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Appendix 2 Recruitment monitoring form

Diversity monitoring form

Full Name: .

Date of birth: .

Central & Cecil welcomes applications from all sections of the community, regardless of age, race, colour, sexual orientation, family or marital status, religion, ethnic origin, nationality, disability, gender, political affiliation or trade union membership.

You must complete all sections.

MANAGING DIVERSITY

Central & Cecil has an Equal Opportunities and Equality and Diversity policy and is committed to monitoring the effectiveness of the policy in respect of job applicants and employees. We undertake monitoring in accordance with the Codes of Practice issued by the Equality and Human Rights Commission.

This form will be used to enable us to monitor the effectiveness of our Equal Opportunities and Equality and Diversity policy only and will not be seen by those responsible for short listing or making appointments.

All information provided in this section will be treated as confidential and will be processed in accordance with the guidelines of the General Data Protection Regulation (GDPR) 2018 and the Data Protection Act (DPA) 2018, which govern personal sensitive information.

MARITAL STATUS

Married |_| Divorced |_| Partner |_| Separated |_| Single |_| Widowed |_|

DISABILITY

Central & Cecil seeks to offer employment opportunities irrespective of physical or mental disabilities and will make any

reasonable adjustments. Do you believe that you have a disability described by section 1 of the Disability Discrimination Act 1995 (i.e. a physical or mental impairment which has a substantial and long-term adverse affect on your ability to carry out normal day-to-day activities)

Yes |_| No |_| Prefer not to say |_|

ETHNICITY & CULTURAL ORIGIN: Please chose one section and then circle / highlight as appropriate below

White

Scottish

English

Welsh

Irish

Other

Prefer not to say

Mixed

Please State:

Asian

Indian

Pakistani

Bangladeshi

Chinese

Other

Prefer not to say

Black

Caribbean

African

Other

Prefer not to say

RELIGION OR BELIEF (Please circle / highlight one)

Christian

Other Christian

Buddhist

Hindu

Muslim

Jewish

Sikh

Other

None

Prefer not to say

SEXUAL ORIENTATION (please circle / highlight one)

Gay

Lesbian

Bisexual

Heterosexual

Prefer not to say

NATIONALITY

Your nationality:

MONITORING DIVERSITY

Central & Cecil is committed to Equal Opportunities and Equality and Diversity and this policy is monitored carefully so that we can evaluate its effectiveness. All information provided in this section is treated in confidence and used only for statistical monitoring. This section of the form will not be seen by any member of the selection panel.

Recruitment advertising monitoring details ALT400

How did you find out about this opportunity?

Please indicate YES as appropriate

C&Cs website

Approached directly by Altair

Altair website/email bulletin

LinkedIn

www.exec_appointments.com

Inside Housing

Online browsing

Twitter

Women on Boards

Word of mouth