______
Monitoring Form
Notes for Applicants
West Suffolk College is committed to equality and diversity. Recruitment and selection processes will be carried out according to objective, job-related criteria which do not give rise to discriminatory practices but result in appointments based on merit, qualifications, commitment and experience.
In order to monitor the effectiveness of this policy, all applicants are requested to provide the following information. This information will be treated as confidential and used solely for monitoring purposes.
Post Applied for:
How did you hear about this vacancy?
o Publication (please specify): ......
o Job Centre o Website o Other (please specify): ......
Gender o Male Date of Birth ______Marital Status o Married o Single
o Female Age _____ o Widowed o Divorced
o Separated o Partnership
Ethnic Origin
The following categories are recommended by the Equality and Human Rights Commission. If you feel the choices do not provide a suitable option for you, please describe your ethnic origin in the space provided.
(a) White (c) Asian or Asian British (e) Chinese or Other Ethnic
o British o Indian Group
o Irish o Pakistani o Chinese
o Any other White background o Bangladeshi o Any other
o Any other Asian background
(b) Mixed
o White and Black Caribbean (d) Black or Black British (f) Prefer not to say o
o White and Black African o Caribbean
o White and Asian o African
o Any other mixed background o Any other Black background
If you have ticked one of the ‘Any other’ boxes, please describe your ethnic origin below:
......
Country of Birth: ...... Nationality: ......
People with Disabilities If you consider yourself to be disabled please describe the nature of your disability
......
Are you registered disabled? o Yes o No o Prefer not to say Registration number (if applicable): ......
Assistance at Interview
If we invite you for interview we will ask you whether you would like to provide any assistance at your interview, such as sign language interpreter, assistance in and out of your vehicle etc.
Note: Information disclosed on this form will be used for monitoring purposes only and treated with the strictest confidence. Information will be held on computer files.
P.T.O
Additional Equality Monitoring
In order to comply with our Single Equality Duty we require all applicants to disclose against the following equality criteria.
Religion or Belief
o Agnostic o Atheist
o Baha’i o Buddhism o Christianity o Hinduism o Islam o Jainism o Jehovah’s Witness
o Judaism o Pagan o Rastafarian o Sikhism o Other o Prefer not to say
If you have ticked the ‘Other’ box, please describe your religion or belief below:
......
Sexual Orientation
o Bisexual o Gay/Lesbian o Heterosexual o Transsexual o Prefer not to say
Transgender
o Not Applicable
Are you … o About to undergo o Are undergoing o Have undergone gender reassignment?
Disclosure of Criminal ConvictionsThe amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are protected and are not subject to disclosure to employers and cannot be taken into account during recruitment and selection processes. Guidance and criteria on the filtering of these cautions and convictions can be found on the Disclosure and Barring Service website
Do you have any convictions, cautions, reprimands or final warnings that are not ‘protected’ as defined by the Rehabilitation of Offenders Act (1974) (Exceptions) Order 1975 (as amended in 2013).
Yes o No o
If you have answered yes, you have two options on how to disclose your criminal record.
Option 1: Please provide details of your criminal record in the space below.
Option 2: You can disclose your record under separate cover provided that you mark a cross on the line below and attach the details in an envelope stapled to this form. The envelope should be marked CONFIDENTIAL and state your name and the details of the post.
I have attached details of my conviction separately_____ (Please mark with an X if appropriate.)
DECLARATION
I declare that the information provided on this form is correct. I understand that the declaration of a criminal record will not necessarily prevent me from being offered employment at West Suffolk College.
Signed: Date:
If you consider that your application for a job has been treated unfairly you should write to Tricia O’Sullivan, Head of HR, with your complaint. Your complaint should be made within three months of your application being turned down.
Where did you hear about this job?
West Suffolk College - WebsiteWord of Mouth
FE Week
TES
East Anglian Daily Times
Bury Free Press
Jobs24
Jobs Today
Suffolk Jobs Direct
Social Media
Other (please specify)