Equal Opportunities Monitoring Form

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SRHE monitors all applications to build an accurate picture of the make-up and diversity of those applying for positions within the Society. The information gathered does not form part of the selection process. It is stored electronically and published as part of a statistical summary in an anonymous format.

It would be helpful if you would complete the following to assist our monitoring, but please do not complete the form unless you agree to the processing of the information in the manner specified.

Position applied for

Gender

Where did you hear about this position?

Age

16-19

20-29

30-39

40-49

50-59

60+

Do you have a disability as defined by the Disability Discrimination Act 1995 (DDA)? The definition of a disability under the DDA is "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."

Yes

Equal Opportunities Monitoring Form

Position applied for

Gender

Where did you hear about this position?

What is your ethnic or cultural origin?

White

Asian or Asian British

Mixed

Black or Black British

Other Ethnic Group

Age

Do you have a disability as defined by the Disability Discrimination Act 1995 (DDA)? The definition of a disability under the DDA is "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."

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Position applied for

Gender

Where did you hear about this position?

What is your ethnic or cultural origin?

White

Asian or Asian British

Mixed

Black or Black British

Other Ethnic Group

Age

Do you have a disability as defined by the Disability Discrimination Act 1995 (DDA)? The definition of a disability under the DDA is "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."