DVLA - Non-Executive Director - Diversity Monitoring Form
The Department for Transport (DfT) is the controller for any personal data which you provide to us in this form.

Information provided as part of this application will be kept securely within DfT and destroyed within 24 months after the conclusion of the recruitment campaign.

DfT uses this form to gather evidence on DfT’s public appointments. This data is collected in the public interest for statistical monitoring and to inform DfT’s recruitment policies in accordance with the Department’s public sector equality duties. If your answers contain any information that allows you to be identified, DfT will, under data protection law, be the controller for this information.

The diversity information contained will at no point be shared with selection panels. Anonymised statistical breakdowns may be shared with the Cabinet Office (CO) and the Office of the Commissioner for Public Appointments (OCPA) for the purpose of informing public policy on equal opportunities in public appointments.

Diversity information retained in personalised form will be deleted after the regular statistical returns to the Cabinet Office have been completed.

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First Name *
Surname *
Do you have a disability?  Please tick one box. Disability Discrimination under the Equality Act 2010 defines a disability as ‘a physical or mental impairment, which has a substantial and long term effect on an individual’s ability to carry out a normal day – day activities’. *
Required
Gender *
Required
What is your marital status? *
What is your ethnic Group? Grouping is based on the categories used in the census in the UK in 2001. Choose one section from (a) to (f) then tick the appropriate box to indicate your cultural background.
English / Welsh / Scottish / Northern Irish / British
Irish
Gypsy or Irish Traveller
Any other White background
White
Clear selection
White & Black Caribbean
White & Black African
White & Asian
Any other mixed background
Mixed Ethnic
Clear selection
Indian
Pakistani
Bangladeshi
Chinese
Any other Asian background
Asian
Clear selection
Caribbean
African
Any other Black background
Black
Clear selection
Arab
Any other ethnic background
Other
Clear selection
Prefer not to say
Prefer not to say
Clear selection
What is your sexual orientation? *
What is your religion/faith/belief? *
Age *
Employment - Please describe your main employment and tick the occupational sector box that best describes you: *
Is this your first ministerial appointment?  This includes all non-departmental public bodies (NDPBs), NHS bodies, parole boards and research councils. It does not include sitting as a school governor or any positions within charities. *
Do you hold any other Ministerial appointments made by or on behalf of Ministers? *
If yes, please provide details.
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