May We Thank You in Advance of Your Co-Operation

Volleyball England has a policy of equal opportunity. Everyone who is eligible to join Volleyball England, whatever their sex or marital status, race, colour, ethnic or national origins, will receive equal treatment when applying for jobs. We want to find out whether this policy is working and to take steps to ensure further progress is made to achieving equal opportunities. To do this we need to know about the race or ethnic origin of people who apply to join Volleyball England. We are therefore asking you to complete the following questionnaire. Your answers will be treated confidentially and will not affect your job application in any way.

May we thank you in advance of your co-operation.

Please read all the categories and then tick the box that you most identify with.

Name:

Role applied for:

1) Which gender do you identify with?

Female

Male

Prefer not to say

2) Were you born this gender?

Yes

Prefer not to say

3) What is your sexual orientation?

Bisexual

Gay man

Gay woman/lesbian

Heterosexual/straight

Asexual

Unsure

Prefer not to say

4) What is your marital status?

Married

In a civil partnership

In a long-term relationship

Widowed

Single

Prefer not to say

5) What is your ethnic group?

White

Any White background (specify if you wish)

Asian

Bangladeshi

Indian

Pakistani

Any other Asian background (specify if you wish)

Black

African

Caribbean

Any other Black background (specify if you wish)

Chinese

Any other Chinese background (specify if you wish)

Mixed ethnic background

Asian and White

Black African and White

Black Caribbean and White

Any other mixed ethnic background (specify if you wish)

Any other ethnic background (specify if you wish)

6) What is your religion or belief?

Buddhist

Christian (any denomination)

Hindu

Jewish

Muslim

Sikh

Any other religion

No religion or belief / Atheist

Prefer not to say

7) The Equality Act 2010 generally defines a disabled person as someone who has a mental or physical impairment that has a substantial and long-term adverse effect on the person’s ability to carry out normal day-to-day activities. This includes conditions such as hearing impairments, IBS, dyslexia or a stammer.

Please note: if you have a condition which fits the Equality Act definition, you should answer 'Yes' to this question even if you do not feel in any way limited by that condition.

Do you have a disability or a long-term condition?

Yes

Prefer not to say

If yes, please indicate the nature of your condition(s):

Sensory impairments (e.g. a visual or hearing impairment)

Impairments with fluctuating or recurring effects (e.g. epilepsy, chronic fatigue, asthma or eczema)

Progressive (e.g. MS)

Organ specific (e.g. IBS)

Developmental (e.g. Asperger’s syndrome)

Learning differences (e.g. dyslexia, dyscalculia or dyspraxia)

Mental health conditions (e.g. anxiety, depression or disordered eating)

Injury to the body or brain

Any other physical disability

Prefer not to say

8) Which age band do you fall into?

Under 18

18 - 29

30 -39

40 - 49

50 - 59

60 - 65

Over 65

Prefer not to say

Signed:

Date:

Thank you for your cooperation.