Equal Opportunities In Employment Application Form
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5CONFIDENTIAL
EQUAL OPPORTUNITIES IN EMPLOYMENT
The University of Liverpool is an equal opportunities employer. We need to carry out equalities monitoring
in order to meet our statutory obligations and to make sure our Human Resources processes are working
to promote equality for all applicants and staff. Please help us do this by marking ALL appropriate
boxes and returning this form to Human Resources (Recruitment), either with your Application
Form or by itself if you have already applied.
Post applied for
Department
Job Ref:
Closing Date
Where did you see the post advertised?
Equal Opportunities Monitoring Questions
1. My Gender is
Male
Female
Other
2.
My date of birth is
(DD/MM/YY)
3 Is your Gender Identity the same as the gender you were originally
Yes
No
assigned at birth?
4 Disability: the Equality Act (2010) defines a disability as a physical or mental impairment which has a substantial and long-
term adverse effect on a person’s ability to carry out normal day-to-day activities.
Please mark box below - X
No known disability
Physical impairment or mobility issues (such as
difficulty using arms or using a wheelchair or crutches)
Specific learning disability (such as dyslexia or
Deaf or serious hearing impairment
dyspraxia)
General learning disability (such as Down's syndrome)
Blind or serious visual impairment
Cognitive impairment (such as autistic spectrum
Mental health condition (such as depression or
disorder or resulting from head injury)
schizophrenia)
Long-standing illness or health condition (such as
Other type of disability
cancer, HIV, diabetes, or epilepsy)
Guaranteed Interview Scheme
We guarantee to interview all disabled applicants who meet the essential criteria for the post and consider
them on their abilities. As desirable criteria would not be applied, any false declaration of disability to obtain an
interview may subsequently invalidate any offer of employment or contract of employment. Should you wish
your application to be considered under the scheme, please mark X in the yes box below and ensure you
send this form with your application
I declare I have a disability, as defined by the Equality Act above, and wish to apply for the Guaranteed
Interview Scheme (Yes)
Volition Programme
We guarantee to interview all individuals who have completed the Liverpool Anglican Cathedral
Volition Programme, who meet the essential criteria for the post. Individual’s names will be confirmed
with the Volition Programme. Should you wish your application to be considered under the scheme,
please mark X in the yes box below and ensure you send this form with your application.
I declare I have completed the Volition Programme, and wish to apply for the Guaranteed Interview Scheme
(Yes)
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