King’s College London is committed to promoting a work and study environment free from discrimination and to advancing equality of opportunity for all its staff and students.
To monitor our policies and practice and comply with the Equality Act (2010)
we request that all applicantscomplete this section. King's monitors applications itreceives by gender, age, ethnicity, religion or belief, sexual orientation, disability and gender identity.
The information collected will be kept strictly confidential. It will be stored separately from your application and will not be available to anyone involved in the fellowship award process.
A. What is your date of birth?B. What is your gender?
Male
Female
C. Is your gender identity the same as the gender you were assigned at birth?
Yes – My gender identity is the same as at birth
No – My gender identity is now different
Prefer not to say
D. What is your sexual orientation?
Bisexual / Heterosexual / straight
Gay man / Other
Gay woman / lesbian / Prefer not to say
E. What is your ethnic origin?
White / Chinese
Gypsy or Traveller / Other Asian Background
Black or Black British - Caribbean / Mixed – White and Black Caribbean
Black or Black British – African / Mixed – White and Black African
Other Black Background / Mixed – White and Asian
Asian or Asian British – Indian / Other Mixed Background
Asian or Asian British - Pakistani / Arab
Asian or Asian British - Bangladeshi / Other Ethnic Background (please write in):
Prefer not to say
F. What is your religion or belief?
No Religion / Muslim
Buddhist / Sikh
Christian / Spiritual
Hindu / Any other Religion or Belief (please write in):
Jewish / Prefer not to say
G. Impairments, Health Conditions and Learning Difficulty
Do you have a mental or physical impairment, health condition or learning difficulty? / Yes / No / Prefer not to say
If YES, please tick the most appropriate description(s) that apply:
Two or more impairments and/or disabling medical conditions (please indicate below)
A specific learning difficulty such as dyslexia or dyspraxia or AD(H)D
General learning disability (such as Down's syndrome)
A social/communication impairment such as Asperger’s Syndrome/other autistic spectrum disorder
A long-standing illness or health condition such as cancer, HIV, diabetes, chronic heart disease, or epilepsy
A mental health condition such as depression, schizophrenia or anxiety disorder
A physical impairment or mobility issues such as difficulty using arms or using a wheelchair or crutches
Deaf or serious hearing impairment
Blind or serious visual impairment uncorrected by glasses
A disability, impairment or medical condition that is not listed above. Please indicate:
Question not answered / Prefer not to say
H. How did you find out about the NIHR MRes fuding
KCL website / Manager
MRes KCL Email List / Previous MRes Student
Other – please state: