Job Application Form Page 12
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13Diversity Monitoring Form
Diversity Monitoring Form
The Co-operative recognises that our success depends upon having a workforce with a diverse range of skills, backgrounds and
c) Asian or Asian British
experience that spark ideas, promote debate and encourage innovation and creativity.
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Indian
Pakistani
Bangladeshi
Any other Asian background
The information we collect is stored confidentially and securely. Data legislation protects you and your data. All personal
information is stored confidentially and can only be accessed by authorised persons in HR. Once collected, this information can
show us who is joining and leaving the Group, we can see which groups are doing well in promotions and transfers, whether
d) Black or Black British
everyone in the Group is treated fairly and whether staff are given equal access to training and development opportunities.
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Caribbean
African
Any other Black background
Completing this information will help us to deliver against our diversity commitments and contribute to an inclusive working
environment for all colleagues. We respect an individual’s right not to disclose this information. For this reason, a ‘prefer not to
say’ option is included.
e) Chinese or other ethnic group
For each question put a cross in only one box as shown e.g.
x
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Chinese
Any other
x
x
If you make a mistake, scribble out the cross in the wrong box and put a cross in the correct answer box.
Your Personal Details
f ) Prefer not to say
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(Please complete all boxes)
7. Gender
1. Name
By monitoring the gender of our staff, we can see whether some of our jobs are more attractive to men or women, and whether
both sexes stay with us. Monitoring by sex also helps the Group to develop new policies and ways of working. Monitoring gender
D D M M Y Y
2. Date of birth
ensures that both men and women are treated fairly in our business. We know that men and women’s career patterns can be
different; by monitoring gender we can ensure that we can respond to colleague’s needs. Are you:
The Co-operative Group believes that people should be judged, not by their age, but according to their skills and abilities at work
By monitoring our colleagues age we can ensure that opportunities for development and promotion are open to everyone.
Male
Female
3. National Insurance Number
8. Religion or belief
4. Employee number
Telling us about your religion or belief allows us to understand and plan to meet the particular needs of staff. It helps us to think
If you have been issued with an employee number please enter it here
about how we can accommodate requests to meet people’s religious needs. Knowing the religion of our staff helps us create an
environment where all beliefs are respected. What is your religion or belief?
5. Disability
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None
Hindu
Sikh
Disabled colleagues are entitled to reasonable adjustments under the law to enable them access to work. The Co-operative Group
strives to increase disabled people’s access to work. We are part of the Government’s “Two tick” scheme which guarantees
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Buddhist
Jewish
Other
interviews for suitably qualified disabled applicants. We need to know whether we are delivering on these commitments
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Christian
Muslim
Prefer not to say
Do you consider yourself to have a disability?
Yes
No
Prefer not to say
6. Ethnicity
9. Sexual Orientation
By monitoring ethnicity, we can compare our business against the data collected in previous year’s National Census. This can
Monitoring whether people are gay/lesbian, bisexual or heterosexual acknowledges that we value all staff and the contribution they
show whether we attract people to work for us from all communities, and whether as an employer, we reflect the communities we
bring to our business. An open and inclusive culture creates an environment where all colleagues can feel comfortable disclosing
serve. We can also show whether all groups are treated fairly across the Group. What is your ethnicity?
their sexuality. We know that people perform better when they can be themselves.
How would you describe your sexual orientation?
a) White
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British
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Irish
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Any other White background
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Heterosexual/straight
Gay Man
Lesbian/Gay woman
Bisexual
Prefer not to say
b) Mixed
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White and Black Caribbean
White and Black African
White and Asian
Any other mixed background
Please fold in half and staple/sellotape together so the information is not visible
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