2. Equal Opportunities Monitoring Form How information about you will be used You are requested to complete this information to enable us to monitor the effectiveness of our Equalities Strategy. This information will be used solely for monitoring purposes, will be treated as confidential and will be separated from the application form on receipt and before selection procedures commence. Please place a tick in the boxes where applicable: Are You? Male Female Please indicate your current age band Up to 19 20 - 29 30 - 39 40 - 49 50 - 59 60 - 69 Over 70 White Black or Black British British Irish African Polish Any other Black background Italian Any other White background Asian or Asian British How would you describe White and Black Caribbean Indian your ethnic origin? White and Black African Pakistani White and Asian Bangladeshi Any other Mixed Background Any other Asian background Chinese Chinese Any other ethnic group Do you consider yourself to have a disability? Yes No did you see this vacancy advertised? Local Newspaper Other Please state Professional Journal Job Centre Internet Please website: www. National Newspaper Religion Sexual Orientation
2. Equal Opportunities Monitoring Form How information about you will be used You are requested to complete this information to enable us to monitor the effectiveness of our Equalities Strategy. This information will be used solely for monitoring purposes, will be treated as confidential and will be separated from the application form on receipt and before selection procedures commence. Please place a tick in the boxes where applicable: Are You? Male Female Please indicate your current age band Up to 19 20 - 29 30 - 39 40 - 49 50 - 59 60 - 69 Over 70 How would you describe your ethnic origin? White British Irish Polish Italian Any other White background Black or Black British African Any other Black background White and Black Caribbean White and Black African White and Asian Any other Mixed Background Asian or Asian British Indian Pakistani Bangladeshi Any other Asian background Chinese Chinese Any other ethnic group Do you consider yourself to have a disability? Yes No did you see this vacancy advertised? Local Newspaper Professional Journal Job Centre National Newspaper Other Internet Please state Please website: www. Religion Sexual Orientation
Application-Form-v2.1-15-06-2018.docx