Data I/O Operator - Equal Opportunities Monitoring Form

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At Mission, we are committed to ensuring that all job applicants and members of staff are treated equally, without discrimination because of gender, sexual orientation, marital or civil partner status, gender reassignment, race, colour, nationality, ethnic or national origin, religion or belief, disability or age. This form is intended to help us maintain equal opportunities best practice and identify barriers to workforce equality and diversity.

All questions are optional. You are not obliged to answer any of these questions but the more information you supply, the more effective our monitoring will be. All information supplied will be treated in the strictest confidence. It will not be placed on your personnel file.

Thank you for your assistance.

Full Name (as per application sent) *

GENDER IDENTITY (If you are undergoing gender reassignment, please use the gender identity you intend to acquire.)

Female

Male

Intersex

Non-binary

Transgender

Prefer not to say

If you prefer to use your own term, please specify here

AGE

18-24

25-34

35-44

45-54

55-64

65+

Prefer not to say

SEXUAL ORIENTATION

Heterosexual / Straight

Bisexual

Gay

Lesbian

Prefer not to say

If you prefer to use your own term, please specify here

ETHNICITY - Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please select from the options below.

RELIGION OR BELIEF - Please describe your religion or other strongly-held belief.

I would like to specify my religion or belief (see below)

I have no particular religion or belief

Prefer not to say

Please specify your answer here

DISABILITY

The Equality Act 2010 defines a disability as a "physical or mental impairment which has a substantial and long-term adverse effect on a person's ability to carry out normal day-to-day activities". An effect is long-term if it has lasted, or is likely to last, more than 12 months.If you tell us that you have a disability we will make reasonable adjustments to your working environment and to your work arrangements and practices

Do you consider that you have a disability under the Equality Act?

Yes

Prefer not to say

Clear selection

Please specify your answer here

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