OFFICIAL (OFFICIAL-SENSITIVE when complete)

NCA MONITORING FORM(Personal Details)

In order to monitor the effectiveness of our equality and diversity strategy we require certain personal details about you. The information you provide will be treated in the strictest confidence and used for statistical/monitoring purposes only.

If you are an applicant for a vacancy, please state position applied for:

Are you: Male Female
Year of birth: / Prefer not to say
Prefer not to say
Ethnic Classification:
White - British
White - Irish
White - Other
Chinese
Indian
Pakistan
Bangladeshi
Any other Asian background
Other (please specify) / Ethnic Classification:
Black - Caribbean
Black - African
Black - British
Any other Black background
Mixed - White & Asian
Mixed - White & Black Caribbean
Mixed - White & Black African
Mixed - any other mixed background
Prefer not to say
How do you identify your sexual orientation?
Gay/lesbian
Heterosexual / How do you identify your sexual
Bisexual
Prefer not to say
Disability
The NCA has a policy of inviting people who have a disability and who meet the minimum (behavioural and technical) criteria to interview/assessment centre.
Do you consider yourself to have a disability?
Yes Prefer not to say
No
If yes, what reasonable adjustment would be necessary in order for you to attend an interview/assessment centre?
reasonable would be necessary in order n interview/
?
Religion or Belief:
Buddhist
Hindu
Jewish
Sikh
Other (please specify) / Religion or Belief:
Christian
Humanist
Muslim
No religious group
Prefer not to say
Status:
Married
Civil partnership Separated
Living with partner Single
Widowed / Status:
Divorced
Separated
Single
Prefer not to say
Are you seeking to work:
Full-time
Job share
Part-time / Are you seeking to work:
Other (please specify)
Prefer not to say
This section to be completed only if you are applying for a position in either Northern or Southern Ireland.
We are an Equal Opportunity employer. We practice equality of opportunity in employment and select the best person for the job. To demonstrate our commitment to equal opportunity in employment we need to monitor the community background of our applicants and employees as required by Fair Employment and Treatment (NI) Order 1998.
Regardless of whetherthey actually practicea particular religion, most peoplein Northern Ireland are seen as either Catholic or Protestant. If you are applying for a vacancy because the collection of this information is a legislative requirement you will be required to select one of the options below before proceeding with this application.
I am a member of the Roman Catholic community
I am a member of neither the Roman Catholic nor the Protestant Community
I am a member of the Protestant community
If you do not complete this questionnaire, we are encouraged to use the “residuary” method, which means that we can make a determination on the basis of personal information on file/application form.

OFFICIAL (OFFICIAL-SENSITIVE when complete)

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