White and Black African Other Black Background – ________________ Mixed White and Asian Chinese – Other Mixed Background Other Ethnic Background – _______________ ________________ Asian or Asian British Indian Not – Asian or Asian British - Pakistani I prefer not to say 10. Are you related to an employee(s) or trustee(s) of Crossfields Institute? Yes No If yes, please give details: Name__________________________ Position __________________________________ Relationship to you ______________________ I confirm that the information is correct to the best of my knowledge. I consent to Crossfields Institute processing, by means of a computer database or otherwise, any information I provide for the purpose of employment by Crossfields Institute, in accordance with the Data Protection Act 2018. Signature ______________________ Date _____________ you for completing this Diversity and Equal Opportunities Form. Please ensure that you return it with your fully completed application form. Crossfields Institute Human Resources –
– White and Black African Other Black Background ________________ Mixed – White and Asian Chinese Other – Mixed Background _______________ Other Ethnic Background ________________ Asian or Asian British – Indian Not Asian or Asian British - Pakistani I prefer not to say 10. Are you related to an employee(s) or trustee(s) of Crossfields Institute? Yes No If yes, please give details: Name__________________________ Position __________________________________ Relationship to you ______________________ I confirm that the information is correct to the best of my knowledge. I consent to Crossfields Institute processing, by means of a computer database or otherwise, any information I provide for the purpose of employment by Crossfields Institute, in accordance with the Data Protection Act 2018. Signature ______________________ Date _____________ you for completing this Diversity and Equal Opportunities Form. Please ensure that you return it with your fully completed application form. Crossfields Institute – Human Resources
Application-form-CI-2018.docx