Please fill in the form below to register
Do you currently serve on a public or private board?
Please add a link to your LinkedIn profile:
The following form is voluntary and will not affect your registration with Audeliss. This data informs our own approach to candidate attraction and acquisition.
The following categories are based on the US Standards for the Classification of Federal Data on Race and Ethnicity. The information you provide will remain confidential, and be stored securely and limited to only some staff in the our business, such as HR.
Please note that even if you choose to complete this form, you do not have to answer every question.
Please tick to confirm your consent for Audeliss to store this information.
Race and Ethnicity
Please select below which best describes the ethnic category to which you belong.
A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
A person having origins in any of the original peoples of the Far East, Southeast Asia,
or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea,
Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
A person having origins in any of the black racial groups of Africa. Terms such as “Haitian” or “Negro”, can be used in addition to Black or African American.
A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. The term, “Spanish origin” can be used in addition to”Hispanic or Latino”
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
A person having origins in any of the original peoples of Europe, the Middle East, or
MaleFemalePrefer to self describe (please state)Prefer not to say
HeterosexualLGBT+BisexualPrefer to self describePrefer not to say
If you went to University, were you part of the first generation of your family to do so?
YesNoPrefer not to say
Would you describe yourself as having a disability or impairment?
If yes, are you registered as disabled?
At Audeliss we take your privacy seriously. We will only store and use your information in order to provide you with the recruitment advice and opportunities relevant to you.
However, from time to time we would like to contact you with details such as event invitations, recruitment advice and services we offer. If you consent to us contacting you for this purpose please tick to say how you would like us to contact you: Email Telephone
If you consent to us storing your information, please tick to confirm.