Post applied for Ref number Gender: Male Female Prefer not to say Do you identify yourself as trans? Yes No Prefer not to say of Birth: Age: Nationality: _____________________________________________________________________ Ethnic Origin: Prefer to not say White: Asian or Asian British: British Indian Irish Pakistani Other White background Bangladeshi Other Mixed background Mixed Race: White and Black Caribbean Black or Black British: White and Black African Caribbean White and Asian African Other Mixed background Other Mixed background Other Ethnic Groups: Any other background Chinese or other ethnic group Chinese ___________________________________________________________________ Disability Information: The Disability Discrimination Act 2010 states that someone is disabled if they have a 'physical or mental impairment, which has a sustainable and long term adverse effect on their ability to carry out normal day to day activities'. Please see 'How to apply' guidance for further information. Do you consider yourself to be disabled? Yes No Prefer to not say
Post applied for Ref number Gender: Male Female Prefer not to say Do you identify yourself as trans? Yes No Prefer not to say of Birth: Age: Nationality: _____________________________________________________________________ Ethnic Origin: Prefer to not say White: British Irish Other White background Mixed Race: White and Black Caribbean White and Black African White and Asian Other Mixed background Asian or Asian British: Indian Pakistani Bangladeshi Other Mixed background Black or Black British: Caribbean African Other Mixed background Other Ethnic Groups: Any other background Chinese or other ethnic group Chinese ___________________________________________________________________ Disability Information: The Disability Discrimination Act 2010 states that someone is disabled if they have a 'physical or mental impairment, which has a sustainable and long term adverse effect on their ability to carry out normal day to day activities'. Please see 'How to apply' guidance for further information. Do you consider yourself to be disabled? Yes No Prefer to not say
School_Non_teaching_application_form_-_V1_June_16(33).docx