Caring responsibilities* Do you have any caring responsibilities? Yes  No   Adults/sick  Adults/disabled  Adults/elderly  Children 16  Children under 16/sick  Children under 16/disabled  Other, please specify:  Do not wish to disclose Ethnic group* Black or Black British  British  Caribbean   African Somali –  Traveller of Irish heritage  African Congolese – Gypsy Roma African Nigerian    – Turkish Cypriot/Turkish speaking (incl. Kurdish) African Ghanaian   – Other Kurdish Other West African   Cypriot  Any other African or Black background,  Jewish please specify: Orthodox Jewish/Charedi Chinese or South East Asian/South East Asian British  White Eastern European Chinese    White other European  Vietnamese  Any other White background,  Any other South East Asian background, please specify: please specify: Asian or Asian British Mixed  Indian  and Black Caribbean  Pakistani  White and Black African Bangladeshi White and Asian    Any other Asian background,  Any other mixed background, please specify: please specify: Any other ethnic group  Any background, please specify:  Do not wish to disclose
Caring responsibilities* Do you have any caring responsibilities? Yes  No   Adults/sick  Adults/disabled  Adults/elderly  Children 16  Children under 16/sick  Children under 16/disabled  Other, please specify:  Do not wish to disclose Ethnic group* Black or Black British  British  Caribbean   African – Somali  Traveller of Irish heritage  African – Congolese  Gypsy Roma  African – Nigerian  Turkish Cypriot/Turkish speaking (incl. Kurdish)  African – Ghanaian  Other Kurdish  Other West African  Cypriot  Any other African or Black background,  Jewish please specify:  Orthodox Jewish/Charedi Chinese or South East Asian/South East Asian British  White Eastern European  Chinese  White other European  Vietnamese  Any other White background,  Any other South East Asian background, please specify: please specify: Asian or Asian British  Indian  Pakistani  Bangladeshi  Any other Asian background, please specify: Mixed  and Black Caribbean  White and Black African  White and Asian  Any other mixed background, please specify: Any other ethnic group  Any background, please specify:  Do not wish to disclose
SC4116%20Application%20Form.docx