Walcot Foundation Equalities Monitoring Form
In order that we can monitor the effectiveness of our recruitment programmes to ensure they are open to all sections of the community, we use an Equalities Monitoring Form. This is separate from your job application and will not be seen by anybody involved in your recruitment. It will solely be used for statistical purposes.
Please answer the questions below in the way that you think best describes you.
Role Applied For
Age Range
Please select...
18-30
30-39
40-49
50-59
60+
Prefer not to say
Gender
Please select...
Female
Male
Prefer not to say
Gender identity
Please select...
Female
Male
I use another term (for example non-binary)
Prefer not to say
Disability
The Disability Discrimination Act (1995) describes a disability as a “physical or mental impairment which has a substantial and long term adverse effect on your ability to carry out normal day-to-day activities”.
Do you consider yourself to have a disability?
Please select...
Yes
No
Prefer not to say
Ethnicity
Please select...
Asian: Bangladeshi
Asian: Chinese
Asian: Indian
Asian: Pakistani
Asian: Any Other Asian Background
Black: African
Black: Caribbean
Black: Any Other Black Background
Mixed: White/Asian
Mixed: White/Black African
Mixed: White/Caribbean
Mixed: Any Other Mixed/Multiple Ethnic Background
White: British
White: Gypsy or Irish Traveller
White: Irish
White - Polish
White - Portuguese
White: Any Other White Background
Other - Arab or Arab British
Other - Latin American/Latinx or Latin American and British
Other - Any Other Ethnic Background
Prefer not to say
Sexual orientation
Please select...
Bisexual
Heterosexual/Straight
Homosexual/ Gay man
Lesbian/Gay woman
Other
Prefer not to say
Religion
Please select...
Buddhist
Christian (including Church of England, Catholic, Protestant, Orthodox and all other Christian denominations)
Hindu
Jewish
Muslim
Sikh
Any Other Religion
None
Prefer not to say
How did you hear of the vacancy?
Contact Information