Emmaus Bristol Equal Opportunities Monitoring Form Emmaus is committed to equal opportunities in employment and volunteering and will assess for roles fairly without regard to sex, age, marital status, sexual orientation, race, colour, nationality, ethnic or national origins. People with disabilities will be assessed on the needs of the role they have applied for. We would therefore be grateful if you could complete and return this form. The information you supply will be separated from your application before the short-listing and interview process begins, and will be kept confidentially and will only be used so that we can monitor the implementation of our equal opportunities policy. Please choose one option from each of the sections listed below, checking the relevant box with an X, by double clicking on the appropriate box. Ethnic Group: Age: Religion: White: Mixed: 16 24 No religion – British White and Asian 25 34 Baha’i – English African 35 44 Christian – Irish Caribbean 45 54 Hindu – Scottish White and Chinese 55 64 Jewish – Welsh Other Mixed background 65+ Muslim Other White Buddhist Black or Black British: Marital Status: background Jain African Sikh Caribbean Single Other Asian or Asian Other Black background Married/Civil British: Partnership Bangladeshi Chinese or Chinese British or Living with Indian other ethnic group: partner Pakistani Chinese Other Other Asian Other ethnic group background Prefer not to say Disability: The Equality Act 2010 defines a disability as a or mental impairment which has a substantial ‘physical and long-term adverse effect on a person's ability to carry out normal day-to-day activities’. An effect is long-term if it has lasted, or is likely to last, more than 12 months. Do you consider that you have a disability under the Equality Act (please tick)? Yes No Prefer not to say Declaration: This information will be treated in the strictest confidence. It will be used to meet any requirements you have for statistical equal opportunities monitoring. Under GDPR we need your agreement to retain this information for these purposes. Please tick this box if you agree to this: Signature __________________________________________ Date ____________________ Thank you for completing this form. Please forward this together with your completed application form
Emmaus Bristol Equal Opportunities Monitoring Form Emmaus is committed to equal opportunities in employment and volunteering and will assess for roles fairly without regard to sex, age, marital status, sexual orientation, race, colour, nationality, ethnic or national origins. People with disabilities will be assessed on the needs of the role they have applied for. We would therefore be grateful if you could complete and return this form. The information you supply will be separated from your application before the short-listing and interview process begins, and will be kept confidentially and will only be used so that we can monitor the implementation of our equal opportunities policy. Please choose one option from each of the sections listed below, checking the relevant box with an X, by double clicking on the appropriate box. Ethnic Group: Age: Religion: White: British English Irish Scottish Welsh Other White background Asian or Asian British: Bangladeshi Indian Pakistani Other Asian background Mixed: White and Asian African Caribbean White and Chinese Other Mixed background Black or Black British: African Caribbean Other Black background Chinese or Chinese British or other ethnic group: Chinese Other ethnic group Prefer not to say 16 – 24 25 – 34 35 – 44 45 – 54 55 – 64 65+ No religion Baha’i Christian Hindu Jewish Muslim Buddhist Jain Sikh Other Marital Status: Single Married/Civil Partnership Living with partner Other Disability: The Equality Act 2010 defines a disability as a ‘physical or mental impairment which has a substantial and long-term adverse effect on a person's ability to carry out normal day-to-day activities’. An effect is long-term if it has lasted, or is likely to last, more than 12 months. Do you consider that you have a disability under the Equality Act (please tick)? Yes No Prefer not to say Declaration: This information will be treated in the strictest confidence. It will be used to meet any requirements you have for statistical equal opportunities monitoring. Under GDPR we need your agreement to retain this information for these purposes. Please tick this box if you agree to this: Signature __________________________________________ Date ____________________ Thank you for completing this form. Please forward this together with your completed application form
Emmaus%20Bristol%20Equal%20Opportunities%20Monitoring%20Form.docx