Equal Opportunities Form

Equal Opportunities Form
COVEY is part of an equal opportunity organisation. We are committed to the active promotion of equal opportunities, both in the provision of services and as an employer of staff and volunteers.

To help us monitor our equal opportunity policy in recruitment and selection procedures, you are requested to complete the following questionnaire.

The information you provide does not form part of the selection procedure, it is used only for monitoring purposes. This sheet will be separated from your application form before short-listing.
What gender do you consider yourself to be?

FemaleMaleNon-binaryPrefer not to sayOther
If you selected 'other' please specify below:
Do you identify as trans?

YesNoPrefer not to say
How old are you?

Under 1818-2425-3435-4445-5455-6465 and abovePrefer not to say
Ethnic origin:

White - BritishWhite - IrishWhite - otherBlack - ScottishBlack - BritishBlack - IrishBlack - CaribbeanBlack - AfricanBlack - otherIndianPakistaniBangladeshiChineseAsian - otherAny other ethnic groupPrefer not to say
What is your religion?

BuddhistChristianHinduJewishMuslimCatholicSikhPaganNo religionPrefer not to sayOther
If you selected 'other', please specify below
Do you consider yourself as having a disability in accordance with the Equality Act 2010? 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

YesNoPrefer not to say
Declaration
I understand that this information may be stored and processed as part of the monitoring of equal opportunities and as part of the recruitment procedure.

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