London Independent Living Service has a commitment to ensuring that staff are appointed, promoted and retained on the basis of merit, regardless of disability, race, sex, sexual orientation, gender reassignment, religion or belief, marital or civil partnership status, age, pregnancy, or maternity status. Monitoring enables us to see what is happening in practice and to assess the impact of our equal opportunities policy. This will in turn allow us to set targets for improvement and measure progress. To enable us to do this we rely on each applicant filling in the form below.
Your co-operation in completing this form would be greatly appreciate. We must stress that the information provided will be treated in the strictest of confidence and will only be used for the purpose of monitoring. The form will not be seen by the people making the decisions about which applicants will be invited to attend an interview and which applicants will be offered a job. The information will be handled by our HR Team following the principles of the Data Protection Act.
You are not obliged to answer any of the questions, and, if you do not wish to, this will not affect the handling of your application in any way.
Thank you for your cooperation.
MONITORING FORMETHNIC ORIGIN
(please tick one of the following categories)
White / Black or Black British / Asian or Asian British
☐British
☐Any Other White background, please specify: / ☐Caribbean
☐African
☐Any Other Black background, please specify: / ☐Indian
☐Pakistani
☐Bangladeshi
☐Any Other Asian background, please specify:
Mixed / Chinese or other ethnic group
☐White and Black Caribbean
☐White and Black Africa
☐White and Asian
☐Any Other Mixed background, please specify: / ☐Chinese
☐Any Other, please specify: / ☐I’d rather not say
ADDITIONAL QUESTIONS
What gender do you identify as? / ☐Female ☐Male
☐Transsexual
☐I’d rather not say
Please select the option that best describes your sexual orientation: / ☐Bisexual ☐Heterosexual
☐Gay ☐Other, please specify:
☐I’d rather not say
Please select the option that best describes your marital status: / ☐Married ☐Civil Partnership
☐Single ☐Separated
☐Divorced ☐Widowed
☐Other, please specify:
☐I’d rather not say
Please select the option that best describes your religion: / ☐Atheism ☐Buddhism
☐Christianity ☐Hinduism
☐Islam ☐Judaism
☐Other, please specify:
☐I’d rather not say
What is your age? / ☐I’d rather not say
Do you have caring responsibilities (unpaid care for children, or dependent adults)? / ☐Yes ☐No
☐If ‘Yes’, please specify:
☐I’d rather not say
Do you consider yourself to have a disability within the meaning of the Equality Act 2010?
A person is considered disabled for the purposes of employment law if they have a physical or mental impairment which has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities. / ☐Yes ☐No
☐If ‘Yes’, please specify:
☐I’d rather not say