Equal Opportunities Form (Page 2 of 2) in pdf

Equal Opportunities Form Page 2

Send this form marked EQUAL OPPORTUNITIES c/o Martin Ayres, Jermyn Street

Theatre, London SW1Y 6ST. You may include it with your application form but do

not clip or staple them together.

Gay woman/lesbian

Heterosexual/straight

Other (specify if you wish):

Prefer not to say

Marriage and civil partnership

Single

Married/in a registered same-sex civil partnership

Separated, but still legally married/in a registered same-sex civil partnership

Divorced/formerly in a same-sex civil partnership which is now legally dissolved

Widowed/Surviving partner from a same-sex civil partnership

Prefer not to say

Your religion or belief

No religion

Jewish

Buddhist

Muslim

Christian (including Church of England, Catholic,

Sikh

Protestant and all other Christian denominations)

Other (specify if you wish):

Hindu

Prefer not to say

Your experience of mental health problems

Would you describe yourself as someone who is experiencing or has experienced mental health problems?

Yes.

Please state how Jermyn Street Theatre can support you:

Prefer not to say

Disability

The Equality Act 2010 defines a disabled person as someone who has a physical or mental impairment which has a

substantial and long-term adverse affect on their ability to carry out normal day-to-day activities.

Do you consider yourself to be disabled?

Yes.

Please specify:

Prefer not to say

Please return this form SEPARATELY from your application and personal details form to Martin Ayres, Jermyn

Street Theatre, London SW1Y 6ST. You may choose to put it in the same envelope as your application, in which

case please put this form in a smaller envelope marked EQUAL OPPORTUNITIES.

THE INFORMATION ON THIS VOLUNTARY FORM WILL NOT BE SEEN BY ANYONE

INVOLVED IN THE RECRUITMENT PROCESS UNTIL AFTER ITS COMPLETION.

Jermyn Street Theatre – Equal Opportunities Monitoring Form

Equal Opportunities Form Page 2