Ethnic Origin (The following categories are recommended by the Commission for Racial Equality. If you feel the choices do not provide a suitable option, please how you would describe your ethnic origin) (a) White (b) Mixed British White and Black Caribbean Irish White and Black African Any other White background White and Asian Any mixed background (c) Asian or Asian British (d) or Black British Indian Caribbean Pakistani African Bangladeshi Any other Black background Any other Asian background (e) Chinese or other ethnic group If you have ticked one of the other’ ‘Any Chinese boxes, please describe your ethnic origin Any other below. ………………………………………………..… Disability Do you have a disability? Yes: No: Definition of Disability The Disability Discrimination Act 1995 defines disability as follows: A person has a disability if he/she has a physical or mental impairment which has a substantial and long term effect on his/her ability to carry out normal day to day activities. According to the Act, a disabled person is currently someone who: Has a physical or mental impairment and; The impairment has an adverse and substantial effect on his or her ability to carry out normal day to day activities and; The effect of the impairment is long term. Examples of conditions covered include: Physical impairments: diabetes; epilepsy; multiple sclerosis; cancer, cerebral palsy; heart disease. Mental impairments: schizophrenia; dyslexia; disorder; learning difficulties. Progressive conditions: cancer, multiple sclerosis, muscular dystrophy, HIV infection. Sensory impairments, such as blindness, having partial sight or hearing loss are also included within and mental impairments”. “physical Signature: Date: For office use only. Shortlisted Appointed
Ethnic Origin (The following categories are recommended by the Commission for Racial Equality. If you feel the choices do not provide a suitable option, please how you would describe your ethnic origin) (a) White British Irish Any other White background (c) Asian or Asian British Indian Pakistani Bangladeshi Any other Asian background (e) Chinese or other ethnic group Chinese Any other (b) Mixed White and Black Caribbean White and Black African White and Asian Any mixed background (d) or Black British Caribbean African Any other Black background If you have ticked one of the ‘Any other’ boxes, please describe your ethnic origin below. ………………………………………………..… Disability Do you have a disability? Yes: No: Definition of Disability The Disability Discrimination Act 1995 defines disability as follows: A person has a disability if he/she has a physical or mental impairment which has a substantial and long term effect on his/her ability to carry out normal day to day activities. According to the Act, a disabled person is currently someone who: Has a physical or mental impairment and; The impairment has an adverse and substantial effect on his or her ability to carry out normal day to day activities and; The effect of the impairment is long term. Examples of conditions covered include: Physical impairments: diabetes; epilepsy; multiple sclerosis; cancer, cerebral palsy; heart disease. Mental impairments: schizophrenia; dyslexia; disorder; learning difficulties. Progressive conditions: cancer, multiple sclerosis, muscular dystrophy, HIV infection. Sensory impairments, such as blindness, having partial sight or hearing loss are also included within “physical and mental impairments”. Signature: Date: For office use only. Shortlisted Appointed
Teaching_Staff_application_form.docx