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 anyreasonable 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
MixedPlease 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 DIVERSITYCentral & 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 appropriateC&C’s website
Approached directly by Altair
Altair website/email bulletin
www.exec_appointments.com
Inside Housing
Online browsing
Women on Boards
Word of mouth
