MONITORING FORM

To demonstrate the Digital Arts Studio’s commitment to equality of opportunity in employment we must monitor the community background of our employees and job applicants as required by the Fair Employment (Northern Ireland) Act 1989. We are asking you to help us by indicating below the community background to which you belong. (Please tick the appropriate box)
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In Confidence
Your Religious Belief *
Required
Your Marital Status *
Required
Your Racial Group *
Required
If Mixed or Other ethnic group please state which:
My Nationality is: *
Age *
Required
My sexual orientation is towards someone *
Required
Dependants. Do you have responsibility for the care of: *
Required
Other. Please specify:
Disability
The Disability Discrimination Act considers a person disabled if:• You have a long standing physical or mental condition or disability that has lasted or is likely to last at least 12 months, and• This condition or disability has a substantial adverse effect on your ability to carry out normal day-to-day activities.Do you consider yourself to be disabled as set out under the Disability Discrimination Act? (Please tick ‘Yes’ or ‘No’)
*
If YES please state the type of disability below:
Other (please specify)
It can help us to ensure effective involvement of everyone if we can identify anything that poses a barrier to your full participation in the workplace. What are the biggest barriers for you in doing what you want to do in this organisation? Please specify:
Advertising. Please indicate below how you became aware of this opportunity to allow us to assess the effectiveness of our advertising. *
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