Recruitment Monitoring Form As an equal opportunities employer, the Council is committed to monitoring the effectiveness of its employment policies. This is endorsed by the Equal Opportunities Commission and the Commission for Racial Equality. All stages of the recruitment process are monitored to check that unfair discrimination is not taking place. The information you provide below will be treated in strict confidence unless indicated otherwise. Categories marked with a † will only be available to HR and used for statistical monitoring purposes. Post title: Surname: Initials: Title: Mr Mrs Miss Ms Other please state Date of Birth Age: Gender: Male Female Yes No † Does your gender identity differ from your birth sex? Ethnicity: What is your ethnic group? (please tick one box from the appropriate section) White British Irish Greek / Cypriot Turkish Gypsy Turkish / Cypriot Kurdish Irish Traveller Any other White background* Asian or Asian British Indian Pakistani Bangladeshi East African Asian Any other Asian Background* Black or Black British Caribbean African Any other Black background* Mixed White and Black Caribbean White and Black African White and Asian Any other mixed background* Chinese or other ethnic group Chinese Any other ethnic background* *Other please specify: Disability Do you consider yourself to have a disability? Yes No The Disability Discrimination Act defines a disability as follows: a person has a disability if she /he has a physical or mental impairment
Recruitment Monitoring Form As an equal opportunities employer, the Council is committed to monitoring the effectiveness of its employment policies. This is endorsed by the Equal Opportunities Commission and the Commission for Racial Equality. All stages of the recruitment process are monitored to check that unfair discrimination is not taking place. The information you provide below will be treated in strict confidence unless indicated otherwise. Categories marked with a † will only be available to HR and used for statistical monitoring purposes. Post title: Surname: Initials: Title: Mr Mrs Miss Ms Other please state Date of Birth Age: Gender: Male Female † Does your gender identity differ from your birth sex? Yes No Ethnicity: What is your ethnic group? (please tick one box from the appropriate section) White British Irish Greek / Cypriot Turkish Gypsy Turkish / Cypriot Kurdish Irish Traveller Any other White background* Asian or Asian British Indian Pakistani Bangladeshi East African Asian Any other Asian Background* Black or Black British Caribbean African Any other Black background* Mixed White and Black Caribbean White and Black African White and Asian Any other mixed background* Chinese or other ethnic group Chinese Any other ethnic background* *Other please specify: Disability Do you consider yourself to have a disability? Yes No The Disability Discrimination Act defines a disability as follows: a person has a disability if she /he has a physical or mental impairment
4-DHNPS-Recruitment-Monitoring-Form.docx