ALCOHOL RESEARCH UK

EQUAL OPPORTUNITIES MONITORING

We are an equal opportunity employer. The aim of our policy is to ensure that no job applicant or employee receives less favourable treatment on the grounds of race, colour, creed, nationality, ethnic or national origin, religious belief, political opinion or affiliation, sex, marital status, sexual orientation or disability, or is disadvantaged by conditions or requirements which cannot be shown to be justifiable.

Our selection criteria and procedures are frequently reviewed to ensure that individuals are selected, promoted and treated on the basis of their relevant merits and abilities.

All employees are given equal opportunity and are encouraged to progress within the organisation.

We are committed to an ongoing programme of action to make this policy fully effective. To ensure that this policy is fully and fairly implemented and monitored, and for no other reason, would you please provide the following information:-

I would describe my gender as:

Male Female Prefer not to say

(If you are undergoing the process of gender reassignment, please tick the box that applies to your future gender).

I belong to the following age group:

18–25 25–35 35–45 45–55

over 55 Prefer not to say

I have a disability as defined by the Disability Discrimination Act:

Yes No I don't know Prefer not to say

I would describe my sexuality as:

Heterosexual Gay/ Lesbian Bisexual

Prefer not to say

I would describe my ethnic origin as:

White: British Irish Other White

Mixed: White & Black White & Black White and Other Mixed

Caribbean African Asian

Asian or

Asian British: Indian Pakistani Bangladeshi Other Asian

Black or

Black British: Caribbean African Other Black

Chinese: Chinese

Other (please write) ______ Prefer not to say

I would Describe my Nationality as: ______

Prefer not to say

I would Describe my Religion as: ______

I have no religion

Prefer not to say

Date ______

This form will be detached from your application and will not form part of the selection process. It will only be used, in aggregate with information provided by other applicants, to help us assess our success in meeting our equal opportunities policy.