We are committed to ensuring that all job applicants and members of staff are treated equally, without discrimination because of gender, sexual orientation, marital or civil partner status, gender reassignment, race, colour, nationality, ethnic or national origin, religion or belief, disability or age. This form is intended to help us maintain equal opportunities best practice and identify barriers to workforce equality and diversity.
The information on this form is provided on an anonymous basis and will be treated in the strictest confidence.
Thank you for your assistance.

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* 1. Gender - What is your gender (please tick)?  (If you are undergoing gender reassignment, please use the gender identity you intend to acquire)

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* 2. Is the gender you identify with the same as your gender registered at birth?

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* 3. Age - What is your age (please tick)?

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* 4. Ethnic Group - Ethnic origin is not about nationality, place of birth or citizenship.  It is about the group to which you perceive you belong.   How would you describe your ethnicity?

  Asian or Asian British Black, African, Caribbean or Black British Mixed or Multiple ethnic groups White Other ethinic group
What is your ethnicity?

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* 5. Disability - The Equality Act 2010 defines a disability as a "physical or mental impairment which has a substantial and long-term adverse effect on a person's ability to carry out normal day-to-day activities". An effect is long-term if it has lasted, or is likely to last, more than 12 months.

Do you consider that you have a disability under the Equality Act (please tick)?

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* 6. Sexual Orientation - How would you describe your sexual orientation (please tick)?

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* 7. Religion or Belief - Please describe your religion or other strongly held belief

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