Equality and diversity monitoring

Seniority of post: / Trustee Chief executive
Management Non-management staff Volunteer

The Restorative Justice Council selects candidates solely on the basis of merit. We are committed to equality of opportunity for all job applicants regardless of ethnicity, gender (including gender re-assignment), sexual orientation, disability, religion and belief or age. All applicants are asked to complete a monitoring form so that we can monitor whether we are attracting interest from a diverse range of candidates. This form will only be read after you have received a decision on your application. It will not affect your application in any way.

Please describe your gender identity? Please tick the appropriate box

Male / Female / Prefer not to say
Yes / No / Prefer not to say

Is your gender identity the same as the gender you were assigned at birth?
Please tick the appropriate box

How old are you? Please tick the appropriate box

Under 18 / 18 to 24 / Prefer not to say
25-34 / 35-44
45-54 / 55-64
65-74 / 75 or over

Do you have a disability?Please tick the appropriate box

The Equality Act 2010 defines a person as disabled if:

  • the person has a physical or mental impairment;
  • the impairment has a substantial and long-term adverse effect on their ability to perform normal day-to-day activities.

Yes / No / Prefer not to say

If yes, please tick all boxes that apply

Mental health / Physical disability
Hearing impairment / Learning disability
Sight impairment / Other

What is your religion or belief? Please tick the appropriate box

None / Buddhist / Christian / Hindu
Jewish / Muslim / Sikh / Prefer not to say

Other please state:

How would you describe your ethnic origin? Please tick one box only

A) White / C) Asian or Asian British
English / Indian
Welsh / Pakistani
Scottish / Bangladeshi
Northern Irish / Chinese
Irish / Other Asian background
Gypsy or Traveller
Other White background
B) Mixed/multiple ethnic background / D) Black or Black British
White & Black Caribbean / Caribbean
White & Black African / African
White & Asian / Other Black background
Other mixed/multiple background
E) Other ethnic group (please state)
F) Prefer not to say

Is English your first language? Please tick the appropriate box

Yes / No / Prefer not to say

If you are 16 or over which of the following options best describes how you think of yourself?

Please tick allboxes that apply

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Bisexual
Gay man
Gay woman/Lesbian
Heterosexual/straight
Married
Single
Civil partnership
Prefer not to say
Other

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How did you hear about us?

Please state ______

Thank you for your cooperation

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