London Borough of Camden V A L U I N G D I V E R S I T Y I N E M P L O Y M E N T The London Borough of Camden is committed to equality and diversity in employment. In order to monitor and ensure the effectiveness of this, all applicants are asked to provide the following information. Any information given will be treated in the strictest confidence, and will be used solely for the purposes of monitoring. This part of the form will be separated from the rest of your Job Application Form upon receipt and will not be considered as part of the short listing or appointment process. What is your gender?: Please tick (✓) Mixed: and African Male Female White and Asian What is your date of birth? White and Caribbean Disability: Any Mixed background, please specify: Under the terms of the Disability Discrimination Act 1995 person has a ‘a disability if he/she has a physical or mental impairment which has a substantial and long-term adverse effect on his/her ability to carry out normal day to day activities’. Individuals with the following conditions can Asian now automatically be classified as having a disability: HIV, cancer, multiple sclerosis, severe disfigurements, certified blindness or partial Bangladeshi sightedness. Do you consider yourself to have a disability as defined above? Indian Pakistani Yes No Any other Asian background, please specify: What is your ethnic group?: Please tick (✓) Black: Our ethnic background describes how we think of ourselves. Ethnic African Congolese African Nigerian background is not the same as nationality or country of birth. The groups listed below reflect the largest ethnic groups in Camden. You are asked to choose the ethnic group that is closest to how you see yourself and African Somalian Caribbean specify a more specific group if you wish. White: Any other African background, please specify: Albanian (excluding Kosovan) or Greek Cypriot Any other Black background, please specify: Kosovan Turkish or Turkish Cypriot Chinese or other ethnic group: White British White Irish Chinese Any other White background, please specify:
London Borough of Camden V A L U I N G D I V E R S I T Y I N E M P L O Y M E N T The London Borough of Camden is committed to equality and diversity in employment. In order to monitor and ensure the effectiveness of this, all applicants are asked to provide the following information. Any information given will be treated in the strictest confidence, and will be used solely for the purposes of monitoring. This part of the form will be separated from the rest of your Job Application Form upon receipt and will not be considered as part of the short listing or appointment process. What is your gender?: Please tick (✓) Male Female What is your date of birth? Disability: Under the terms of the Disability Discrimination Act 1995 ‘a person has a disability if he/she has a physical or mental impairment which has a substantial and long-term adverse effect on his/her ability to carry out normal day to day activities’. Individuals with the following conditions can now automatically be classified as having a disability: HIV, cancer, multiple sclerosis, severe disfigurements, certified blindness or partial sightedness. Do you consider yourself to have a disability as defined above? Yes No Mixed: and African White and Asian White and Caribbean Any Mixed background, please specify: Asian Bangladeshi Indian Pakistani Any other Asian background, please specify: What is your ethnic group?: Please tick (✓) Our ethnic background describes how we think of ourselves. Ethnic background is not the same as nationality or country of birth. The groups listed below reflect the largest ethnic groups in Camden. You are asked to choose the ethnic group that is closest to how you see yourself and specify a more specific group if you wish. White: Albanian (excluding Kosovan) or Greek Cypriot Kosovan Turkish or Turkish Cypriot White British White Irish Black: African Congolese African Nigerian African Somalian Caribbean Any other African background, please specify: Any other Black background, please specify: Chinese or other ethnic group: Chinese Any other White background, please specify:
Application-Form-PDF-WORD-WRITABLE-2-Draft-2.docx