Equal Opportunities Monitoring Form

The information in this form will be used for monitoring purposes only and will not be used in any decision making process. This form will be seperated from the rest of your application.

All information supplied will be treated in the strictest confidence. It will not be placed on your personnel file.

The following questions are optional:

Where did you hear about this job? Newspaper (please specify)FriendRecruitment CompanyBradbury Fields WebsiteOther (please specify)

Gender
What is your gender? MaleFemaleNon-BinaryOther (please specify)Prefer not to say
(If you are undergoing gender reassignent, please use the gender identity you inted to acquire.)

Do you identify as transgender/transsexual?
YesNoPrefer not to say

Sexual Orientation
How would you describe your sexual orientation? HeterosexualBisexualHomosexualOther (please specify)Prefer not to say

Are you open about your sexual orientation?
YesNoPrefer not to say

Ethnic Group

Age
What is your age? 16-1718-2122-3031-4041-5051-6061-7071+Prefer not to say

Religion and Beliefs
Do you have any religion or strongly-held belief? Yes (please specify)NoPrefer not to say

Disability
The Equality Act 2010 defines a disability as a "physical or mental impairment which has a substantial and long-term adverse effect on a person's ability to carry out normal day-to-day activities". An effect is long-term if it has lasted, or is likely to last, more than 12 months.

Do you consider that you have a disability under the Equality Act? YesNoUsed to have a disability but have now recoveredDon't knowPrefer not to say