Equal Opportunity Monitoring Form

Equality Opportunities Monitoring Form

Inclusion and diversity is very important to us.
*PLEASE READ BEFORE FILLING OUT THIS FORM*

What is an Equal Opportunity Form?

Equal opportunity forms are for companies and organisations to assess if their vacancies and opportunities are reaching a diverse range of applicants and help create positive action in recruitment situations.

If the answers to this form tell us that we are not reaching all potential applicants, we will act on this information and assess how and where we are advertising, welcoming and encouraging people to apply.

Prior Shop and Priormade strives to achieve equal opportunities, welcoming applications from people of any ethnic origin, nationality, religion, socio-economic background, sex, sexual orientation, age or disability. Recruitment and selection procedures are monitored to ensure that individuals are selected on merit and that there is no unfair treatment.

You may, of course, decide not to answer one or any of these questions, but if you do respond, all information provided will be treated in the strictest confidence and used only for the purposes of providing equal opportunities.
Name

First NameLast Name
Preferred name
Business name
Preferred pronoun

They / themShe / herHe / himPrefer not to sayOther
What best describes your gender?

Female / Trans femaleMale / Trans maleNon-binaryPrefer not to answerOther
Is your gender the same as the gender you were assigned at birth?

YesNoPrefer not to say
Date of Birth

DayMonthYear
Please leave blank if you prefer not to answer
Age

16–2425–2930–3435–3940–4445–4950–5455–5960–6465+Prefer not to answer
What is your sexual orientation?

Prefer not to answerGay manBisexualHeterosexualQueerGay woman/lesbianOther
I would describe my ethnic origin as:
If you wish to, please also choose from the most appropriate below:
Mixed / Multiple ethnic groups

White and Black CaribbeanWhite and Black AfricanWhite and AsianPrefer not to answerOther
Black/African/Caribbean/Black British

AfricanCaribbeanPrefer not to answerOther
White

EnglishWelshScottishNorthern IrishIrishBritishGypsy or Irish TravellerPrefer not to answerOther
Asian / Asian British

IndianPakistaniBangladeshiChinesePrefer not to answerArabOther
My Nationality is:
Please leave blank if you prefer not to answer.
What is your religion or belief?

No religion or beliefBuddhistChristianHinduJewishMuslimSikhPrefer not to answerOther
We would like to acknowledge all cultural and religious holidays, celebrations and practices. If you wish, please let us know anything that would make you feel more supported.
Do you consider yourself to have a disability or health condition?

YesNoPrefer not to answer
Do you feel comfortable letting us know more about your disability or health condition and if there is anything that we can do to support you?
We are committed to meeting the needs of people with learning difficulties or disabilities, so please let us know if you require additional support during the application process.

If you feel more comfortable, please email: Priorshopbristol@gmail.com or call 07984415553 and leave a message. We will get back to you.
Thank you - this Equal Opportunities form is now complete
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Equality Opportunities Monitoring Form

Thank you - this Equal Opportunities form is now complete