THE JAMES TUDOR FOUNDATION
EQUAL OPPORTUNITIES MONITORING FORM
We are committed to equal opportunities in employment, and welcome applications from all sections of the community.
This information will be used solely for monitoring purposes, in order to see to what extent our advertisement and recruitment procedures are attracting a wide range of candidates across the spectrum of gender, race, disability, and age. It will be treated as confidential, and will not be used in the recruitment process.
Please tick as appropriate.
1. Are you: male_____ female_____
2. How would you describe your ethnic origin:
White:
British___ Irish___ Welsh___ Scottish___ English___
Other white background___
Mixed:
White and Black Caribbean___ White and Black African___
White and Asian___ Other mixed background___
Asian or Asian British:
Indian___ Pakistani___ Bangladeshi___
Any other Asian background___
Black or Black British:
Caribbean___ African___ Any other Black background___
Chinese or other ethnic group:
Chinese___ Any other ethnic group not outlined above___
Prefer not to say___
3. Do you consider yourself disabled?
Yes___ No___
4. How old are you?
Under 21____ 21 – 30____ 31 – 40____ 41 – 50____
51 – 65____ 66 – 75____ 75+____