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Applicant Equal Opportunities Monitoring Form
This form is completely anonymous and will not be included as part of the short listing process. All provided information will be used for recruitment monitoring and provision of statistical data purpose only.
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1.
Position Applied for
(Required.)
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2.
Where did you see this post advertised?
(Required.)
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3.
Location of post
(Required.)
*
4.
Sex
(Required.)
Female
Male
Prefer not to say
Prefer to self-describe:
5.
Have you ever identified as transgender?
Yes
No
Prefer not to say
*
6.
Which age band are you in?
(Required.)
18-24
25-34
35-44
45-54
55-64
65+
Prefer not to say
*
7.
Sexual orientation
(Required.)
Heterosexual/straight
Gay man
Gay woman / Lesbian
Bi-sexual
Other
Prefer not to say
Prefer to self-describe:
*
8.
Do you consider yourself to have a disability or long-term health condition?
(Required.)
Yes
No
Prefer not to say
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9.
Ethnicity?
(Required.)
White - English/Welsh/Scottish/Northern Irish/British
White - Irish
White - Gypsy or Irish Traveller
White - other White background
Mixed/multiple ethnic groups - White and Black Caribbean
Mixed/multiple ethnic groups - White and Black African
Mixed/multiple ethnic groups - White and Asian
Other Mixed/multiple ethnic background
Asian/Asian British - Indian
Asian/Asian British - Pakistani
Asian/Asian British - Bangladeshi
Asian/Asian British - Chinese
Other Asian background
Black/African/Caribbean/Black British - African
Black/African/Caribbean/Black British - Caribbean
Other Black/African/Caribbean background
Other ethnic group - Arab
Any other ethnic group
Prefer not to say
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10.
What is your religion or belief?
(Required.)
Buddhist
Christian
Hindu
Jewish
Muslim
Sikh
No religion
Prefer not to say
Other (please specify)
*
11.
Are you a UK Citizen?
(Required.)
Yes
No
Other (please specify)
Thank you for your time answering the questions. Please press done to submit your responses.
