Equal Opportunity Monitoring Form

We recognise and actively promote the diverse workforce and treat all job applicants and employees with dignity and respect regardless of race, gender, disability, age, sexual orientation, religion and belief. This form is intended to help us maintain equal opportunities, and best practices and identify barriers to workforce equality and diversity.

The information will be confidential and will not be used in selection but for monitoring purposes only. 

1.  Gender:  O Male   O Female     O Prefer not to say                              

2.   Date of Birth: _______________________ (Please leave blank if you prefer not to answer)

3. Age Group:

O 16 - 29

O 20-24

O 25-29

O 30-34

O 35-39

O 40-44

O 45-49

O 50-54

O 55-59

O 60-64

O 65+

O Prefer not to say

4. Sexual Orientation: O Heterosexual / straight   O Bisexual   O Gay   O Lesbian                                                                                 O Prefer not to say

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