NNL - Diversity Monitoring Questionnaire - Non-Executive Director
Public appointments are made on merit in accordance with the Cabinet Office Governance Code and the Public Appointments Order in Council.  By completing the attached diversity monitoring form you will be helping us meet our public sector equality duty under section 149 of the Equality Act 2012.  

Your personal data will always be treated in confidence and when anonymised with data from other applicants will help compile the Annual Statistical Bulletin of the Commissioner for Public Appointments.  

Your responses will never be made available to the panel considering your application.

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Where did you hear about this role? *
First Name *
Surname *
Gender *
What is your gender?
Ethnic Background - which of the following do you feel you most identify with? (please tick one only)
White
Clear selection
Mixed / Multiple ethnic groups
Clear selection
Asian / Asian British
Clear selection
Black
Clear selection
Other ethnic group
Clear selection
I prefer not to say
Clear selection
What was your age group at your last birthday? *
Disability (The Equality Act 2010 defines a person with a disability as someone who has a physical or mental impairment that has a substantial and long-term adverse effect on his or her ability to carry out normal day-to-day activities) *
Sexual Orientation *
What is your sexual orientation?
Religion and Belief - below is a list of religions and beliefs that are the most commonly found in Britain. They are listed in alphabetical order and not intended to signify rank in terms of importance. Furthermore we acknowledge that the list is not exhaustive and if your religion is not specifically listed please insert your religion in the space provided.Which belief, non-belief or religion do you feel you most identify with? *
Where is your principle place of residence? *
Which region does your principal residence fall within?
What is your principle employment, if any? *
Please tick the occupational sector box that best describes your main employment, if any:
Do you hold any other public appointments? *
This includes all non-departmental public bodies (NDPBs), NHS bodies, parole boards and research councils. It does not include sitting as a school governor or any positions within charities. How many other public appointments do you currently hold?
This diversity information is collected by government departments managing appointments to the board of public bodies, on behalf of the Cabinet Office and The Office of the Commissioner for Public Appointments (OCPA). This data will not be connected to your name when it is shared, it supplied anonymously.  It is collected for the purposes of measures or decisions with respect to your application for a government public appointment.

OCPA collects diversity information in order to produce management information about the public appointments process, and the diversity of the field of applicants. It will be published on OCPA’s website, in summary form, in order to enable government to meet its public sector equality duty under section 149 of the Equality Act 2010.

This data is collected and held on the basis that you consented to provide this information to departments alongside your application and you have not given notice that you do not wish for your data to be processed for this purpose.

This data may be held for up to 5 years by OCPA, Cabinet Office and the Government Department, who are the co-controllers of the data. This data shared with Cabinet Office IT suppliers in order to securely collect and store the data identified as data processors.

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