Equal-Opps-Monitoring-Form by nuhman10

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									                             CITIZENS ADVICE EDINBURGH

                             Equal Opportunity Monitoring Form

Citizens Advice Edinburgh aims to be an equal opportunities organisation. In order to monitor the
effectiveness of our policy and to comply with current legislation we ask that you spare a couple of
minutes to fill in the questionnaire. However you are not obliged to fill it out and we assure you that it
will be treated in strictest confidence. It is not attached to your application and will not affect our
selection procedure in any way.

Please tick the appropriate boxes :


1. ETHNIC ORIGIN

We appreciate that some people, including those of mixed race, may not be happy with classification
used on monitoring forms. The classifications we have used are those used by the General Register
for Scotland – census forms. If you wish to classify yourself in some other way, please use the
additional space provided to do so.

I would describe my ethnic origin as:

White Scottish                            Indian                       Chinese

White British                             Pakistani                    Caribbean

Irish                                     Bangladeshi                  African

Any other white background                Any other Asian              Any other Black
                                          background                   background

Other ethnic background (please specify) ……………………………………………………………………

……………………………………………………………………………………………………………………...


2. GENDER

I am (please tick):   Male                Female                       Transgender

3. AGE

25 and under                              26 – 54                      55 and over

4. DISABILITY

Do you consider that you have a disability:        Yes                 No




04/04/2011

								
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