EOM 38673

Equal Opportunities Monitoring Form-38673

We aim to be an equal opportunity employer.  This means our policy is not to discriminate against any job applicant because of their race, sex, disability, religion or age.  To ensure our policy is operating effectively (and for no other purpose) please could you provide us with the information requested below.  This information will be kept separate from your application.  It will not be made available to those making decisions at any stage of the selection process and will be treated in the strictest confidence.

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Survey of Ethnic Background

What is your Ethnic Group?

Please choose ONE section from A to E, then mark the appropriate box to indicate your cultural background:

A WHITE





B MIXED




C ASIAN, ASIAN BRITISH, ASIAN ENGLISH, ASIAN SCOTTISH OR ASIAN WELSH




D BLACK, BLACK BRITISH, BLACK ENGLISH, BLACK SCOTTISH OR BLACK WELSH



E CHINESE, CHINESE BRITISH, CHINESE ENGLISH, CHINESE SCOTTISH, CHINESE WELSH OR ANY OTHER ETHNIC GROUP


F ANY OTHER ETHNIC BACKGROUND


Survey of Gender

Please select your gender:




Survey of Disabilities

Do you consider yourself to have a disability?