Sova Use Only
Post Reference
Application No.

Diversity Monitoring-Equal Opportunities in Sova Volunteer Recruitment

Sova is committed to its Equal Opportunities Policy (diversity information enclosed). Sova would like to monitor the effectiveness of this Policy and ensure that no direct or indirect discrimination is taking place. In order to assist us, we would be grateful if you could answer the questions below for monitoring and statistical analysis purposes only. (See the guidance notes enclosed with this form for more information).

1. Gender / 5. Religion
Male /  / Female /  / Baha’i /  / Jewish / 
2. Ethnic Origin / Buddhist /  / Muslim / 
White / Christian /  / Parsi / 
English/Northern Irish/Scottish/Welsh /  / Hindu /  / Rastafarian / 
Irish /  / None /  / Sikh / 
Gypsy/Irish Traveller /  / Other* /  / Prefer not to say / 
Any other white background /  / *Please state
Mixed
White & Black Caribbean /  / 6. Sexual Orientation
White & Black African /  / Heterosexual /  / Lesbian / 
White & Asian /  / Gay /  / Bisexual / 
Any other mixed background /  / Prefer not to say / 
Asian/Asian British / 7. Employment Status
Indian /  / Full-time employed / 
Pakistani /  / Part-time employed / 
Bangladeshi /  / Registered unemployed / 
Chinese /  / Unregistered unemployed / 
Any other Asian background /  / House person/Carer / 
Black/African/Caribbean/Black British / Retired / 
African /  / Early Retired / 
Caribbean /  / Self Employed / 
Any other black background /  / Student / 
Any other /  / 8.Year of birth
Prefer not to say /  / *Please insert: ……………………… / ……………...
3. Disability
Under the definition in the 1995 Disability Discrimination Act, do you consider yourself to be disabled? A physical or mental impairment which has a substantial and long-term adverse effect on the ability to carry out day to day activities. (please state any special requirements on P.1 of the application form)
Yes /  / No / 
4. Do you have any criminal convictions?
Yes /  / No / 
Sova aims to actively involve ex-offenders as employees and volunteers. This question is solely for the purpose of monitoring and is in no way connected to the Criminal Conviction Self Declaration form.