WINS EDI Monitoring Form

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Women in Sustainability embraces diversity and promotes equality, operating according to the Equality Act 2010. We believe that the greater the range of perspectives we bring together, the better equipped and more feasible it is for us to create change and build a positive future. An accurate picture of the make-up of our community encourages equality and diversity and enables us to assess our practices and ensure they are equitable and fair.

All data is held in compliance with General Data Protection Regulations 2018 and the Data Protection Act 2018.

The WINS Privacy Policy can be viewed here: https://womeninsustainability.net/privacy-policy

Gender

Female

Male

Intersex

Non Binary

Prefer not to say

Other:

Are you married or in a civil partnership?

Yes

Prefer not to say

Age (years old)

16-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65+

Prefer not to say

What is your ethnicity? (Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please tick the appropriate box)

English

Welsh

Scottish

Northern Irish

Irish

British

Gypsy or Irish Traveller

Prefer not to say

White

Clear selection

Ethnicity?

White and Black Caribbean

White and Black African

White and Asian

Prefer not to say

Other mixed background

Mixed/multiple ethnic groups

Clear selection

Ethnicity?

Indian

Pakistani

Bangladeshi

Chinese

Prefer not to say

Any other Asian background

Asian/Asian British

Clear selection

Ethnicity?

African

Caribbean

Prefer not to say

Any other Black/African/Caribbean background

Black/ African/ Caribbean/ Black British

Clear selection

Ethnicity?

Arab

Prefer not to say

Any other ethnic group

Other ethnic group

Clear selection

Do you consider yourself to have a disability or health condition?

Yes

Prefer not to say

Clear selection

What is the effect or impact of your disability or health condition on your ability to give your best at work? Please write in here:

The information in this form is for monitoring purposes only.

The information in this form is for monitoring purposes only. If you believe you need a ‘reasonable adjustment’, then please discuss this with your manager, or the manager running the recruitment process if you are a job applicant.

What is your sexual orientation?

Heterosexual

Gay

Lesbian

Bisexual

Prefer not to say

Other:

What is your religion or belief?

No religion or belief

Buddhist

Christian

Hindu

Jewish

Muslim

Sikh

Prefer not to say

Other:

What is your current working pattern?

Full-time

Part-time

Not in employment

Self employed

Prefer not to say

Other:

What is your flexible working arrangement?

None

Flexi-time

Staggered hours

Term-time hours

Annualised hours

Job-share

Flexible shifts

Compressed hours

Homeworking

Prefer not to say

Other:

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

None

Primary carer of a child/children (under 18)

Primary carer of disabled child/children

Primary carer of disabled adult (18 and over)

Primary carer of older person

Secondary carer (another person carries out the main caring role)

Prefer not to say

Other:

Thank you for taking the time to complete the Women in Sustainability EDI Monitoring form

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