Equal Opportunities Monitoring Form

Equal Opportunities Monitoring Form
Lanarkshire Carers is an Equal Opportunities employer and all applicants for positions with the organisation will receive equal treatment irrespective of ethnic origin, gender, gender reassignment, disability, religion, sexuality, and age.

To help monitor the effectiveness of the policy on Equality of Opportunity in Employment, please provide the information requested below.

This information will be kept in strict confidence and used for statistical purposes only.

Please note, the provision of information in this section is entirely voluntary and, if you choose not to do so, this will not be held against you when considering your suitability for the job.

Thank you for your co-operation.
Role - Which description best describes you?

Current EmployeeProspective EmployeeCurrent Board MemberProspective Board MemberCurrent VolunteerProspective Volunteer
Age - Which of the following best describes your age?

18-2526-3536-4546-5555-65Over 65Prefer not to say
Gender

MaleFemaleIn another wayPrefer not to sayOther
Trans/Transgender Status - Do you identify as trans / transgender* *Trans is an umbrella term to describe people whose gender identity differs is not the same as the gender they were assigned at birth.

YesNoPrefer not to say
Sexual Orientation - Which of the following best describes your sexual orientation?

Heterosexual / StraightGay ManGay Woman / LesbianBi / BisexualPrefer not to sayOther
Disability - Do you consider yourself to have a disability*? *A disability can be defined 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.

YesNoPrefer not to say
Ethnicity - Which of the following options best represents your ethnicity?
Asian or Asian British

BangladeshiIndianPakistantiArabOther
Black or Black British

AfricanCaribbeanOther
Chinese and other groups

ChineseOther
Mixed race

White and AsianWhite and Black AfricanWhite and CaribbeanOther
White

BritishScottishNorthern IrishIrishWelshPolishOther
Other ethnicities

Other ethnic backgroundMember of the Traveller's / Travelling CommunityPrefer not to sayOther
Faith / belief - To which religion, religious denomination or body do you consider yourself to belong to?

Christianity (Church of Scotland, England, Wales, Ireland)Christianity (Roman Catholic)Christianity (Other)Buddhism/BuddhistHinduism/HinduSikhism/SikhJudaism/JewishIslam/MuslimHumanistNo faith/beliefPrefer not to sayOther
Carer - Do you provide unpaid care to another person (relative or friend) in your day to day life?

YesNoPrefer not to say
Where did you see this job advertised?
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