/ Equal Opportunities Monitoring Form

Subject to statutory law, people will be judged solely on merit and ability during recruitment, selection, training, development and promotion throughout their employment.

Fairfield Farm College is committed to eliminating discrimination and encouraging diversity amongst our workforce. Our aim is that each applicant and employee feels respected and able to give his or her best. To ensure effective operation of this policy and for no other purpose, Fairfield Farm College will keep a record of each job applicant’s and employee’s sex, race, ethnic origin and disability information.

This information collected below will be detached from the application form prior to short listing and will not be used in the selection process. The information is strictly confidential and will only be used for the purposes of equal opportunities monitoring in accordance with the College’s Equality and Diversity policy.

Surname: / First Names:
Date of birth: / Nationality:
Do you require a Work Permit Yes □ No
SEX: Male □ Female □ / Position applied for :
MARITAL STATUS Single□ Cohabiting□ Married□ Separated□ Divorced □ Widowed□ Partner□
Do you have dependants Yes □ No
What do you consider to be your Ethnic or Racial origin (that is your origin by descent)?
WHITE / British □ Irish□ Other□
MIXED / White & Black Caribbean □ White & Black African□ White & Asian□
Any other mixed background □
ASIAN OR ASIAN BRITISH / Indian □ Pakistani□ Bangladeshi □ Other Asian background□
BLACK OR BLACK BRITISH / Caribbean□ African□ Other Black background, □
CHINESE OR OTHER ETHNIC GROUP / Chinese □ Any other Ethnic group □
Do you consider yourself to have a disability yes□ no □
If this disability or impairment could affect your ability to carry out the work of the post applied for please specify overleaf any reasonable adjustments that we would need to make