Annex 4

Monitoring Forms: UK Export Finance

Section 1 - Personal Details

Surname: / Forename(s): / Title:
Address for correspondence:
Postcode:
Contact Telephone Number (including national
or international dialing code):
Mobile Telephone Number:
E-mail address:

Section 2 – Diversity Monitoring Questionnaire

As part of its equal opportunities policy, everyone who is eligible to join UK Export Finance whatever their nationality, ethnic origin, age, religion, sex, gender, identity, marital status, disability, sexual orientation or working hours, should receive equal treatment when applying for jobs. To find out whether this policy is working and to take steps to ensure further progress is made towards achieving our equal opportunities goals, we are therefore asking you to complete the following questionnaire. Your answers will be treated confidentially and will not affect your job application in any way.

We thank you in advance for your co-operation

Part A: Gender

Male

Female

Part B: Age

Under 25 45-49

25-29 50-54

30-34 55-59

35-39 60-64

40-44 65+

Part C: National Identity

What do you consider your nationality to be?

British

English

Irish

Scottish

Welsh

Other (please specify if you wish)

Part D: Ethnic Background

What is your ethnic background?

Asian / Mixed ethnic background
Bangladeshi
Indian
Pakistani
Other Asian background (specify below if you wish) / Asian and White
Black African and White
Black Caribbean and White
Other mixed ethnic background (specify below if you wish)
Black / White
African
Caribbean
Other Black background (specify below if you wish) / Any White background (specify below if you wish)
Chinese / Other ethnic background
Any Chinese background (specify below if you wish) / Any other ethnic background (specify below if you wish)
Other information you wish to specify

Part E: Disability monitoring

The Disability Discrimination Act 1995 (DDA) defines a disabled person as someone with a physical or mental impairment, which has a substantial and long-term adverse effect of at least one year on a person’s ability to carry out normal day-to-day activities.

Do you consider yourself to be disabled as defined in the Disability Discrimination Act?

Yes

No

If you are selected for interview will you require any additional arrangements at interview? If so please specify below:

Part F: Sexual orientation

Which of the following best describes how you think of yourself?

Bisexual

A gay man

A gay woman / lesbian

Heterosexual

Other (please specify)

Part G: Religion

What is your religion?

No Religion

Buddhist Jewish

Christian Muslim

Hindu Sikh

Any other religion (please specify)?

Please return the completed questionnaire together with your application form.

This form will not be disclosed to anyone involved in assessing your application.

Data Protection Act 1998

The information provided on this form will be used for monitoring purposes only.

Section 3 – Guaranteed Interview Scheme

We guarantee to interview anyone with a disability whose application meets the minimum criteria for the post. By ‘minimum criteria’ we mean that you must provide us with evidence in your application form which demonstrates that you generally meet the level of competence required for each competence, as well as meeting any of the qualifications, skills or experience defined as essential. UK Export Finance is committed to the employment and career development of disabled people (the minimum criteria means the essential competences as set out in the advertisement for the post). To show this we use the Disability Symbol awarded by Jobcentreplus.

What do we mean by disability?

The Disability Discrimination Act, 1995 defines a disabled person as someone who has a physical or mental impairment which has a substantial and adverse long-term effect on his or her ability to carry out normal day-to-day activities.

How do I apply?

If you want to apply under the Guaranteed Interview Scheme simply complete the declaration below and send it in with your application.

We will try to provide access, equipment or other practical support to ensure that if you have a disability you can compete on equal terms with non-disabled people.

DECLARATION

I consider myself to have a disability as defined above and I would like to apply under the Guaranteed Interview Scheme.

I require the following special arrangements to be made for me to be able to attend an interview or assessment centre:

NAME
SIGNATURE*
DATE

* There is no need for a signature if you are submitting the form electronically

Please return the completed form with your application

ANY FALSE DECLARATION OF DISABILITY TO OBTAIN AN INTERVIEW WILL SUBSEQUENTLY INVALIDATE ANY OFFER OF A POST