Equal Opportunities Monitoring Form s8
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Neath Port Talbot Council for Voluntary Service Supporting, promoting and developing the local voluntary sector
Cyngor Gwasanaeth Gwirfoddol Castell-nedd Port Talbot Cefnogi, hyrwyddo a datblygu y sector wirfoddol leol
Equal Opportunities Recruitment Monitoring Form
Neath Port Talbot Council for Voluntary Service aims to promote equality of opportunity. It also aims to ensure all applications are treated fairly, regardless of ethnicity, disability, gender, sexual orientation, age, religion and belief.
In order to help Neath Port Talbot CVS ensure its Equal Opportunities Policy is being carried out effectively, please complete the following. The information you provide will not be used in the recruitment and selection process. However, if you are successful in your application the information will be used for monitoring purposes during the course of your employment.
The form will be detached from your application form and will help to monitor the diversity of applications we receive. This will enable us to develop appropriate policies and procedures in respect of diversity and equal opportunities.
Post applied for: …………………………………………………………………
Ref No: …….………………….
Where did you learn of this post? (Please tick)
Neath Port Talbot CVS Website Neath Port Talbot CVS Mailing Recruit 3 Publication (Please specify ……………………………………..) Other (please specify)
1 Ethnicity
How would you describe yourself?
Choose ONE section from A to E, and then please circle.
A. Asian or Asian British Bangladeshi Indian Pakistani Any other Asian background (please specify) …………………………
B. Black or Black British African Caribbean Any other Black background (please specify) …………………………
C. Chinese or other ethnic group Chinese Any other (please specify) ………………………………………………..
D. Mixed Heritage White and Asian White and Black African White and Black Caribbean
E. White British English Irish Scottish Welsh Any other White background (please specify) ..…………………………
F. Prefer not to say
2 Disability
Do you consider yourself to have a disability or a long-term health condition? Please circle as appropriate.
Yes No
What is the effect or impact of your disability or health condition?
……………………………………………………………………………………….
Prefer not to say
Gender
Would you describe yourself as: (Please circle)
Male Female Prefer not to say
Sexual
What is your sexual Orientation? (Please circle)
Bisexual Gay man Gay woman/Lesbian Heterosexual/Straight Other Prefer not to say
Age
What is your Date of Birth?
_ _ / _ _ / _ _ _ _
3 Religion and Belief
Please circle which best describes you:
Buddhist Christian Hindu Jew Muslim Sikh Other Religion of Belief (please specify) ……………………………………….. Prefer not to say
If you feel you have been discriminated against during the recruitment process please contact the Director who will arrange for the complaint to be investigated.
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