Dr Bell’s Family Centre - Equal Opportunities Monitoring Form

This form is kept separately from your application and is anonymous.

Dr Bell’s Family Centre welcomes applications from all sections of the community. The aim of our policies is to ensure Dr Bell’s employee and volunteer recruitment practices promote equality of opportunity for all and do not allow discrimination. To help us meet this commitment, we hope that you will assist us by completing this form.  However, you do not have to complete the form if you choose not to, and this will not affect your application.

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Gender *
Are you married or in a civil partnership?   
 *
Age      
 *

What is your ethnicity?

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

 *

Do you consider yourself to have a disability or health condition?   

 *
What is the effect or impact of your disability or health condition on your ability to give your best at work? 

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.

What is your sexual orientation?
 *

What is your religion or belief?

 *

What is your current working pattern?

 *

What is your flexible working arrangement?

 *
Do you have caring responsibilities?  
 *
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