Equality and Diversity Monitoring Form

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Equality and Diversity Monitoring Form –Recruitment

As part of our commitment to ensuring football in Dorset is For All and following on from achieving the Equality Standard for Sport, Dorset FA are pleased to be working towards completing the Preliminary Level of the Standard. To support us in ensuring Dorset football is accessible to all we wish to understand who has applied during this recruitment process so would appreciate your time in completing a very short, voluntary survey. The data collected will be analysed by the Dorset FA Equality Working Group to help us better understand who is currently involved in the game in Dorset and plan for the future of football in the county.

To protect individual confidentiality the survey is anonymous - the online format means that we do not collect any identifying information such as your name, email address or IP address. Responses will be stored in a password protected electronic format, and deleted once the data analysis is complete.

Many thanks for your time.

Please insert the job role that you are applying for below *

Are you *

Female

Male

Non-binary

I identify in another way/prefer to self-describe (please specify in other)

Prefer not to say

Other:

Required

Age *

18-24

25-34

35-44

45-54

55-64

65-74

75+

Prefer not to say

Sexual Orientation *

Bisexual

Gay man

Gay woman / lesbian

Heterosexual

I identify in another way / prefer to self-describe (please specify in other)

Prefer not to say

Other:

Required

Do you identify as transgender *

Yes

Prefer not to say

Disability

Equality Act 2010 definition of disability
Under the Equality Act 2010, a person is considered to have a disability 'if they have a physical or mental impairment, and the impairment has a substantial and long-term adverse effect on his or her ability to carry out normal day-to-day activities’. ‘Substantial' is defined by the Act as 'more than minor or trivial'. An impairment is considered to have a long-term effect if:
• it has lasted for at least 12 months
• it is likely to last for at least 12 months, or
• it is likely to last for the rest of the person’s life.

Do you have a disability *

Yes

Prefer not to say

If the answer is yes, please specify below

Hearing impairment

Visual impairment

Physical impairment - ambulant

Physical impairment - wheelchair user

Learning impairment / disability

Learning difficulty

Social / communication impairment

Long term illness

Mental health condition

Prefer not to say

Other:

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