We Are Committed to Ensuring That All Applicants Are Treated Equally and Without Discrimination

We are committed to ensuring that all applicants are treated equally and without discrimination. This form is intended to help us maintain equal opportunities best practice and identify barriers to workforce equality and diversity. We may use the data to assist us with completing funding applications in an anonymous, statistical form.

Please complete this form and return it with your application. Please also advise us if you have any access requirements for interview in the section below, or contact the HRteam to discuss.This form will be separated from your application on receipt and will be held in an anonymised form.

All questions are optional and we respect your right not provide all or some of the information requested, but the more information you supply, the more effective our monitoring will be. All information supplied will be treated in the strictest confidence, will be used for statistical monitoring purposes only and will play no part in the selection process. By completing and returning this form to us, you consent to us processing any sensitive personal data for the purposes outlined above in accordance with the Data Protection Act 1998.

Where did you first hear about this position?
Newspaper (please specify)
The Old Vic website
Other website (please specify)
Word of mouth
Other (please specify)
Gender (please tick)
Male
Female
Prefer not to say
Ethnic Group (please tick)
Asian: / Black or Black British:
Pakistani / African
Indian / Caribbean
Bangladeshi / Other Black Background please specify
Other Asian Background please specify / Mixed Background:
White: / Black African and White
British (English, Scottish, Welsh) / Black Caribbean and White
Irish / Asian and White
Other White Background please specify / Chinese and White
Chinese / Other Mixed Background please specify
Other please specify / Prefer not to say
Disability (please tick)
The Equality Act 2010 defines a disability as a physical or mental impairment which has a substantial and long-term adverse effect on your 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 2010?
Yes / No
Used to have, but have now recovered / Don’t know
Prefer not to say
Please give details of any access requirements should you be invitedfor interview:

Religion or Belief
Please describe your religion or other strongly held belief
I have no particular religion or belief
Prefer not to say
Age
16–24 / 25–34 / 35–44 / 45–54 / 55–64 / 65 or over / Prefer not to say
Socio Economic Background (please tick)
What qualifications do you have?
GCSE/O Level / Postgraduate (MPhil/MSc/MA/PhD)
A Level/International Baccalaureate / Higher Education (HNC/HND/Diploma/Btec)
Graduate (BA/BSc)
What type of school did you attend at the age of 16?
State/Comprehensive School / Home Schooled
Grammar School / Other (please specify)
Independent/Fee Paying School / Prefer not to say
Are you the first person of your immediate family (other than siblings)
to go into Higher Education?
Yes
No
Prefer not to say
Date ......