Black or Black Asian or Asian Mixed White & White Irish – – British African British Pakistani Asian – – Other Black or Asian Other mixed Other white British - background background background Bangladeshi or Ethnic Other ethnic background background Other Asian Arabic background Disability: Definition The Disability Discrimination Act 1995 defines a disabled person as one who has a physical or – mental impairment which has a substantial and long term adverse effect on his / his abilities to carry out normal day to day activities. Do you consider yourself to have a No Yes disability? I understand that this information may be stored and processed as part of Hope into Action’s monitoring of equal opportunities and as part of the recruitment procedure and give my consent for my details to be used for this purpose. Signed: Date : ……………………………………………… ………………………
Black or Black British – African Asian or Asian British – Pakistani Mixed – White & Asian White – Irish Other Black background or Asian British - Bangladeshi Other mixed background Other white background or Ethnic background Other ethnic background Other Asian background Arabic Disability: Definition – The Disability Discrimination Act 1995 defines a disabled person as one who has a physical or mental impairment which has a substantial and long term adverse effect on his / his abilities to carry out normal day to day activities. Do you consider yourself to have a disability? Yes No I understand that this information may be stored and processed as part of Hope into Action’s monitoring of equal opportunities and as part of the recruitment procedure and give my consent for my details to be used for this purpose. Signed: ……………………………………………… Date : ………………………
APPLICATION-FORM-volunteers-170129.docx