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Hijinx Recruitment - Equal Opportunities Monitoring Form (English)

1. Introduction

Our company recognises and actively promotes the benefits of a diverse workforce and is committed to treating all employees with dignity and respect.

In accordance with our equal opportunities policy, our company will provide equality of opportunity to all employees and job applicants and will not discriminate either directly or indirectly on the grounds of race, sex, gender identity, marital status, disability, sexual orientation, religion/belief or age.

Please complete all sections. 
 
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Question 1.

What age are you?

- Required.
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Question 2.

What best describes your gender?

- Required.
This is required
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Question 3.

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

- Required.
Question 4.

Are you Married or in a Civil Partnership?

Question 5.

Sexual Orientation: Please tick against one of the following

This is required
Question 6.

Religion or belief: Please tick against one of the following

This is required
Question 7.

Asian / Asian British Ethnic Origin: Please tick against one of the following, only if applicable.

Question 8.

Black/African/Caribbean/ Black British Ethnic Origin:  Please tick against one of the following, only if applicable.

Question 9.

Mixed/ Multiple Ethnic Groups: Please tick against one of the following, only if applicable.

Question 10.

Other Ethnic Group: Please tick against one of the following, only if applicable. 

Question 11.

White Ethnic Origin: Please tick against one of the following, only if applicable.

Question 12.

I'd prefer not to say my ethnic origin : Please tick 'yes' below if this applies to you

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Question 13.

Disability:

Do you consider yourself to have a disability?

You’re disabled under the Equality Act 2010 if you have a physical or mental impairment that has a ‘substantial’ and ‘long-term’ negative effect on your ability to do normal daily activities. Conditions covered may include, for example, severe depression, dyslexia, diabetes, epilepsy and arthritis.

PLEASE NOTE: This information is provided for monitoring purposes only – if you need reasonable adjustments you should arrange these separately.

Please tick against one of the following:
 

- Required.
Question 14.

Disability

If yes, what best describes your disability, impairment, learning difference or long-term condition? [Please tick all that apply]

PLEASE NOTE: This information is provided for monitoring purposes only – if you need reasonable adjustments you should arrange these separately.

This is required
Question 15.

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