Global Justice Nowstrives to promote equality of opportunity in employment. We will provide equal opportunities to all employees or job applicantsin accordance with our equal opportunities policy.
In order to do this, we need to collect statistics on recruitment, to make sure that we are reaching out to all sections of society, and not discriminating against any.
All information will be treated in confidence and will not be seen by staff directly involved in the appointment. This form will be separated from your application form, stored separately, used only to provide statistics for monitoring purposes and then destroyed.
We would therefore be grateful if you would complete the questions on this form to enable us to monitor applications. If you do not wish to respond to a particular section, please leave it blank.
Thank you for your assistance.
Post title:Head of fundraising
1. Where did you hear about this post?
2. What is your age?
3. Ethnic origin (Relates to a sense of identity/belonging on the basis of race/culture)
I would describe myself as
(please put a cross against ONE section from A to E to indicate your cultural background):
A. Asian, (including) Asian British, Asian English, Asian Scottish or Asian Welsh:
Indian
Pakistani
Bangladeshi
Other, please specify:
B. Black, (including) Black British, Black English, Black Scottish, or Black Welsh:
Caribbean
African
Other, please specify:
C. Chinese, (including) Chinese British, Chinese English, Chinese Scottish, Chinese Welsh, or other ethnic group:
Chinese
Other, please specify:
D. Mixed:
Black Caribbean & White
Black African & White
Asian & White
Other, please specify:
E.White:
British
English
Scottish
Welsh
Irish
Other, please specify:
F. Any other ethnic group, not covered above, please specify:
4. What is your sexual orientation?
Heterosexual / Gay woman/lesbian / Gay man
Bisexual / Other / Prefer not to say
5Which of the following describes how you think of your gender? (Please tick one option)
Describe yourself in your own words:
Or use one of these common options / Female / Male
Intersex person / Trans woman / Trans man
Transsexual person / Gender * person / I prefer not to say
6. The Equalities Act 2010 (EA) defines a person as disabled if they have a physical or mental impairment which has a substantial and long term (i.e. has lasted or is expected to last at least 12 months) adverse effect on their ability to carry out normal day-to-day activities. This definition includes conditions such as cancer, HIV, mental illness and learning disabilities. (This question is not about your ability to work for us.)
Do you consider yourself to have a disability according to the above definition?
Yes limited a lot / Yes, limited a little / No / Prefer not to say
If yes give brief details
7. How would you describe your religion/beliefs?
Buddhist / Christian / Hindu / Jewish
Muslim / Sikh / No religion / Prefer not to say
Any other religion
8.1 Do you have any caring responsibilities?
Yes / No / Prefer not to say
8.2 If you selected yes, please indicate your caring responsibility (select all that apply)
Primary carer of a child/children (under 18) / Primary carer of disabled child/children
Primary carer of disabled adult (18 and over) / Primary carer of older person (65+)
Secondary carer / Rather not say
9. How would you define your social class?
9.1 At birth
9.2 Currently
Data protection: Information from this application may be processed for purposes registered by the Employer under the Data Protection Act 1998. Individuals have, on written request [and on payment of a fee] the right of access to personal data held about them.
I hereby give my consent to Global Justice Now processing the data supplied in this form for the purpose of recruitment and selection monitoring..
Signature:
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