WVPS - Equality & Diversity Monitoring Form

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Woodborough Village PreSchool wants to meet the aims and commitments set out in its equality policy. This includes not discriminating under the Equality Act 2010, and building an accurate picture of the make-up of the workforce in encouraging equality and diversity.

The committee needs your help and co-operation to enable it to do this, but filling in this form is voluntary. You may fill in all, part of none of the form; we will not use this information to decide whether or not to invite you to interview or offer you employment and it will form no part of the recruitment process. The information provided will be kept confidential and will be used only for monitoring purposes.

If you have any questions about the form contact committee@woodboroughpreschool.com - alternatively you can submit comments anonymously at the bottom of this form.

Gender

Please indicate the gender you most identify with.

If you prefer to use your own gender identity, please write in other.

Male

Female

Non-binary

Intersex

Prefer not to say

Other:

Clear selection

Is the gender you identify with now the same as your gender registered at birth?

Yes

Prefer not to say

Clear selection

Age

You're welcome to indicate this using a range if you prefer. For example, if you are 39 you may enter 30-40, or 35-39

Ethnicity (1)

Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong.

Asian or Asian British

Black, African, Caribbean or Black British

Mixed or Multiple ethnic groups

White

Other ethnic group

Prefer not to say

Clear selection

Ethnicity (2)

Can you provide further detail? If example, if you selected Asian in the group list above, you may choose to type "Indian", "Pakistani", "Chinese" in this field.

Disabilities & Health Conditions

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 work? Please write in here:

(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).

Sexual Orientation

Heterosexual

Gay

Bisexual

Other

Prefer not to say

Clear selection

Working Pattern (Actual or Position Applied For)

Full Time

Part Time

Prefer not to say

Clear selection

Do you have any caring responsibilities

Yes - primary carer of a child/children (under 18)

Yes - primary carer of a disabled child (under 18)

Yes - primary carer of a disabled adult

Yes - primary carer of an older person

Yes - primary carer (prefer not to provide more detail)

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

Prefer not to say

Other:

Clear selection

Comments

We are committed to continuous improvement in the way we collect and monitor the responses to this form. If you have any feedback you may use the section below to enter this anonymously.

If you prefer a response to your question please email committee@woodboroughpreschool.com instead.

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