Equal Opportunities Form s3

EQUAL OPPORTUNITIES FORM

The New Economics Foundation is striving to be an equal opportunities employer. We wish to monitor who applies for jobs in the organisation in order to assess the effectiveness of our policy.

Questions 1-5 are optional. Questions 6-8 are required.

1. GENDER: 2. Is your gender identity the same as the gender you were assigned at □ Female birth? Yes □ Male □ □ Prefer not to □ No say □ Prefer not to say □ Other □ Other

3. SEXUAL ORIENTATION: 4. AGE: 5. MARITAL STATUS:

□ ______□ Married Bisexual □ Single □ □ prefer not to say Gay □ Divorced □ Heterosexual □ In a civil partnership

□ Lesbian □ Other (please specify): □ Prefer not to say ______□ Other □ Prefer not to say

6. ETHNIC ORIGIN: □ Black African □ Pakistani □ Black British □ Bangladeshi □ Black Caribbean □ Indian □ White British □ White non-British □ Mixed (please specify): ______□ Prefer not to say □ Other (please specify): ______

7. DISABILITY: 8. RELIGION:

The Equality Act defines a disabled person as someone who has a physical or mental □ Christian impairment that has a substantial and long term adverse effect on their ability to □ Jewish perform normal day to day activities. It also Sikh covers people who have been diagnosed □ with HIV, cancer or multiple sclerosis. □ Muslim ('Substantial' means more than minor or trivial, 'long-term' means that the effect of □ Hindu the impairment has lasted or is likely to last for at least twelve months, 'normal □ Buddhist day-to-day activities' include everyday things like eating, washing, walking and □ Rastafarian going shopping.) □ None Does this definition apply to you? □ Other (please specify) ______□ Yes □ Prefer not to say □ No □ Prefer not to say

For the purposes of compliance with the Data Protection Act 1998, I hereby confirm that by completing this form I give my consent to New Economics Foundation to process the data supplied on this form for the purpose of equal opportunities monitoring.

Signature: ______

Date: ______