Recruitment Equality and Diversity Monitoring Form

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Recruitment Equality and Diversity Monitoring Form - Ampere Analysis

In accordance with our Diversity and Equal Opportunities Policy we are monitoring job applications to ensure that we provide equal opportunities and that discrimination does not occur because of race, sex, sexual orientation, gender reassignment, religion or belief, marital or civil partnership status, age, disability, or pregnancy and maternity.

So that we can assess the success of this policy, we have set up a system of monitoring all job applications. We would be grateful, therefore, if you would complete the questions on this monitoring form and return it with your application form. We have asked for your name in order to enable us to monitor applications at the shortlisting and appointment stage.

All information supplied will be treated confidence and will not be seen by staff directly involved in the appointment. The monitoring form will be detached from your application, stored separately and used solely to provide statistics for monitoring purposes.

Role applied for *

Senior Anlayst - Sponsorship

Researcher - Sponsorship

Analyst - APAC Region, Markets Operators team

Gender *

Male

Female

Prefer to self-describe

Prefer not to say

Education

What type of school did you attend between the ages of 11 and 16?

State school that was non-selective

State school that was selective

Fee-paying school with no bursary

Fee-paying school with a bursary

I attended school outside of the UK

None of the above

Education - degree type *

BSc

MSc

PHD

Other:

Ethnic Origin *

White British

White Irish

Gypsy or Irish Traveller

Any Other White Background

White and Black Caribbean

White and Black African

White and Asian

Any Other Mixed/Multiple Ethnic Background

Indian

Pakistani

Chinese

Any Other Asian Background

African

Caribbean

Any Other Black/African/Caribbean Background

Arab

Any Other Ethnic Group

Religion or Belief *

No Religion or Belief

Buddhist

Christian

Hindu

Jewish

Muslim

Sikh

Prefer Not to Say

Other:

Disability -Do you consider yourself to be disabled under the Equality Act 2010? (The Disability Discrimination Act (1995) – still in force under the Equality Act 2010 - defines disability as “a physical or mental impairment that has a substantial, long-term and adverse effect on a person’s ability to carry out day to day activities.) *

Yes

Required

If yes, what is the nature of your disability? *

Age Range *

16-24

25-34

35-44

45-54

55-64

65+

Sexual Orientation *

Bisexual

Heterosexual/Straight

Gay/Lesbian

Prefer Not to Say

Prefer to self-describe

Data Protection - The Company treats data collected for reviewing diversity and equality of opportunity in accordance with its data protection policy and employee privacy notice. I consent to the Company processing the data supplied in this form for the purposes of equal opportunities monitoring in recruitment and slecttion. I understand I may withdraw my consent to the processing of this data at any time by notifying the HR and Operations Manager. *

Please select to give your consent.

Required

Name

(for the purpose of identifying which candidates reach which stage and will be subsequently deleted)

Submit

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