EQUAL OPPORTUNITIES MONITORING FORM
This form is intended to help us maintain equal opportunities best practice and identify barriers to workforce equality and diversity.

We ask for your help and co-operation to enable us to do this, however filling in this form is voluntary. The form will be separated from your application on receipt. The information on this form will be used for monitoring purposes only to ensure we are meeting our Equality & Diversity Policy and will play no part in the recruitment process.

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!

Village Underground & EartH

Sign in to Google to save your progress. Learn more
What position did you apply for? *
How did you hear about the position? *
What is your gender? *
What is your age? *
Are you married or in a civil partnership? *
How would you describe your ethnic origin? *
How would you describe your sexual orientation? *
How would you describe your religious belief? *
Do you consider yourself to have a caring responsibility? *
Do you consider that you have a disability under the Equality Act? (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.) *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Village Underground. Report Abuse
Google Forms