Equal Opportunities Monitoring Form - GAP membership applicants
ESRC is committed to promoting equality. Any information you provide will help us to monitor where membership applications are being received from. If you do not wish to contribute information please select 'prefer not to say' for each question.

This form will be anonymised and used for monitoring purposes only. It will not be associated with your application.

1. Gender


2. Age


3. Do you consider yourself to be disabled as defined by the Equality Act 2010: ‘you have a physical or mental impairment that has a 'substantial' and 'long-term' negative effect on your ability to do normal daily activities’?


4. Do you need assistance to attend or fully participate in meetings?


5. Ethnic background

In accordance with the UK Data Protection Act (1998), the personal data provided on this form will be processed by ESRC and may be stored on computerised databases and/or manual files until after the GAP applications have been received.