Application For Employment Page 7

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EQUAL OPPORTUNITY MONITORING
We are an equal opportunity employer. The aim of our policy is to ensure that no job applicant or employee receives less favourable
age, disability, gender reassignment, marriage and civil partnership, pregnancy or maternity,
treatment on the grounds of
race, religion or belief, sex or sexual orientation
, or is disadvantaged by conditions or requirements which cannot be shown to be
justifiable.
Our selection criteria and procedures are frequently reviewed to ensure that individuals are selected, promoted and treated on the basis
of their relevant merits and abilities.
All employees are given equal opportunity and are encouraged to progress within the organisation.
We are committed to an ongoing programme of action to make this policy fully effective. To ensure that this policy is fully and fairly
implemented and monitored, and for no other reason, would you please provide the following information:-
The information you provide will be treated in the strictest confidence and will be used for monitoring purposes only.
I would describe my ethnic group and sex as:- (please tick one box for your ethnic group and one box for your sex)
A) White

English
Scottish


Welsh
Irish
Any other White background, please specify ………………………………..…..
B) Mixed

White and Black Caribbean
White and Black African

White and Asian

Any other Mixed background, please specify ……………………………………..…………..
C) Asian, Asian British, Asian English, Asian Scottish or Asian Welsh

Indian
Pakistani

Bangladeshi

Any other Asian background, please specify ……………………………………..…………..
D) Black, Black British, Black English, Black Scottish or Black Welsh

Caribbean
African

Any other Black background, please specify ……………………………………..…………..
E) Chinese, Chinese British, Chinese English, Chinese Scottish, Chinese Welsh or other Ethnic Group
Chinese

Any other background, please specify ………………………………………..…..…………..
F) Sex

Male
Female
Name: …………………………………………………..
Signed:
……………………………………..
Date: ……………………………………………………
JobTitle: ………………………………..

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