Irish Traveller (IT) Ethnic origin I would describe my ethnic origin as the following: Romany (R) (please highlight or tick one). English Gypsy (EG) White British (WB) Other (Please specify) (TO) Irish (WI) Sexual Orientation Any other white background (please specify below) (WO) This information will help us to monitor workforce and the effectiveness of our Equalities Policy. Which one Black of these best describe your sexual orientation? British (BB) Bisexual African (BA) Lesbian Caribbean (BC) Gay Man Any other black background Heterosexual (“straight”) (please specify below) (BO) I prefer not to say Asian British (ABR) Other (please specify below) Bangladeshi (AB) Faith / Religion Indian (AI) Buddhist Pakistani (AP) Christian Any other black background Hindu (please specify below) (AO) Sikh Mixed White and black Caribbean (MWBC) Muslim White and black African (MWBA) Jewish White and Asian (MWA) I prefer not to say Black and Asian (MBA) I don’t know Any other black background I do not identify with any religious groups (please specify below) (MO) Other Chinese (please specify below) British (BC) Caring Responsibilities Chinese (C) Do you have any caring responsibilities? Yes No Any other black background (please specify below) (CO) A carer is defined as some who: Other ethnic group or expects to care for, husband, wife or “…cares for, partner, a relative such a relative such as a child, (Please specify below (O) uncle, sister, parent-in-law, son-in-law or grandparent, or someone who falls into neither category but lives at the same address as the carer”. Traveller
Ethnic origin I would describe my ethnic origin as the following: (please highlight or tick one). White British (WB) Irish (WI) Any other white background (please specify below) (WO) Black British (BB) African (BA) Caribbean (BC) Any other black background (please specify below) (BO) Asian British (ABR) Bangladeshi (AB) Indian (AI) Pakistani (AP) Any other black background (please specify below) (AO) Mixed White and black Caribbean (MWBC) White and black African (MWBA) White and Asian (MWA) Black and Asian (MBA) Any other black background (please specify below) (MO) Chinese British (BC) Chinese (C) Any other black background (please specify below) (CO) Other ethnic group (Please specify below (O) Traveller Irish Traveller (IT) Romany (R) English Gypsy (EG) Other (Please specify) (TO) Sexual Orientation This information will help us to monitor workforce and the effectiveness of our Equalities Policy. Which one of these best describe your sexual orientation? Bisexual Lesbian Gay Man Heterosexual (“straight”) I prefer not to say Other (please specify below) Faith / Religion Buddhist Christian Hindu Sikh Muslim Jewish I prefer not to say I don’t know I do not identify with any religious groups Other (please specify below) Caring Responsibilities Do you have any caring responsibilities? Yes No A carer is defined as some who: “…cares for, or expects to care for, husband, wife or partner, a relative such a relative such as a child, uncle, sister, parent-in-law, son-in-law or grandparent, or someone who falls into neither category but lives at the same address as the carer”.
Support%20Staff%20application%20form%202018.docx