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Equality and Diversity Form

The Northam Care Trust 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 cooperation to enable it to do this, but filling in this form is voluntary. Please complete the form below - your answers are strictly confidential.

Gender
Are you married or in a civil partnership?
Age

What is your ethnicity?

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


Please click the most appropriate box:

White
Mixed/Multiple Ethnic Group
Black, Black British, Caribbean, or African
Asian or Asian British
Do you consider yourself to have a disability or health condition
Yes
No
Prefer not to say

The information in this form is for monitoring purposes only. If you believe you need a reasonable adjustment, please discuss this with the manager running the recruitment process if you are a job applicant.

Sexual Orientation
What is your religion or belief?
What is your current working pattern?
Do you have a current flexible working arrangement?
Do you have caring responsibilities? (tick all that apply)

After you click 'SUBMIT' please wait for a confirmation pop-up before moving away from this page.

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