Private and Confidential

Equal Opportunities

in UK Space Agency

UK Space Agency is firmly committed to providing services which embrace diversity and which promote equality of opportunity. As an employer we are also committed to equality and valuing diversity within our workforce. Our goal is to ensure that these commitments, reinforced by our Values, are embedded in our day to day working practice with all our customers, colleagues and partners.

We need to find out if our policy is working in practice, particularly when we are taking on new people.

To do this we need to look at:

·  how we advertise the jobs;

·  how we select people for interview;

·  who is offered the job; and

·  what we do after a successful interview.

Monitoring the recruitment and selection procedures is one way of helping to ensure that there is no unfair discrimination in the way we recruit people.

Ethnic Monitoring

Which groups do you most identify with? Please tick ONE box below. (The options are listed alphabetically).

Asian or Asian British: / Mixed Ethnic Background:
Bangladeshi
Indian
Pakistani
Other Asian background
(Specify if you wish) / Asian and White
Black African and White
Black Caribbean and white
Any other Mixed Ethnic background
(Specify if you wish)
Black or Black British: / White:
African
Caribbean
Other Black Background
(Specify if you wish) / English
Welsh
Scottish
Irish
Any other white background
(Specify if you wish)
Chinese or other Ethnic Group: / Prefer not to say:
Chinese or other ethnic group.
(Specify if you wish) / Prefer not to say
Disability
1. Do you have a long term health condition or disability which affects your day to day living? / Yes No Prefer not to say
2. If so, are you claiming a guaranteed interview? / Yes No
3. Are you eligible for Work Choice? / Yes No
(If you are unsure contact the Disability Employment Advisor at your local Jobcentre Plus Office)
Note: The Disability Discrimination Act 1995 defines a disability as a physical or mental impairment which has a substantial and long term (i.e. more than 12 months) adverse effect on a person’s ability to do normal daily activities. You may still be considered to have a disability if you are not currently adversely affected but the impairment is likely to recur.
Age / Gender
How old are you? / Are you?
16-19 20-24 25-29 30-34
35-39 40-44 45-49 50-54
55-59 60-64 65+
Prefer not to say / Male Female Prefer not to say
Sexual Orientation
Are you?
Bisexual Heterosexual Lesbian/Gay
Other, including Asexual Prefer not to say
Reference Number (For Office Use Only)

Thank you for your help, please return this questionnaire with your application form.

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