Employee Diversity Information Form
Employee Name
First Name
Last Name
1. Faith/Religion:
Please Select
No Religion
Baha’i
Buddhist
Christian (including Church of England, Catholic, Protestant, and all other Christian denominations)
Hindu
Jain
Jewish
Muslim
Sikh
Spiritual (but not religious)
Other religion or belief
Prefer not to say
Other (please specify):
2. Sexual Orientation:
Please Select
Asexual
Bisexual
Gay man
Gay woman / Lesbian
Heterosexual / Straight
Pansexual
Queer
Questioning / Unsure
Demisexual
Same gender loving
Other
Prefer not to say
Other (please specify):
3. Disability Status:
Please Select
Yes
No
Do you consider yourself to have a disability?
If yes (please specify):
Submit
Should be Empty: