Equal Opportunities Monitoring Form Name: ____________________ Male Job Title applied for: ____________________ Female Please indicate the community to which perceive you belong by ticking the appropriate box below. This information is not disclosed to anyone before selection is completed. I am a member of the Protestant community I am a member of the Roman Catholic community I am a member of neither the Protestant nor the Roman Catholic community Do you suffer from a physical or mental impairment as defined by the Disability Discrimination Act 1995? Yes / No How would you define your ethnic origin? Black African Black Caribbean Black Other (please specify) _________ Bangladeshi Indian Pakistani Chinese White Traveller Mixed Other (please specify) _________ Thank you for your co-operation
Equal Opportunities Monitoring Form Name: ____________________ Male Job Title applied for: ____________________ Female Please indicate the community to which perceive you belong by ticking the appropriate box below. This information is not disclosed to anyone before selection is completed. I am a member of the Protestant community I am a member of the Roman Catholic community I am a member of neither the Protestant nor the Roman Catholic community Do you suffer from a physical or mental impairment as defined by the Disability Discrimination Act 1995? Yes / No How would you define your ethnic origin? Black African Black Caribbean Black Other (please specify) _________ Bangladeshi Indian Pakistani Chinese White Traveller Mixed Other (please specify) _________ Thank you for your co-operation
administrative_support_worker_recruitment_pack_aug_2017_1.docx