Part 3: Equality and Diversity Monitoring This section will be separated from part 1 and part 2. Collection of equality information is solely for monitoring purposes to ensure that our policies and procedures are effective. We also collect this data in accordance with the general and specific public sector equality duties under the Equality Act 2010. Any data you enter onto this monitoring form will only be used for monitoring purposes and will not be used in assessing and or scoring your application or during the interview process. This information is kept fully confidential and access is strictly limited in accordance with the Data Protection Act. Please Please Ethnicity Workforce census code Sexual orientation tick tick White WBRI British English Welsh Northern Irish Bi-sexual Scottish Gay Man WIRI Irish Gay Woman WIRT Traveller of Irish Heritage Heterosexual WROM Gypsy / Roma Other WOTH Any other White background Prefer not to say Mixed MWBC White and Black Caribbean MWBA White and Black African Please MWAS White and Asian Gender tick MOTH Any other Mixed background Female Asian or AIND Indian Male Asian British Transgender APKN Pakistani Prefer not to say ABAN Bangladeshi CHNE Chinese AOTH Any other Asian background Personal Please relationship tick Black or BCRB Black Caribbean – Black Single British Living together BAFR Black African – Married BOTH Any other Black background Civil Partnership Other ethnic ARAB Arab Prefer not to say group CHNE Chinese REFU Refused/Prefer Not to Say OOTH Any other ethnic group Disability Religion or belief Please tick Please tick Do you consider that you have a No religion disability? Christian (including Church of Yes - Please complete the grid below England, Catholic, Protestant and No all other Christian denominations) Prefer not to say Buddhist Hindu My disability is: Jewish Physical Impairment Muslim Sensory Impairment Sikh Mental Health Condition Learning Disability/ Difficulty Any other religion (Write in) Long standing illness Prefer not to say Other Prefer not to say
Part 3: Equality and Diversity Monitoring This section will be separated from part 1 and part 2. Collection of equality information is solely for monitoring purposes to ensure that our policies and procedures are effective. We also collect this data in accordance with the general and specific public sector equality duties under the Equality Act 2010. Any data you enter onto this monitoring form will only be used for monitoring purposes and will not be used in assessing and or scoring your application or during the interview process. This information is kept fully confidential and access is strictly limited in accordance with the Data Protection Act. Ethnicity Workforce census code Please tick White WBRI British English Welsh Northern Irish Scottish WIRI Irish WIRT Traveller of Irish Heritage WROM Gypsy / Roma WOTH Any other White background Mixed MWBC White and Black Caribbean MWBA White and Black African MWAS White and Asian MOTH Any other Mixed background Asian or Asian British AIND Indian APKN Pakistani ABAN Bangladeshi CHNE Chinese AOTH Any other Asian background Black or Black British BCRB Black – Caribbean BAFR Black – African BOTH Any other Black background Other ethnic group ARAB Arab CHNE Chinese REFU Refused/Prefer Not to Say OOTH Any other ethnic group Sexual orientation Please tick Bi-sexual Gay Man Gay Woman Heterosexual Other Prefer not to say Gender Please tick Female Male Transgender Prefer not to say Personal relationship Please tick Single Living together Married Civil Partnership Prefer not to say Religion or belief Please tick No religion Christian (including Church of England, Catholic, Protestant and all other Christian denominations) Buddhist Hindu Jewish Muslim Sikh Any other religion (Write in) Prefer not to say Disability Do you consider that you have a disability? Please tick Yes - Please complete the grid below No Prefer not to say My disability is: Physical Impairment Sensory Impairment Mental Health Condition Learning Disability/ Difficulty Long standing illness Other Prefer not to say
Support-Staff-Employment-Application-Form.docx