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Diversity Monitoring Form
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*
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We are committed to a fair recruiting process for all candidates. To monitor this we need your help in completing this short form. The information you provide will help ensure that recruitment processes are fair to all and allow us to monitor the overall diversity of candidates applying for roles. The information you provide will not be used as part of the selection process and will not be seen by the interview panel. All data will be stored and used strictly in accordance with our
privacy policy
.
Full name
*
Email address
*
Country
*
Please select
UK/EMEA
US/Rest of the World
Age
*
20 - 29
30 - 39
40 - 49
50 - 59
60 - 69
70+
Race / Ethnicity
*
Please select
White
Mixed
Asian
Black
Other, please specify
Prefer Not To Say
Race / Ethnicity
*
American Indian or Alaskan Native
Asian/South Asian
Black or African American
Hispanic or Latino
Middle Eastern
Native Hawaiian or other Pacific Islander
White
Other, please specify
Prefer not to say
White
White: English
White: Welsh
White: Scottish
White: Northern Irish
White: British
White: Irish
White: European
White: Other
Mixed
Mixed – White and Black Caribbean
Mixed – White and Black African
Mixed – White and Asian
Mixed – Other
Asian
Asian – British Indian
Asian – Indian
Asian – British Pakistani
Asian – Pakistani
Asian – British Bangladeshi
Asian – Bangladeshi
Asian – Chinese
Asian – Other
Black
Black - British African
Black - African
Black - Caribbean
Black - Other
If you selected ‘Other’ please specify
Gender
*
Male
Female
Non-Binary
Other, please specify
Prefer not to say
If you prefer to self-describe, please state
Do you consider yourself transgender or having trans experience?
Yes
No
Prefer not to say
i.e. your gender identity / expression differs from the sex you were assigned at birth. If this applies and you do not identify as transgender or having trans experience, please leave this question blank
Sexual Orientation
*
Please Select
Asexual
Bisexual
Gay man
Heterosexual
Lesbian
Pan-Sexual
Q
Other, please specify
Prefer not to say
If you selected ‘Other’, please specify
Would you describe yourself as having a disability or impairment?
*
Yes
No
Prefer not to say
Religion
*
Please select
Atheist
Buddhist
Christian
Hindu
Jewish
Muslim
Non-Religious
Non-Practicing
Protestant
Roman Catholic
Sikh
Other, please specify
Prefer not to say
If you selected ‘Other’, please specify
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