Confidential Equal Opportunities Monitoring Form

SLC Rail’s Aim

SLC Rail confirms its commitment to a comprehensive policy of equal opportunities in employment in which individuals are selected and treated on the basis of their relevant merits and abilities and are given equal opportunities within SLC Rail. The aim of this policy is to ensure that no job applicant should receive less favourable treatment on grounds not relevant to good employment practice. SLC Rail is committed to action to make the policy fully effective. To ensure that the equal opportunities policy is effective, we monitor the applications that we receive by collecting data on the ethnic origin, gender, marital status, disability and age of all those who apply to us. Please complete this form and return it to us with your application.

The Need for Monitoring

This form will not be kept with your application and will not be seen by the people involved in selecting the successful applicant. The information that you give will remain completely confidential to the officer responsible for SLC Rail’s compliance with Equal Opportunities legislation and will only be used by us to monitor our equal opportunities policy. It is necessary to collate information from all employees and potential job applicants on the key characteristics relating to equal opportunities.

  1. The information collected will only be used for the return of anonymised information to:
  2. SLC Rail’s Equal Opportunities Monitoring Manager;
  • Responsible bodies approved by the SLC Rail’s for bona fide research purposes.
  1. The information given will not be seen by or made known to any selectors.
  2. This form will be kept securely in Personnel and subject to the provisions of the Data Protection Act.

Please enclose this form with your completed application in a separate envelope marked:

Private & Confidential

Equal Opportunities Monitoring Form

FAO: HR Department

SLC Rail, Fifth Floor, 21 Bennetts Hill, Birmingham B2 5QP

Or email to:

First name:

Surname:

Postcode:

Date of birth:

NI number:

Position applied for:I am:Male Female

How did you learn about the vacancy for which you applied?(Please specify e.g. publication or website address)

Local Press Other sourcesProfessional Journals

National Press e.g. Job centreWebsite

Marital Status

It is unlawful to discriminate against married persons in employment. Although marital status is not defined within the Sex Discrimination Act 1975, SLC Rail has been advised to collect and analyse Data on marital status as a check to ensure that is operating within the Law. You are therefore requested to categorise your marital status below.

Married Single Living with partner

I care for dependants - yes/no (delete as appropriate)

(Please specify) Children/Elderly or disabled relatives

Ethnicity – (please tick appropriate category)

Black (including UK born and settled)

Afro CaribbeanBlack persons who were born in or whose forebears were born in the Caribbean.

AfricanBlack persons who were born in or whose forebears were born in Africa.

OtherPersons whose ethnic origins may be described as Black but not listed in the categories above. This category can also be used if you regard yourself as of mixed descent.

Asian(including UK born and settled)

IndianPersons who were born in or whose forebears were born in India

PakistaniPersons who were born in or whose forebears were born in Pakistani

BangladeshPersons who were born in, or whose forebears were born in Bangladesh

ChinesePersons who were born in, or whose forebears were born in China

OtherPersons whose ethnic origins may be described as Asian but not listed in the categories above. This category can also be used if you regard yourself as of mixed descent.

White (including UK born and settled)

UK Persons who were born in or whose forebears were born in United Kingdom

Irish Persons who were born in or whose forebears were born in the Eire

Other European Persons who were born in or whose forebears were born in other European countries

OtherPersons whose ethnic origins may be described as white but not listed in the categories above

I am disabledyes/no (delete as appropriate). My disability falls within the following category:

DyslexiaMultiple disabilities

Blind/partially sightedOther disability

Deaf/hearing impairmentDon’t wish to give information

Wheelchair user/other mobility difficultiesMental health disability

Unseen disability e.g. diabetes, epilepsy, asthmaNeeds personal care support