Equalities form

Vacancy title / Quality Assurance Scheme Peer Reviewer
Closing date / 15 November 2013
Candidate’s Forename(s) & Surname:
Title:

The Scottish Legal Aid Board is committed to promoting equality and tackling discrimination on any grounds; and as an employer, aims to ensure that our job opportunities are open to all. To help us achieve this, it is important that we obtain accurate data from every applicant and employee wherever possible.

Although you do not have to provide this information, it would be extremely helpful if you do so, even if you only feel able to provide some of the information requested. All information gathered will be held by the HR department confidentially, securely and in line with the principles of data protection legislation.

Date Of Birth (DD/MM/YY): / Prefer not to say
Gender: / Male Female Prefer not to say
What do you consider your national identity to be: / Scottish
English
Welsh
Irish / British
Other
Prefer not to say
Please select one category only, indicating the category that best describes your ethnic origin. / White British
White Irish
White Other
White and
Caribbean
White and Black
African
White and Asian
Mixed Other
Indian
Pakistani / Bangladeshi
Asian or Asian
British Other
Caribbean
African
Black or Black
British Other
Chinese
Other ethnic
group
Prefer not to say
Please specify the religion that best applies to you: (or write ‘none’ if appropriate, or ‘prefer not to say’)
Sexual Orientation / Bisexual
Gay / Lesbian
Heterosexual
Other
Prefer not to say
Do you consider yourself to be/have been transgender: / Yes No Prefer not to say
Are you a carer of a child of 16 years or under (or a
disabled child under 18 years): / Yes No Prefer not to say
Are you the primary carer of an adult in need of care : / Yes No Prefer not to say
Disability

Note: The Equality Act 2010 defines a disability as a physical or mental impairment which has a substantial and long term adverse effect on a person’s ability to carry out normal day-to-day activities. Further guidance in relation to the meaning of disability is accessible on the Equality and Human Rights Commission website
If you have a disability you will not be asked about this at interview. Any offer of appointment thereafter would be made after ensuring that the requirements to accommodate your disability could reasonably be met by the Scottish Legal Aid Board. For example you may be invited to see the working environment.

Do you have a recognised disability or underlying
health condition: / Yes No Prefer not to say
If ‘Yes’
Please describe the nature of your condition or disability:
Might this condition or disability have an adverse effect on your day-to-day activities in relation to the role you are applying for: / Yes No Prefer not to say
If ‘Yes’
Please give details:
Might you need the Board to make any adjustments to accommodate this: / Yes No Prefer not to say
If ‘Yes’
Please comment further:

The Scottish Legal Aid Board 1