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LAT Equal Opportunities Form
Please complete this form in addition to any specific vacancy requirements.
In order for this to be as informative as possible it would be much appreciated if you could answer the questions as fully as possible. However, each question does have an option should you prefer not to share the information.
All data gathered will be held securely and confidentially, within the GDPR regulatory framework, with access to the data limited to a small number of employees who will be processing it. It may also be anonymised and shared more widely as a pool of data – for example as part of funding applications and our annual report.
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* Indicates required question
1) What role are you applying for?
*
Your answer
2) What is your current age bracket?
*
0-19
20-34
35-49
50-64
65-74
75+
Prefer not to say
Required
3) What was the occupation of the highest income earner of your household when you were 14 years old? See examples of how the occupations listed below are defined
*
Modern Professional Occupations (E.g. Teacher/lecturer, nurse, physiotherapist, social worker, welfare officer, artist, musician, police officer (sergeant or above), software designer)
Clerical and Intermediate Occupations (E.g. secretary, personal assistant, clerical worker, office clerk, call centre agent, nursing auxiliary, nursery nurse)
Senior Managers and Administrators (Usually responsible for planning, organising and co-ordinating work for finance such as finance manages, chief executive etc)
Technical and Craft Occupations (E.g. motor mechanic, fitter, inspector, plumber, printer, tool maker, electrician, gardener, train driver)
Semi-Routine Manual and Service Occupations (E.g. postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, receptionist, sales assistant)
Routine Manual and Service Occupations (E.g. HGV driver, van driver, cleaner, porter, packer, sewing machinist, messenger, labourer, waiter/waitress, bar staff)
Middle or Junior Managers (E.g. office manager, retail manager, bank manager, restaurant manager, warehouse manager, publican)
Traditional Professional Occupations (E.g. solicitor, accountant, medical practitioner, scientist, civil/mechanical engineer)
Self-employed
Short Term Unemployed (Claimed Jobseeker’s Allowance or earlier unemployment benefit for a year or less)
Long Term Unemployed (Claimed Jobseeker’s Allowance or earlier unemployment benefit for more than a year)
Retired
Not applicable
Don't know
Prefer not to say
Required
4) Which type of school did you attend for the most time between the ages of 11 and 16?
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A state-run or state-funded school
Other non-fee paying school
Independent or fee-paying school
Independent or fee-paying school, where I received a means tested bursary covering 90% or more of the total cost of attending throughout my time there
Attended school outside the UK
Prefer not to say
Required
5) If you finished school after 1980, were you eligible for free school meals at any point during your school years
*
Yes
No
Not applicable (Finished school before 1980 or went to school overseas)
I don’t know
Prefer not to say
Required
6) Do you have any caring responsibilities? Tick all that apply
Yes – child(ren) under 12
Yes – child(ren) over 12
Yes – elderly parent / relative / other dependent
Yes – disabled dependent
Yes - other
No
Prefer not to say
7) What is your current marital status?
Married / Civil partnership
Co-habiting
Single
Other
Prefer not to say
8) Do you consider yourself to be neurodivergent*? (* Neurodivergence is the term for when someone's brain processes, learns, and/or behaves differently from what is considered "typical.")
*
Yes
No
Not sure
Prefer not to say
Required
9) If you answered 'yes' above, please give more details, if you would like to:
Your answer
10) What is your ethnic group?
*
White - English/Welsh/Scottish/Northern Irish/British
White - Irish
White - Gypsy or Irish Traveller
Other White Background
Mixed - White and Black Caribbean
Mixed - White and Black African
Mixed - White and Asian
Other Mixed/Multiple Ethnic Background
Asian or Asian British - Indian
Asian or Asian British - Pakistani
Asian or Asian British - Bangladeshi
Asian or Asian British - Chinese
Other Asian Background
Black or Black British - African
Black or Black British - Caribbean
Other Black / African / Caribbean background
Arab
Other
Required
11) If you answered 'other' above, please self describe here, if you would like to:
Your answer
12) What sex are you?
*
Female
Male
Intersex
Transgender
Prefer to self describe
Prefer not to say
Required
13) What is your current sexual orientation?
Bisexual
Gay Man
Gay Woman/Lesbian
Heterosexual/Straight
Queer
Prefer to self describe
Prefer not to say
14) What is your current gender identity?
Woman
Man
Non-Binary
Prefer to self describe
Prefer not to say
15) Is your gender identity different to your sex as assigned at birth?
Yes
No
Prefer not to say
16) If you answered 'prefer to self describe' to any/all of Questions 12-14 above, please do so here:
Your answer
17) Do you identify as a D/deaf and/or disabled person?
Yes
No
Prefer not to say
18) If yes, is your disability a long term condition? (*it has lasted for, or is likely to last for at least 12 months)
Yes
No
Not Known
Not applicable
19) If yes to question 17, please give more detail if able /comfortable
Vision (e.g. due to blindness or partial sight)
Hearing (e.g. due to deafness or partial hearing)
Mobility (e.g. difficulty walking short distances, climbing stairs, lifting and carrying objects)
Learning or concentrating or remembering
Mental Health
Stamina or breathing difficulty
Prefer not to say
Other impairment (please specify):
Clear selection
20) If you answered 'other' above, please self describe here, if you would like to:
Your answer
21) What is your religion?
Christian (including Church of England, Catholic, Protestant and all other Christian denominations)
Buddhist
Hindu
Muslim
Jewish
Sikh
Atheist
No Religion
Prefer not to say
Any other religion
22) If you answered 'other' above, please self describe here, if you would like to:
Your answer
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