Equal Opportunities Equal Opportunities Monitoring Form Please note, this form is optional, you do not have to complete it. Send a Cow aims to ensure that all applicants receive fair, equal and relevant treatment. If you would like to help us with this please complete the form below. By filling it in you are giving consent for us to process any personal data or special categories of data you provide on this form. The information will be kept strictly confidential and separate from your application documents, and we make all reasonable efforts to keep this data anonymised. Please refer to the applicant privacy notice supplied for details. Post/ TItle Your age Male Female Title Dr Mr Mrs Miss Ms Ethnic Origin/Nationality My nationality is: My ethnic origin is: White British Irish English Scottish Welsh Cornish White Cypriot Greek Turkish Other white Asian Indian or British Indian Pakistani, British Pakistani Bangladeshi, British Bangladeshi Other Asian, British Asian Mixed Asian Mixed White & Black Caribbean White & Black African White & Asian Black & Asian Black & Chinese Black & White Chinese & White Mixed race Black Caribbean African Other black & black British Mixed black Other Chinese African (no colour defined) Middle Eastern Arab Any other Disability Please tell us if you consider yourself to have a disability or impairment, as defined by the Disability Discrimination Act 1995 i.e. ‘A Person has a disability if he or she has a physical or mental impairment which has a substantial and long term adverse effect on his/her ability to carry out normal day to day activities.’ If you are short-listed, we will contact you before the interview to discuss your requirements. This is so that our process is accessible and meets your needs. Yes No If yes please give details: Religion Please tick only one box Christian Muslim Buddhist Sikh Hindu Jewish All other religions Submit If you are human, leave this field blank. Share You are here Home » Equal Opportunities Form
