JOHN LEGGOTT COLLEGE

Equality and Diversity Monitoring Form

John Leggott College is committed to provide equality of opportunity in its employment procedures and will consider all applicants on the basis of their suitability for the post, irrespective of gender, race, marital status, age, national origins, sexual orientation or disability. Please complete this section of the form which will be used to monitor the effectiveness of the Single Equality Scheme. This form is not part of the selection process, it is only seen by Human Resources staff and the information you give will not be available to the interview panel. The data is only shared in an aggregated anonymous format.

POST APPLIED FOR ………………………………………………… / HR REF ………………

Ethnic Origin

White – British / Chinese of other ethnic group – Please Specify
White – Irish / Asian or Asian White – Pakistani
White – Other European / Asian or Asian White – Bangladeshi
White Other – Please Specify / Asian or Asian White – Any other Asian background
Mixed – White & Black Caribbean / Black or Black British – Caribbean
Mixed – White Black African / Black or Black British – African
Mixed – White & Asian / Black or Black British – Any other black background
Any Other Mixed Background / Prefer not to say
Chinese / Not Known

Gender

Male / Female / Transgender / Prefer not to say

Disability

The Equality Act 2010 defines a person as having a disability if he or she ‘has a long term physical or mental impairment which has a substantial and long term adverse affect on his/her ability to carry out normal day-to-day activities’.
Do you consider that you have a disability? / Yes / No / Prefer not to say
If yes, please indicate whether your disability is / Physical / Learning difficulty / Sensory / Mental Health
If comfortable to do so, please state your type of disability
Do you required special arrangements for your disability? / Yes / No
Please Specify your Requirements

Age Group

25 Under / 26 – 34 / 35 – 44 / 45 – 54 / 55 – 64 / 65+ / Prefer not to say

Sexual Orientation

Lesbian or Gay / Bisexual / Heterosexual / Other / Prefer not to say

Religion or Belief

Christian / Muslim / Buddhist / Sikh / Hindu
Jewish / None / Prefer not to say / Other (please specify)

Marital Status

Married / Single / Living together / Divorced / Separated / In a civil Partnership
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