Science Council Equal Opportunities Monitoring Form The Science Council is committed to equality of opportunity in the provision of its recruitment, selection and employment procedures. Monitoring is recommended by the Codes of Practice for the elimination of discrimination. In order to monitor this policy, we request the following information, which would be used for this purpose and will form no part of the selection and interview process. All information provided will be treated as strictly confidential in accordance with the Data Protection Act. The information will only be used for statistical purposes with access restricted to staff involved in processing and monitoring the data. No information will be published or used in any way that allows individuals to be identified. 1. Gender What is your gender? ☐Male ☐Female 2. Age Please tick the box corresponding to your age group: ☐15-19 ☐45-49 ☐20-24 ☐50-54 ☐25-29 ☐55-59 ☐30-34 ☐60-64 ☐35-39 ☐65-69 ☐40-44 ☐70+ 3. Nationality This question is about the country or nation that you belong to. Please tick one option that most accurately describes your nationality: ☐UK/British ☐English ☐Welsh ☐Scottish ☐Northern Irish ☐Irish ☐Other EU ((includes: Belgium, France, Germany, Italian, Netherlands, Luxembourg, Denmark, Ireland, Greece, Portugal, Spain, Austria, Sweden, Finland, Cyprus, Czech Republic, Estonia, Hungary, Latvia, Lithuania, Malta, Poland, Slovakia, Slovenia, Bulgaria, Romania)) ☐Non-EU ☐USA ☐Australian ☐New Zealander ☐Chinese ☐Chinese (Hong Kong SAR) ☐African (excluding South African) ☐South African ☐Indian ☐Pakistani ☐Bangladeshi ☐Other, please specify________________________
Science Council Equal Opportunities Monitoring Form The Science Council is committed to equality of opportunity in the provision of its recruitment, selection and employment procedures. Monitoring is recommended by the Codes of Practice for the elimination of discrimination. In order to monitor this policy, we request the following information, which would be used for this purpose and will form no part of the selection and interview process. All information provided will be treated as strictly confidential in accordance with the Data Protection Act. The information will only be used for statistical purposes with access restricted to staff involved in processing and monitoring the data. No information will be published or used in any way that allows individuals to be identified. 1. Gender What is your gender? ☐Male ☐Female 2. Age Please tick the box corresponding to your age group: ☐15-19 ☐45-49 ☐20-24 ☐50-54 ☐25-29 ☐55-59 ☐30-34 ☐60-64 ☐35-39 ☐65-69 ☐40-44 ☐70+ 3. Nationality This question is about the country or nation that you belong to. Please tick one option that most accurately describes your nationality: ☐UK/British ☐English ☐Welsh ☐Scottish ☐Northern Irish ☐Irish ☐Other EU ((includes: Belgium, France, Germany, Italian, Netherlands, Luxembourg, Denmark, Ireland, Greece, Portugal, Spain, Austria, Sweden, Finland, Cyprus, Czech Republic, Estonia, Hungary, Latvia, Lithuania, Malta, Poland, Slovakia, Slovenia, Bulgaria, Romania)) ☐Non-EU ☐USA ☐Australian ☐New Zealander ☐Chinese ☐Chinese (Hong Kong SAR) ☐African (excluding South African) ☐South African ☐Indian ☐Pakistani ☐Bangladeshi ☐Other, please specify________________________
DiversityMonitoringForm_Dect14.docx