Equal Opportunities Monitoring Survey

We seek to employ a workforce which reflects the communities we serve and are committed to providing equality of access to employment for people from all parts of those communities. We need your help and co-operation to enable it to do this, however filling in this form is voluntary. As this form is anonymous, it cannot be linked to your individual application, so your confidentiality is maintained.

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How would you describe your gender?

Woman

Man

Intersex

Non-Binary

Prefer not to say

If you prefer to use your own term, please specify here:

This is required

Is your gender identity the same as the gender you were assigned at birth?

Yes

Prefer not to say

What is your sexual orientation?

Asexual

Bisexual

Heterosexual/Straight

Homosexual/Gay

Pansexual

Prefer not to say

If other or if you prefer to use your own term please provide this here:

This is required

Do you consider yourself to have a disability?

Yes

Prefer not to say

If yes, what is the nature of your disability?

Please note, if you would like to request reasonable adjustments to enable you to be successful during our recruitment process, please email HR@advonet.org.uk and we will be happy to support

Vision (eg due to blindness or partial sight)

Hearing (eg due to deafness or partial hearing)

Mobility, such as difficulty walking short distances, climbing stairs, lifting and carrying objects

Learning, concentrating or remembering

Mental health

Stamina or difficulty breathing

Social or behavioural (eg due to autism, attention deficit disorder or Asperger’s syndrome)

Prefer not to say

Other (please specify):

This is required

Do you have caring responsibilities? If yes, please tick all that apply:

None

Primary carer of a child/children (under 18)

Primary carer of disabled child/children

Primary carer of disabled adult (18 and over)

Primary carer of older person

Secondary carer (another person carries out the main caring role)

Prefer not to say

Do you live in the Leeds Metropolitan Area? (i.e. is Leeds City Council your local authority?)

Yes

Don't know

Equal Opportunities Monitoring Survey

Which age category do you belong to?

How would you describe your gender?

Is your gender identity the same as the gender you were assigned at birth?

What is your sexual orientation?

What is your legal marital or civil partnership status?

What is your ethnicity?

Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you believe you belong. Please tick the appropriate box:

What is your religion or belief?

Do you consider yourself to have a disability?

If yes, what is the nature of your disability?

Please note, if you would like to request reasonable adjustments to enable you to be successful during our recruitment process, please email HR@advonet.org.uk and we will be happy to support

Do you have caring responsibilities? If yes, please tick all that apply:

Do you live in the Leeds Metropolitan Area? (i.e. is Leeds City Council your local authority?)

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Which age category do you belong to?

How would you describe your gender?

Is your gender identity the same as the gender you were assigned at birth?

What is your sexual orientation?

What is your legal marital or civil partnership status?

What is your ethnicity?Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you believe you belong. Please tick the appropriate box:

What is your religion or belief?

Do you consider yourself to have a disability?

If yes, what is the nature of your disability?Please note, if you would like to request reasonable adjustments to enable you to be successful during our recruitment process, please email HR@advonet.org.uk and we will be happy to support

Do you have caring responsibilities? If yes, please tick all that apply:

Do you live in the Leeds Metropolitan Area? (i.e. is Leeds City Council your local authority?)

What is your ethnicity?

Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you believe you belong. Please tick the appropriate box:

If yes, what is the nature of your disability?

Please note, if you would like to request reasonable adjustments to enable you to be successful during our recruitment process, please email HR@advonet.org.uk and we will be happy to support