HR USE ONLY - CANDIDATE NUMBER / CRM17a
Equal opportunitiesmonitoring

The Criminal Cases Review Commission recognises the benefits of a diverse workforce and is committed to equal opportunities. Filling in this form is voluntary but the information we collect here is very useful as it helps us to ensure that we are an inclusive employer and that no group is treated unfairly in our recruitment process.

The information you supply on this form will stay confidential, and will be stored securely and limited only to staff in Human Resources. The information will be used only in a statistical format, for the purpose of equal opportunities monitoring, and the identities of individuals will not appear.

This form is not sent to the recruiting panel and has no part in the shortlisting or selection process.

What do you identify your gender as?

Male Female Trans Prefer not to say

Date of Birth

Age Under 20 20-24 25-29 30-34 35-39 40-44 45-49 50-54

55-59 60-64 65-69 70+ Prefer not to say

Are you married or in a civil partnership? Yes No Prefer not to say

What is your ethnicity?

Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please tick the appropriate box.

Asian or Asian British

Bangladeshi Chinese Indian Pakistani

Any other Asian background, please specify if you wish:

Black or Black British

African Caribbean Any other Black background, please specify if you wish:

Mixed / multiple ethnic groups

White and Asian White and Black African White and BlackCaribbean

Any other mixed background, please specify if you wish:

White

British English Welsh Scottish Northern Irish Irish

Gypsy or Irish Traveller Any other white background, please specify if you wish:

Other ethnic group

Arab Any other ethnic group, please specify if you wish:

Prefer not to say

What is your sexual orientation?

Bisexual Heterosexual Homosexual Prefer not to say

Other, please specify if you wish:

What is your religion?

No religion Buddhist Christian Hindu Jewish Muslim

Sikh Prefer not to say Other, please specify if you wish:

Immigration control

Please state your current nationality

Are you subject to immigration control?

Yes No

Are there restrictions on your continued residence or employment in the UK?

Yes No

If yes, please describe here

Do you consider yourself to have a disability under the Equality Act 2010?

The Equality Act 2010 defines a disabled person as someone who has a physical or mental impairment that has a substantial and long-term negative effect on their ability to do normal daily activities.

Yes If yes, please go to page 3 No Prefer not to say

Please specify the nature of your disability:

Guaranteed Interview Scheme

We guarantee to interview anyone with a disability whose application meets the minimum criteria for the post. By ‘minimum criteria’ we mean that you must provide us with evidence in your application which demonstrates that you generally meet the level of competence required as essential for the role as set out in the Skills and Knowledge section of the job description. We are committed to the employment and career development of disabled people.

What do we mean by disability?

The Equality Act 2010 defines a disabled person as someone who has a physical or mental impairment which has a substantial and adverse long-term effect on his or her ability to carry out normal day-to-day activities.

For the purposes of this scheme, these words have the following meanings:

  • 'substantial' means more than minor or trivial;
  • 'long-term' means that the effect of the impairment has lasted, or is likely to last, 12 months (there are special rules covering recurring or fluctuating conditions);
  • 'normal day-to-day activities' include everyday things like eating, washing, walking and going shopping.

How do I apply?

If you want to apply under the Guaranteed Interview Scheme simply complete the declaration below.

We will try to provide access, equipment or other practical support to ensure that if you have a disability you can compete on equal terms with non-disabled people.

Declaration

I consider myself to have a disability as defined above and I would like to apply under the Guaranteed Interview Scheme.

I require the following special arrangements to be made for me to be able to attend an interview and fully participate in the selection process:

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