RECRUITMENT - EQUAL OPPORTUNITIES FORM

CONFIDENTIAL

Post No: / Job Title:

As an employer, YCH is required to collect and maintain records relevant to the six diversity strands for all staff. Your co-operation in providing the following monitoring information is appreciated and an essential element of ensuring discrimination does not take place at YCH.

The information provided on this form will not be used to select applicants for jobs. All applicants are judged on their ability to do the job for which they are applying. The information is collated for monitoring purposes only and will be separated from your application details on the first point of contact at Yorkshire Coast Homes.

You do not have to complete this form, but we hope that you will do so. Your application will not be affected in any way if you choose not to complete this form.

GENDER / Male  Female  Transgender
SEXUAL ORIENTATION / Heterosexual Homosexual (Man)Homosexual (Woman)
Bisexual  Decline to answer 
AGE / 16 – 25 / 26 – 35 / 36 – 45 / 46 – 55 / 55+
DISABILITY / Do you consider yourself to be disabled within the terms of the Disability Discrimination Act 1995? / YES/NO
If yes, please specify the nature of your disability ……………………………………………………….
ETHNIC
ORIGIN / White:
British
Irish
Other
If other please specify: / Asian or Asian British:
Indian
Pakistani
Bangladeshi
Other
If other please specify: / Black or Black British:
Caribbean
African
Other
If other please specify:
Mixed:
White & Black Caribbean
White & Black African
White & Asian
Other
If other please specify: / Chinese/Other background:
Chinese
Other background
If other please specify: / Decline to answer:

1 of 2

RELIGIOUS BELIEF / I would describe my religion/belief as ______
Do you need a permit to work in the UK? YES/NO

Where did you see this job advertised?

YCH Website
Yorkshire Coast Radio
Job Centre Plus

Scarborough Jobmatch
Facebook/Twitter
Tyro Training/YH Training
Other, please specify ……………………………………………………………………………………..

Please complete and return to:

Carole Proctor, Senior Human Resources Advisor, Yorkshire Coast Homes, Brook House, 4 Gladstone Road, Scarborough, North Yorkshire, YO12 7BH or email to