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<p> Equality and Diversity Monitoring Form</p><p>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.</p><p>Data Protection Act 1998: The information requested is to enable Poplar Harca to monitor its employment decisions and meet statutory obligations.</p><p>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.</p><p>Post applied for:</p><p>Gender:</p><p>Male: Female: Transgender:</p><p>Age: Religious belief:</p><p>18-25</p><p>26-45</p><p>46-64</p><p>65+</p><p>Prefer not to say Sexual orientation: Marital status:</p><p>Bisexual</p><p>Gay man</p><p>Gay woman/lesbian</p><p>Heterosexual/straight</p><p>Other</p><p>Prefer not to say</p><p>Ethnic origin:</p><p>(Relates to a sense of identity/belonging on the basis of race/culture.)</p><p>I would describe myself as (choose ONE section from A to E, and then tick the appropriate box to indicate your cultural background):</p><p>A White:</p><p>British</p><p>Irish</p><p>Other, please specify:</p><p>B Mixed:</p><p>White and Black Caribbean</p><p>White and Black African</p><p>White and Asian</p><p>Other, please specify: C Asian or Asian British:</p><p>Indian</p><p>Pakistani</p><p>Bangladeshi</p><p>Other, please specify:</p><p>D Black or Black British:</p><p>Caribbean</p><p>African</p><p>Other, please specify:</p><p>E Chinese, Chinese British or other ethnic group:</p><p>Chinese</p><p>Other, please specify:</p><p>Disabilities:</p><p>Do you have any disabilities?</p><p>Yes: No:</p><p>Other:</p><p>Where did you see this post advertised?</p><p>What is your postcode?</p>
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