Producer: Equal Opportunities Monitoring

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In accordance with our equal opportunities policy Poet in the City will provide equal opportunities to any employee or job applicant and will not discriminate either directly or indirectly because of age, sex, gender, ethnicity, disability, religion or belief, sexual orientation, or pregnancy/maternity.

In order to assess how successful this policy is we have set up a system to monitor all job applications. We would therefore be grateful if you could complete the questions on this form. We have asked for your name to enable us to monitor applications at shortlisting and appointment as well as application stage.

All information will be treated in confidence. The questionnaire will be detached from your application form, stored separately and used only to provide statistics for monitoring purposes. Thank you for your assistance.

Job applied for *

Name *

Sex *

Male

Female

Non-binary

Prefer not to say

Other:

Ethnicity

Asian/Asian British

Bangledeshi

Chinese

Indian

Pakistani

Other:

Black/African/Caribbean/Black British

African

Caribbean

Other:

Mixed/multiple ethnic groups

White and Black Caribbean

White and Black African

White and Asian

Other:

White

English/Welsh/Scottish/Northern Irish/British

Irish

Gypsy or Irish Traveller

Other:

Other ethnic group

Arab

Other:

Do you consider yourself to have a disability? *

If yes, please state the nature of the disability. The Equality Act 2010 defines disability as "a physical or mental impairment which has a substantial and long-term effect on the person's ability to carry out their normal day-to-day activities".

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