0518/41909 RA PART D Job Reference No: Candidate ID No: Equal Opportunities Monitoring We want to ensure that our job opportunities are open to all. The only way we can ensure there is equal opportunity is to monitor applications we receive and compare the profile of people who apply with those appointed. Therefore, this form asks you for your ethnic origin, gender, disability, religion, sexuality and age. The information you provide in this part of the form (Part D) is confidential and is not used in the selection process. It will be separated from the rest of the form when we receive it. 1) If you are currently an employee of this NHS Board, will getting this job be a promotion? Yes No 2) Which one of the following best describes your gender? Male Female In Another Way Prefer not to say If you describe your gender with another term, please provide this here 3) Do you consider yourself to be a trans person? Yes No Prefer not to say Trans is an umbrella term to describe people whose gender is not the same as the sex they were assigned at birth. 4) What is your age? I am years old, and my date of birth is: 5) Do you have a physical or mental health condition or disability that: has a substantial effect on your ability to carry out day to day activities? has lasted or is expected to last 12 months or more? Yes No Prefer not to say If you answered ‘yes’ please tick if it is either of the following: Learning Disability Physical impairment Long standing illness Sensory impairment Mental health condition Other (please describe): Again, if yes, please describe any particular arrangements you would need for your work location: 0518/41909 RA PART D Job Reference No:
Job Reference No: 0518/41909 RA PART D Candidate ID No: Equal Opportunities Monitoring We want to ensure that our job opportunities are open to all. The only way we can ensure there is equal opportunity is to monitor applications we receive and compare the profile of people who apply with those appointed. Therefore, this form asks you for your ethnic origin, gender, disability, religion, sexuality and age. The information you provide in this part of the form (Part D) is confidential and is not used in the selection process. It will be separated from the rest of the form when we receive it. 1) If you are currently an employee of this NHS Board, will getting this job be a promotion? Yes No 2) Which one of the following best describes your gender? Male Female In Another Way Prefer not to say If you describe your gender with another term, please provide this here 3) Do you consider yourself to be a trans person? Yes No Prefer not to say Trans is an umbrella term to describe people whose gender is not the same as the sex they were assigned at birth. 4) What is your age? I am years old, and my date of birth is: 5) Do you have a physical or mental health condition or disability that: has a substantial effect on your ability to carry out day to day activities? has lasted or is expected to last 12 months or more? Yes No Prefer not to say If you answered ‘yes’ please tick if it is either of the following: Learning Disability Long standing illness Mental health condition Physical impairment Sensory impairment Other (please describe): Again, if yes, please describe any particular arrangements you would need for your work location: Job Reference No: 0518/41909 RA PART D
0518%2041909%20RA%20Clinical%20Services%20Secretary%20CAMHS%20Band%203%20Wishaw%20Locality%2018.75%20Hours%20Fixed%20Term%20until%2031st%20March%202019.docx