Equality and Diversity Monitoring Form s1
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Equality and Diversity Monitoring Form
Poplar HARCA is committed to developing and implementing its Equality and Diversity Policy. It is the policy of Poplar Harca to appoint the best candidate for any post irrespective of their race, colour, ethnicity, religion, gender, sexual orientation, age, disability or marital status.
Data Protection Act 1998: The information requested is to enable Poplar Harca to monitor its employment decisions and meet statutory obligations.
In order for us to develop and monitor the effectiveness of this policy and how well we meet our legal requirements all applicants are asked to complete the following questionnaire. The information you provide will be treated as STRICTLY CONFIDENTIAL and will be used only for equality and diversity monitoring purposes. It will NOT form part of the selection process.
Post applied for:
Gender:
Male: Female: Transgender:
Age: Religious belief:
18-25
26-45
46-64
65+
Prefer not to say Sexual orientation: Marital status:
Bisexual
Gay man
Gay woman/lesbian
Heterosexual/straight
Other
Prefer not to say
Ethnic origin:
(Relates to a sense of identity/belonging on the basis of race/culture.)
I would describe myself as (choose ONE section from A to E, and then tick the appropriate box to indicate your cultural background):
A White:
British
Irish
Other, please specify:
B Mixed:
White and Black Caribbean
White and Black African
White and Asian
Other, please specify: C Asian or Asian British:
Indian
Pakistani
Bangladeshi
Other, please specify:
D Black or Black British:
Caribbean
African
Other, please specify:
E Chinese, Chinese British or other ethnic group:
Chinese
Other, please specify:
Disabilities:
Do you have any disabilities?
Yes: No:
Other:
Where did you see this post advertised?
What is your postcode?