Any other Asian Any other White ☐ ☐ Other background background Arab ☐ Any other ethnicity ☐ Black or Black British Prefer not to say ☐ White African Dual background ☐ English/ Caribbean White & Black ☐ ☐ ☐ Welsh/Scottish/ Any other Black Caribbean ☐ Northern Irish/British background White & Black African ☐ Irish White & Asian ☐ ☐ Gypsy or Irish ☐ Any other dual Traveller ☐ background Do you have dependent children aged 18 or under? Yes No Prefer not to say ☐ ☐ ☐ Do you have caring responsibilities, other than parenting? Yes No Prefer not to say ☐ ☐ ☐ What is your legal marital or same-sex civil partnership status? Married ☐ Divorced ☐ Widowed ☐ In a registered same-sex civil partnership ☐ Never married and never registered in a same-sex civil partnership ☐ Formerly in a same-sex civil partnership which is now legally dissolved ☐ Separated, but legally married ☐ Separated, but still legally in a same-sex civil partnership ☐ Surviving partner from a same-sex civil partnership ☐
☐ Any other Asian background White ☐ English/ Welsh/Scottish/ Northern Irish/British ☐ Irish ☐ Gypsy or Irish Traveller ☐ Any other White background Black or Black British ☐ African ☐ Caribbean ☐ Any other Black background Other ☐ Arab ☐ Any other ethnicity ☐ Prefer not to say Dual background ☐ White & Black Caribbean ☐ White & Black African ☐ White & Asian ☐ Any other dual background Do you have dependent children aged 18 or under? ☐ Yes ☐ No ☐ Prefer not to say Do you have caring responsibilities, other than parenting? ☐ Yes ☐ No ☐ Prefer not to say What is your legal marital or same-sex civil partnership status? ☐ Married ☐ Divorced ☐ Widowed ☐ In a registered same-sex civil partnership ☐ Never married and never registered in a same-sex civil partnership ☐ Formerly in a same-sex civil partnership which is now legally dissolved ☐ Separated, but legally married ☐ Separated, but still legally in a same-sex civil partnership ☐ Surviving partner from a same-sex civil partnership
brent-works-application-form.docx