Equal Opportunities and Diversity Monitoring In order to effectively monitor equality and diversity of our recruitment processes, could you please complete this monitoring form? The monitoring form will be treated confidentially with no reference to individual names and will be separated from your application. Please note: to make your selection, double click on the box field and select under default value. “checked” Gender: Female Male Role applied for: Board Staff Volunteer D Black or Black British Age range: African 16 to 19 Caribbean 20 to 24 Any other black background (please specify): 25 to 29 30 to 39 E Other ethnic group 40 to 49 Arab 50 and above Any other ethnic background (please specify): What is your ethnic A White Sexual Orientation English/Welsh/Scottish/Northern Irish/British Which of the following options best describes how you of yourself? Gypsy or Irish Traveller Bisexual Any other White background (please specify): Gay man Gay woman/lesbian B Mixed Heterosexual Other White and Black Caribbean Prefer not to say White and Black African What is your religion? White and Asian Any other Mixed background (please specify): No Religion Christian (including CofE, Catholic, Protestant and all other Christian denominations) C Asian or Asian British Buddhist Indian Hindu Pakistani Jewish Bangladeshi Muslim Chinese Sikh Any other Asian background (please specify): Any other religion (please specify):
Equal Opportunities and Diversity Monitoring In order to effectively monitor equality and diversity of our recruitment processes, could you please complete this monitoring form? The monitoring form will be treated confidentially with no reference to individual names and will be separated from your application. Please note: to make your selection, double click on the box field and select “checked” under default value. Gender: Female Male Role applied for: Board Staff Volunteer Age range: 16 to 19 20 to 24 25 to 29 30 to 39 40 to 49 50 and above D Black or Black British African Caribbean Any other black background (please specify): E Other ethnic group Arab Any other ethnic background (please specify): Sexual Orientation Which of the following options best describes how you of yourself? Bisexual Gay man Gay woman/lesbian Heterosexual Other Prefer not to say What is your religion? No Religion Christian (including CofE, Catholic, Protestant and all other Christian denominations) Buddhist Hindu Jewish Muslim Sikh Any other religion (please specify): What is your ethnic A White English/Welsh/Scottish/Northern Irish/British Gypsy or Irish Traveller Any other White background (please specify): B Mixed White and Black Caribbean White and Black African White and Asian Any other Mixed background (please specify): C Asian or Asian British Indian Pakistani Bangladeshi Chinese Any other Asian background (please specify):
AY_Application-Form_Monitoring-Form.docx