White and Asian Bangladeshi mixed background Other Asian Background White Chinese or ethnic group British Chinese Irish Any other ethnic group, please write in Other (please state) ___________________________________________ ______________________ I am Heterosexual Transsexual Gay/Lesbian Prefer not to say The Disability Discrimination Act 1995 says that someone is disabled if they have a or “physical mental impairment, which has a substantial long term adverse effect on their ability to carry out normal day to day activities”. I consider that I am a disabled person as defined in the Disability Discrimination Act Yes No I consider that I am a disabled person but do not feel I meet the Disability Yes Discrimination Act definition No
White and Asian mixed background Bangladeshi Other Asian Background White British Irish Other (please state) ______________________ Chinese or ethnic group Chinese Any other ethnic group, please write in ___________________________________________ I am Heterosexual Transsexual Gay/Lesbian Prefer not to say The Disability Discrimination Act 1995 says that someone is disabled if they have a “physical or mental impairment, which has a substantial long term adverse effect on their ability to carry out normal day to day activities”. I consider that I am a disabled person as defined in the Disability Discrimination Act Yes No I consider that I am a disabled person but do not feel I meet the Disability Discrimination Act definition Yes No
Application%20Form%20and%20Equality_0.docx