Company Limited by Guarantee: 2818814 Registered Charity: 1025967 s1

EQUALITIES MONITORING FORM

Post Applied For:

EACH is committed to employing a diverse workforce and welcomes applications regardless of age, sex, race, nationality, ethnic origin, religion, disability or sexual orientation.
This information will be used to monitor the effectiveness of our Equality and Diversity Policy and will be treated in confidence and play no part in the selection process. If you choose not to complete this page, it will in no way affect your application.
Gender: p Male p Female p Transgender
Age: p 18 – 24 p 25 - 34 p 35 - 44 p 45 - 54 p 55 - 64 p Over 65
p Prefer not to say
Ethnicity:
White
British Any Other White Background
p English p Irish p Albanian
p Scottish p Traveller of Irish Heritage p Bosnian/ Herzegovinian
p Welsh p Gypsy/Roma p Croatian
p Other White British p Kosovan
p Serbian
p Turkish/Turkish Cypriot p Any Other White Background
Mixed
p White and Black Caribbean p White and Black African p White and Asian
p Any Other Mixed Background
Asian or Asian British
p Indian p Bangladeshi p Sri Lankan Tamil
p Pakistani p Sinhalese p Any Other Asian Background
Black or Black British
p Black Caribbean p Black Ghanaian p Other Black African Background
p Black Nigerian p Black Somali p Other Black Background
Chinese or Any Other Ethnic Group
p Chinese p Filipino p Kurdish
p Afghanistani p Iranian p Lebanese
p Arab Other p Iraqi p Any Other Not Already Specified
p Not Stated p Prefer not to say
Language(s):
Other languages spoken at home, other than English:
Religion:
p None p Muslim
p Christian p Sikh
p Buddhist p Jewish
p Hindu p Any Other (Please Specify):
p Prefer not to say
Disability:
If you consider yourself to have a disability, please give details:



Sexual Orientation:
p Heterosexual p Prefer to define my sexual orientation…………………………………….….
p Bisexual p Gay p Lesbian p Prefer not to say
Please tell us where you saw this job advertised:
Did you find our advertisement clear and precise? p Yes pNo
Did you find our information pack clear and precise? p Yes pNo

THANK YOU

Company Limited by Guarantee: 2818814 Registered Charity: 1025967