Ben Hoare Bell Equality and Diversity Monitoring Form

Ben Hoare Bell Equality and Diversity Monitoring Form

The information you enter on this Equality and Diversity monitoring form will be used for monitoring purposes only and will not be used in assessing and/or scoring your application or at interview stage. This information is kept confidential and accessibility is strictly limited to individuals on a relevant basis.

Personal

Job Reference Number / Click here to enter text. /
Age / Click here to enter text. /
Gender / Male ☐ Female ☐
I do not wish to disclose my gender ☐

Ethnicity

I would describe my ethnic origin as: (please tick)

Asian
☐ Bangladeshi
☐ Indian
☐ Pakistani
☐ Any other Asian
background
Black
☐ African
☐ Caribbean
☐ Any other Black
background / Mixed
☐Asian & White
☐Black African & White
☐Black Caribbean & White
☐ Any other mixed background
Other Ethnic Group
☐ Chinese
☐ Any other ethnic group / Undisclosed
☐ I do not wish to disclose myethnic origin
White
☐ British
☐ Irish
☐ Any other White background

Sexuality

Please select the option which best describes your sexuality.

☐ Lesbian
☐ Gay / ☐ I do not wish to disclose my sexual orientation / ☐ Bisexual
☐ Heterosexual

Religion

Please indicate your religion or belief

☐ Atheism
☐ Buddhism
☐ Christianity / ☐ Hinduism
☐ Islam
☐ Sikhism
☐ Other / ☐ Jainism
☐ Judaism
☐ I do not wish to disclose my religion/belief

Disability

The Equality Act 2010 protects people with disabilities, including people with long-term health conditions.

Do you consider yourself to have a disability?

☐ Yes / ☐ No / ☐ I do not wish to disclose this information

If you answered yes please state the type of disability which applies to you. People may experience more than one type of disability, in which case you may indicate more than one. If none of the categories apply, please mark ‘other’.

☐ Physical Learning Disability/Difficulty / ☐ Sensory Long-standing illness / ☐ Mental health condition / Click here
Other (please state)

Thank you

Thank you for taking the time to fill in the diversity and monitoring form, you’ve helped to keep Ben Hoare Bell LLP the diverse equal workplace we strive for. Please send all completed forms to:

Ben Hoare Bell LLP

Diversity and Monitoring Form1