EQUAL OPPORTUNITIES MONITORING FORM

							EQUAL OPPORTUNITIES MONITORING FORM


It is the aim of the HBF to ensure that no employee or application for work receives less
favourable treatment because of sex, sexual orientation, marital status, disability, age, creed,
religion, colour, race, nationality or ethnic origin.

In order to assist us to monitor the effectiveness of our Equal Opportunities Policy, you are
invited to complete this sheet and return it with your application form. It will be kept
separately form your application and will not be referred to during the appointment process.
The information provided will be held purely for statistical use in connection with
monitoring.

Please tick boxes as appropriate:

Sex:             Male                     Female


Marital Status: Single                    Married                  Other

Under 18        18-25            26-35              36-45          Over 45


Disability:     Disabled                  Not disabled

Please tick your cultural/ethnic origin

Note: Ethnic origin questions are not about nationality, place of birth or citizenship. They
are about colour and broad ethnic groups. UK citizens can belong to any of the groups
indicated.

White                                     Asian or Asian British
British                                   Indian
Irish                                     Pakistani
Other White                               Bangladeshi
                                          Other Asian

Mixed                                     Black or Black British
White and Black Caribbean                 Black Caribbean
White and Black African                   Black African
White and Asian                           Other Black
Other Mixed

Chinese or Other Ethnic Group
Chinese
Other Ethnic Group

Please state your nationality
………………………………………………………………………………….

Post applied for
…………………………………………………………………………………………

Where did you see the vacancy advertised? ……………………………………