Equality & Diversity Monitoring Form

Why do we ask for this data?


Cheshire FA wants to meet the aims and commitments set out in its equality policy. This includes not discriminating under the Equality Act 2010 and building an accurate picture of the make-up of the workforce in encouraging equality and diversity.


The organisation needs your help and co-operation to enable it to do this, but filling in this form is voluntary.


Please be assured that any information disclosed on this form will not be shared with the recruitment panel for the role you are applying for and will used only by the Equality & Diversity Lead to store and process anonymised diversity data for the purpose of ensuring equality of opportunity.


Gender*

Married/Civil Partnership*

Are you married or in a civil partnership?


Age

Age*

Ethnicity

Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please tick the appropriate box.

White

Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please tick the appropriate box.

Any other white background, please write in:

Mixed/Multiple Ethnic Groups

Any other mixed background, please write in:

Asian/Asian British

Any other Asian background, please write in:

Black/African/Caribbean/Black British

Any other Black/African/Caribbean background, please write in:

Other ethnic group

Any other ethnic group, please write in:


Health

Disability / Health Condition

What is the effect or impact of your disability or health condition on your ability to give your best at work? Please note: The information in this form is for monitoring purposes only. If you believe you need a ‘reasonable adjustment’, then please discuss this with your manager, or the manager running the recruitment process if you are a job applicant.


Sexual Orientation

What is your sexual orientation?

If you prefer to use your own term, please specify here:


Religion / Belief

If other religion or belief, please write in:


Working pattern

What is your current working pattern?

What is your flexible working arrangement?

If other, please write in:


Do you have caring responsibilities?