Section 4 Diversity Monitoring – Applications are welcome from all suitable individuals irrespective of, for example, age, race, gender or disability. You are asked to complete this questionnaire to help us to monitor the effectiveness of this policy. This information may be reproduced in summary form only in Government or OCPA publications (including websites) or in response to parliamentary questions/enquiries and other public enquiries. Individuals will not be identified or be able to be identified in any such responses. This questionnaire will be kept separate from the application form, will not be seen by the sift and interview The Data Protection Act requires that individuals must be informed, and their consent given, for this information to be made publicly available. If you are content, please complete as much of the following that you are comfortable with: I consent to the information I have entered below being used as described. Yes No Ethnicity Which groups do you most identify with? Please tick ONE box in Section A and ONE box in Section B Section A White Chinese Any Chinese background (specify if you wish) Mixed Ethnic Background Bangladeshi Asian and White Indian Black African and White Pakistani Black Caribbean and White Any other Asian background (specify if you Any Mixed Ethnic background (specify wish) if you wish) Black Any other ethnic background African Any other ethnic background (specify if you Caribbean wish) Any Black background (specify if you wish) Section B Please select one of
Section 4 – Diversity Monitoring Applications are welcome from all suitable individuals irrespective of, for example, age, race, gender or disability. You are asked to complete this questionnaire to help us to monitor the effectiveness of this policy. This information may be reproduced in summary form only in Government or OCPA publications (including websites) or in response to parliamentary questions/enquiries and other public enquiries. Individuals will not be identified or be able to be identified in any such responses. This questionnaire will be kept separate from the application form, will not be seen by the sift and interview The Data Protection Act requires that individuals must be informed, and their consent given, for this information to be made publicly available. If you are content, please complete as much of the following that you are comfortable with: I consent to the information I have entered below being used as described. Yes No Ethnicity Which groups do you most identify with? Please tick ONE box in Section A and ONE box in Section B Section A White Chinese Any Chinese background (specify if you wish) Bangladeshi Indian Pakistani Any other Asian background (specify if you wish) Mixed Ethnic Background Asian and White Black African and White Black Caribbean and White Any Mixed Ethnic background (specify if you wish) Black African Caribbean Any Black background (specify if you wish) Any other ethnic background Any other ethnic background (specify if you wish) Section B Please select one of
Application-and-monitoring-form-for-the-Non-executive-member-of-the-OBR.docx