EQUAL OPPORTUNITIES IN EMPLOYMENT
Cheek by Jowl has an equal opportunities policy for recruitment and employment and welcomes applications from all sections of the community. This form is to ensure that our equal opportunities process is working effectively. Please circle the appropriate word.
GENDER Male Female Other Prefer not to say
ETHNIC ORIGIN
White British Irish
White – other (please specify): .........................................
Asian/British Asian Indian Pakistani Bangladeshi Chinese Vietnamese
Asian – other (please specify): .........................................
Black/Black British African Caribbean
Black – other (please specify): .........................................
Mixed White & Black Caribbean White & Black African White & Asian
Mixed – other (please specify): ………………………………………….
Other Ethnic Origin (please specify): .........................................
AGE 16-25 26-34 35-50 50+
Prefer not to say
DISABILITY
Do you have a disability? Yes No
Are you registered disabled? Yes No
Do you have any dependants? Yes No