EQUALITY & DIVERSITY MONITORING FORM
This is the Equality and Diversity Monitoring Form for the Education and Training Foundation. This is the form that we will use to collect data on equality and diversity within the Foundation.
In accordance with our Equal Opportunity Policy, we undertake monitoring to ensure that discrimination does not occur because of race, sex, sexual orientation, gender reassignment, religion of belief, marital or civil partnership status, age, disability or pregnancy and maternity.
We would be grateful, therefore, if you could complete the questions on this monitoring form. We recognise that you may feel that the information requested is sensitive. Completion of the questionnaire below is entirely voluntary. Neither the act of collecting this information nor any of the questions is intended to cause offence. An option to ‘prefer not to answer’ is included for every question.
Please be reassured that all information supplied will be treated in the strictest confidence.
Our Statement of Commitment to Equality, Diversity and Inclusion
The Education and Training Foundation values equality and diversity highly, challenges inequality and takes active steps to provide an inclusive environment for our staff and visitors irrespective of their age, disability, gender, gender reassignment, marriage or civil partnership, pregnancy or maternity, race, religion or belief or sexual orientation.
1. We value diversity highly, recognising that different people bring different ideas, histories, knowledge and culture and that this difference brings great strength which improves the quality of the Foundations work.
2. We challenge inequality, understanding that patterns of inequality in society are also reflected in organisations and that difference in outcomes for the recipients of our work and staff should be challenged by all of us and addressed through a multiple of strategies including lawful positive action.
3. We ensure an inclusive environment; knowing our staff, customers and visitors will want to work and visit us if we respect the rights of individuals and groups to hold their own views and values, but will not tolerate these to be presented in a way that intimidates, degrades or is hostile to others.
QUESTIONNAIRE
Age16-24 / 25-29 / 30-34 / 35-39 / 40-44
45-49 / 50-54 / 55-59 / 60-64 / 65+
Prefer not to say
How would you describe your national identity?
English / Welsh / Scottish / Northern Irish
British / Other / Prefer not to say
What is your ethnicity?
Ethnic origin categories are not about nationality, place of birth or citizenship. They are about the group to which you as an individual perceive you belong. Please indicate your ethnic origin by ticking the appropriate box below.
Asian/Asian British
Indian / Pakistani
Chinese / Bangladeshi
Any other Asian background
Black/African/Caribbean/Black British
African / Caribbean
Any other Black / African / Caribbean background
Mixed/Multiple Ethnic Groups
White and Black Caribbean / White and Black African
White and Asian / Any other mixed background
White
English / Welsh / Scottish / Northern Irish
Irish / Gypsy or Irish Traveller / Other White background
Other Ethnic Group
Arab / Any other ethnic group
Prefer not to say
Please describe your gender identity
Female (including male to female trans women) / Male (including female to male trans men)
Prefer not to say / Other
Is your gender identity different to the sex you were assumed to be at birth?
Yes / No / Prefer not to say
Pregnancy and maternity – as a woman, are you pregnant, on maternity leave or returning from maternity leave?
Yes / No / Prefer not to say
Do you consider yourself to be deaf or disabled?
Section 6(1) of the Equality Act 2010 states that a person has a disability if: (a) That person has a physical or mental impairment, and (b) The impairment has a substantial and long-term adverse effect on that person’s ability to carry out normal day-to-day activities.
Yes / No / Prefer not to say
If yes, please tick all that apply
Deaf / Hard of hearing
Learning difficulties / Mobility difficulties
Manual dexterity difficulties / Speech difficulty
Blind / partially sighted / Facial disfigurement
Mental health difficulties / Long-term illness / medical condition
Progressive medical condition / Prefer not to say
What is your sexual orientation?
Heterosexual / straight / Gay woman / lesbian
Gay man / Bisexual
Questioning / undecided / Other
Prefer not to say
What is your religion or belief?
No religion / Buddhist / Christian
Hindu / Jewish / Muslim
Sikh / Rastafarianism / Any other religion
No religious beliefs / Non-religious philosophy / belief-based lifestyle choices
Prefer not to say
Preferred Title
Miss / Mr
Mrs / Ms
Dr / Other
Are you married or in a civil partnership?
Yes / No / Prefer not to say
For the purposes of compliance with the Data Protection Act 1998, I hereby confirm that by completing this form I give my consent to The Education and Training Foundation processing the data supplied on this form for the purpose of equal opportunities monitoring, which may be stored manually or electronically.
Thank you for completing the form
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