Dear Applicant,

EQUAL OPPORTUNITIES AND DIVERSITY IN THE CARDINAL HUME CENTRE

Thank you for your interest in this vacancy.

Please find attached a Diversity Monitoring Questionnaire. You may be curious as to why we ask for this information, so please let me explain why and how we use it.

The Cardinal Hume Centre is committed to providing equal opportunities for all. We monitor and review our recruitment process regularly to ensure that it adheres to this commitment and our policies, and to ensure that no-one is disadvantaged at any stage of recruitment.

We aim to be an inclusive organisation where every individual is treated with dignity and respect. We will tackle barriers to participation in the organisation to create a culture in which equal opportunities and equal treatment are a priority for all employees. Therefore I should be grateful if you would complete and return the enclosed Diversity Monitoring Questionnaire. Without this data, we are unable to clearly identify and seek solutions to the issues that individuals and groups may face and the barriers they may encounter.

The questionnaire is destroyed as soon as the information is entered onto our database. It is not seen by any member of the interview panel. Your suitability for the post will be made purely on the competence information you provide on your application form.

Maureen Boughton

Human Resources Director

Diversity Monitoring Questionnaire

Vacancy Reference: Candidate Name:

Please tick only ONE box in each question (unless you have multiple caring responsibilities).

1Age

To which age group do you belong?

Under 20 / 51-60
21-30 / 61-70
31-40 / Over 71
41-50 / Prefer not to say

2Ethnicity

Which group do you most identify with?

ASIAN / BLACK
Bangladeshi
Indian
Pakistani

Any other Asian background

(Specify if you wish) / African
Caribbean
Any other Black background
(Specify if you wish)
CHINESE
MIXED ETHNIC BACKGROUND / WHITE
White and Asian / British or Mixed British
English
Gypsy or Irish Traveller
Irish
Northern Irish
Scottish
Welsh
Any other White background
(Specify if you wish)
White and Black African
White and Black Caribbean
Any other Mixed ethnic background
(Specify if you wish)
ANY OTHER ETHNIC BACKGROUND
Arab
Any other ethnic background
(Specify if you wish)
Prefer not to say

3Do you consider yourself to have a disability?

Yes No Prefer not to say

4Sex

FemaleMale Prefer not to say

5Do you have any caring responsibilities?

Yes No Prefer not to say

If “yes”, in which of the following categories?

Dependent children / Elderly relative
Adult with a disability / Other
(Specify if you wish)

6What is your religion or belief?

Buddhist / Jewish / Other
(Specify if you wish)
Christian / Muslim / None
Hindu / Sikh / Prefer not to say

7What is your sexual orientation?

BisexualHeterosexual

Gay ManOther

(Specify if you wish)

Gay WomanPrefer not to say

8Have you undergone / are you undergoing gender reassignment?

Yes No Prefer not to say

Please return the completed form with your application. On receipt, we will detach this form from your application and it will not be seen by the interview panel.

Thank you.