ROYAL ASSOCIATION FOR DEAF PEOPLE

RECRUITMENT MONITORING FORM

PLEASE DO NOT WRITE YOUR NAME ON THIS FORM

The completion of this form is voluntary but we appreciate it when candidates take the time and trouble to do so because the information it contains helps us to monitor and improve our equal opportunities policies and procedures. This form is detached from the application form before decisions about shortlisting are made, thus ensuring that all such decisions are based on merit.

  1. Date this form completed:
  1. Post applied for:
  1. Where did you see this job advertised?

4. Date of birth:

5. Sex:

6. Ethnic origin: please tick as applicable

White / Mixed / Asian or British Asian / Black or Black British / Chinese or other ethnic group
British / White & Black Caribbean / Indian / Caribbean / Chinese
Irish / White & Black African / Pakistani / African / Other
Other / White & Asian / Bangladeshi / Other
Other / Other
I prefer not to say

7. Do you have any form of deafness or hearing loss?

8. Is British Sign Language your preferred Language?

9. Do you have any disabilities for which special arrangements should be made, either in the recruitment process itself or in employment? If so, please specify the nature of the disability.

This information will be stored and processed as part of the organisation’s monitoring of equal opportunities. It will not be used in any way as part of the recruitment process.

Please return this completed form to:

‘ADDRESSEE ONLY’, Human Resources Administrator, RAD, Century House South, Riverside Office Centre, North Station Road, Colchester, Essex CO1 1RE

TO BE COMPLETED BY THE HUMAN RESOURCES ADMINISTRATOR

TICK

I have separated this form from the application form and logged the information provided

Author: Head of Administration

Reviewed: July 2011