...................... Mixed White & Black Caribbean White & Black African & Asian Any other Mixed background – please specify ...................... or Asian British Indian Pakistani Bangladeshi Any other Asian or Asian British background – please specify ............................................... Black or Black British African Caribbean Any other Black or Black British background – please specify ............................................... Other Chinese Romany Gypsy/Irish Traveller Any other ethnic background – please specify ......................
recruitment-pack-sba.docx