St George’s Bristol is an Equal Opportunities employer and wants to meet the aims and commitments set out in its Equality and Diversity policy. This includes not discriminating under the Equality Act 2010, and building an accurate picture of the make-up of the workforce in encouraging equality and diversity.

This information will be kept confidential and used only for monitoring purposes by the HR team. The results are anonymized and do not factor in Recruitment selection.

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* 1. Which Age bracket applies to you?

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* 2. What Gender do you identify with?

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* 3. Do you consider yourself to be a Disabled person?

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* 4. If yes, please indicate which category applies to you. Please tick all that apply

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* 5. Reasonable adjustments:  The Equality Act 2010 requires all employers to make reasonable adjustments for disabled employees.  Please indicate below if you require any reasonable adjustments to be put in place:

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* 6. Ethnic Origin: How would you describe your ethnic origin? (If you do not identify with any of the categories listed, please use one of the “other” categories.) Please tick one box.

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* 7. Religion/belief: How would you describe your religion/belief?

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* 8. Sexual orientation: How would you describe your sexual orientation?

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* 9. What type of work are you applying for?

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* 10. Which Department are you applying to?

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