Gender: Male Female Date of Birth: (tick a box) Do you consider your ethnic origin to be: WHITE MIXED British White and black Irish White and black African Another white background and Asian Another mixed background ASIAN Asian British BLACK Asian Indian Black British Pakistani Black Asian Bangladeshi Black African Another Asian background Another black background ANOTHER ETHNIC GROUP ANY OTHER ETHNIC GROUP Chinese/Vietnamese Please state Cypriot Greek Cypriot Turkish Cypriot other Do you consider yourself to have a disability? Yes No (tick a box) If so, please state the nature of your disability* If you have a disability, we will offer you an interview as long as you meet the essential criteria of the post. Also, please let us know of any special requirements you may have which will help us to ensure a fair selection. * The Disability Discrimination Act 1995 describes a disability as physical or mental impairment which has a substantial and long term “A effect on the person’s ability to carry out normal day to day activities”.
Gender: Male Female (tick a box) Date of Birth: Do you consider your ethnic origin to be: WHITE British Irish Another white background ASIAN Asian British Asian Indian Pakistani Asian Bangladeshi Another Asian background ANOTHER ETHNIC GROUP Chinese/Vietnamese Cypriot Greek Cypriot Turkish Cypriot other MIXED White and black White and black African and Asian Another mixed background BLACK Black British Black Black African Another black background ANY OTHER ETHNIC GROUP Please state Do you consider yourself to have a disability? Yes No (tick a box) If so, please state the nature of your disability* If you have a disability, we will offer you an interview as long as you meet the essential criteria of the post. Also, please let us know of any special requirements you may have which will help us to ensure a fair selection. * The Disability Discrimination Act 1995 describes a disability as “A physical or mental impairment which has a substantial and long term effect on the person’s ability to carry out normal day to day activities”.
SSSA-Application-May-2018.docx