EQUAL OPPORTUNITIES MONITORING Ethnic origin I would describe my ethnic origin as follows: □ I do not wish to disclose my ethnic origin Sexual orientation Please indicate which term would best describe your sexual orientation: □ I do not wish to disclose my sexual orientation Religion or belief Please indicate your religion or belief: □ I do not wish to disclose my religion or belief Relationships Conflict of Interest – If you are related to a director, or have a relationship with a director or employee of an appointing organisation, please state the relationship: Please indicate how you heard about the Programme □ □ □ Line Manager Colleague Professional Network □ □ □ Internet Flyer Other Other (please specify):
EQUAL OPPORTUNITIES MONITORING Ethnic origin I would describe my ethnic origin as follows: I do not wish to disclose my ethnic origin □ Sexual orientation Please indicate which term would best describe your sexual orientation: I do not wish to disclose my sexual orientation □ Religion or belief Please indicate your religion or belief: I do not wish to disclose my religion or belief □ Relationships – Conflict of Interest If you are related to a director, or have a relationship with a director or employee of an appointing organisation, please state the relationship: Please indicate how you heard about the Programme Line Manager □ Internet □ Colleague □ Flyer □ Professional Network □ Other □ Other (please specify):
West-Midlands-Masters-to-Doctorate-Bridging-Programme-Application-Form.docx