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Ethnic Origin Monitoring Questionnaire

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Ethnic Origin Monitoring Questionnaire Powered By Docstoc
					             Request to work shadow a judge - Ethnic origin monitoring questionnaire

     The Work Shadowing Scheme was established in 1999 to encourage a more diverse range of legal
     professionals to consider a judicial career. Although completion is voluntary, we would be most
     grateful for your co-operation in completing and returning this form. By collecting statistics regarding
     ethnicity, professional background, gender and disabilities, we are better able to assess the success
     of the scheme. Any information provided will be used for statistical purposes only, and will neither
     improve nor prejudice the applicant’s chances of gaining a Judicial Appointment in the future.
        I would describe my ethnic origin as: (Please tick one box with which you most identify)

     White
                     British (or one of the following):
                               English
                               Scottish
                               Welsh
                               Other (please specify):
                     Irish
                     Any other White background (please specify):

     Mixed
                     White & Black Caribbean
                     White & Black African
                     White & Asian
                     Any other mixed background (please specify):

     Asian, Asian British, Asian English, Asian Scottish, Asian Welsh
                     Indian
                     Pakistani
                     Bangladeshi
                     Any other Asian background (please specify):

     Black, Black British, Black English, Black Scottish, Black Welsh
                     Caribbean
                     African
                     Any other Black background (please specify):

     Chinese, Chinese British, Chinese English, Chinese Scottish, Chinese Welsh
                   Chinese
                     Any other Chinese background (please specify):

     Any other background
                     Please specify:

     Name (BLOCK CAPITALS):                                                             Date:

Work Shadowing Applications, 11th Floor, Thomas More, Royal Courts of Justice, Strand, London WC2A 2LL

                                          Thank you for completing this questionnaire

				
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