The Marylebone Project Equal Opportunities Monitoring Form

In accordance with its policy on equal opportunities in employment, the Marylebone Project will provide equal opportunities to any employee or job applicant and will not discriminate either directly or indirectly because of race, sex, sexual orientation, gender reassignment, religion or belief, marital or civil partnership status, age, disability, or pregnancy and maternity.

In order to assess how successful this policy is we have set up a system of monitoring all job applications. We would therefore be grateful if you would complete the questions on this form. All information will be treated in confidence and will not be seen by staff directly involved in the appointment. 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.

*Please tick which ethnic group best describes you:
Asian or Asian British
Bangladeshi
Indian
Pakistani
Any other Asian background
Black or Black British
African
Caribbean
Any other Black background / Mixed
White & Asian
White & Black African
White & Black Caribbean
Any other mixed background
White
British
Irish
European
Any other White background / Other Ethnic Group
Chinese
Any other ethnic group
I do not wish to disclose my ethnic origin

In order to comply with the Employment Equality Regulations, The Marylebone Project is monitoring sexual orientation and religion/belief in all applications.

* How best would you describe your sexuality?
Lesbian
Gay
Bisexual / Heterosexual
Transgender
I would rather not answer
* Please indicate your religion or belief.
Atheism
Buddhism
Christianity
Islam / Sikhism
Other / Judaism
Hinduism
I do not wish to disclose my religion/belief

Under the Equality Act 2010, section 60, an employer is allowed to ask questions related to health and disability for the purposes of monitoring diversity Under the terms of the Disability Discrimination Act 1995 a disability is defined as a ‘physical or mental impairment which has a substantial and long term effect on a person’s ability to carry out normal day to day activities’. The Marylebone Project welcomes applications from disabled people.

* Do you consider yourself to have a disability? / Yes I do not wish to disclose this information
No
* Please indicate the nature of your disability or long term condition:
Long standing condition (e.g. Diabetes, HIV, cancer, chronic heart disease, epilepsy)
Mental health condition (e.g. Depression)
Physical impairment or mobility issues / Learning Disability (e.g. Dyslexia or Dyspraxia)
Blind or serious visual impairment
Deaf or serious hearing impairment
I would rather not answer