To accompany application form Number

							To accompany
application form
Number




                       Equal Opportunities Monitoring Form


Applications for Office Services Administrator

We aim to treat all applicants fairly, irrespective of race, religion,
gender, sexual orientation, marital status, disability and age.

In order to monitor our policy and procedure, we request all applicants
to provide the information below and overleaf.

This information will only be used for monitoring and statistical analysis
and will not be passed on to selectors.


      What is your age?


      What is your sex?
            Male
            Female
            Transgender

      Do you consider yourself disabled?
            Yes
            No

      Are you registered disabled?
            Yes
            No


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What is your ethnic group?
Choose ONE section from A to E, then tick the appropriate box to indicate your cultural background.


A      White
                 British
                 Irish
                 Any other White background, please write in



B      Mixed
                 White and Black Caribbean
                 White and Black African
                 White and Asian
                 Any other Mixed background, please write in



C      Asian or Asian British
              Indian
                 Pakistani
                 Bangladeshi
                 Any other Asian background, please write in



D      Black or Black British
              Caribbean
                 African
                 Any other Black background, please write in



E      Chinese or other ethnic group
              Chinese
                 Any other, please write in

Please note: These categories are based on those used for the 2001 Census by the Office of
Population Censuses, and Surveys and in line with those recommended by the Equality and
Human Rights Commission and Equality Act 2010. They do not refer to place of birth, citizenship or
nationality, but to the ethnic group to which you belong. No distinction is made between British and
foreign-born persons. Please return this form with your application


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