Message from the Ministry of Justice’s Diversity Champion

Dear candidate,

The Ministry of Justice is working hard to build a world class organisation and to recruit public appointees who are as diverse as the society they represent.

We appreciate that providing this information is voluntary, however it will always be treated in confidence, and it will allow us to run more successful recruitment exercises in the future and ensure that competitions are fair for all.

I would therefore be very grateful if you could complete and return this diversity monitoring form

Thank you.

Justin Russell, Ministry of Justice Diversity Champion, (Director General, Prisons, Offender and Youth Justice Policy)

Public appointments are made on merit in accordance with the Cabinet Office Governance Code and the Public Appointments Order in Council. By completing the attached diversity monitoring form you will be helping us meet our public sector equality duty under section 149 of the Equality Act 2012.

Your personal data will always be treated in confidence and when anonymised with data from other applicants will help compile the Annual Statistical Bulletin of the Commissioner for Public Appointments.

Your responses to sections 1 – 9 will never be made available to the panel considering your application

Should you have any questions, please contact:

Lay Observers Secretariat
9th Floor, Post Point 9.52
The Tower
102 Petty France

Telephone number: 0203 334 3265

Email address:

Campaign Reference

1. Gender

Female / Male / Prefer not to say
I prefer to describe myself as

2. Disability

Do you consider yourself disabled?

No / Yes / Prefer not to say
If yes, how would you describe your disability?

3. Ethnicity

Please mark the box that most accurately describes your ethnicity:

Asian / Black
Bangladeshi / African
Chinese / Caribbean
Indian / Other Black origin
Other Asian origin
Mixed Ethnic / White
Of more than one ethnicity / British, Irish or other White Background
prefer not to say


Please tick the age band you fall into:

18-25 / 26-35 / 36-45 / 46-55
56-65 / 66 or older / Prefer not tosay

5.Sexual Orientation

What is your sexual orientation?

bisexual / gay man / heterosexual / lesbian / other
prefer not to say

6.Religion or belief

What is your religion or belief?

Buddhist / Christian / Hindu / Jewish / Muslim
Sikh / Other / No Religion or Atheist / I prefer not to say

7.What is your principal place of residence?

Please enter the County or City that you live in along with the first part of your postcode e.g. Dyfed SY23; London SE18

County/City / Post Code

8. What is your principal employment, if any?

Please describe your main employment and tick the occupational sector box that best describes you:

Mostly Civil Service / Mostly Private Sector
Mostly Third Sector / Mostly wider Public Sector
Mixed / I prefer not to say

9.Personal details

Please tick here if you are content for us (as the appointing Department) to retain
your CV and contact details and to share these with the Centre for Public Appointments in the Cabinet Office. Your details will be kept on file and you may be contacted about other opportunities that may arise in the future. All information will be handled in accordance with the Data Protection Act 1998.

Please return the completed form with your application form to the following address:

By Post:Lay Observers Secretariat

9th Floor, Post Point 9.52

The Tower

102 Petty France



By Email:

Please return by email if at all possible.