Rose Bruford College is committed to equality of opportunity and diversity in employment. In completing this section you are assisting us to assess the effectiveness of our policy. The content of this section is treated in strict confidence by the College: the information provided will be used anonymously for statistical purposes and will be held in accordance with the Data Protection Act 1998. The information provided will not be used for any purpose other than analysis and reporting of the College’s Equal Opportunities Policy, in accordance with our duties under the Race Relations Amendment Act 2000 and the HESA (Higher Education Statistics Agency) return.
1. NAME:
2. DATE OF BIRTH:
3. GENDER: Male o Female o
4. ETHNIC ORIGIN:
I am:
|
Asian or Asian British – Indian |
o |
White – Irish |
o |
|
Asian or Asian British – Pakistani |
o |
Other White Background |
o |
|
Asian or Asian British – Bangladeshi |
o |
Mixed White and Black African |
o |
|
Chinese |
o |
Mixed – White and Black Caribbean |
o |
|
Other Asian Background |
o |
Mixed – White and Asian |
o |
|
Black or Black British – African |
o |
Other Mixed Background |
o |
|
Black or Black British – Caribbean |
o |
Other Ethnic Background |
o |
|
Other Black Background |
o |
Not Known |
o |
|
White – British |
o |
|
|
5. DISABILITY – Please þ the box/es from the list of statements below that is most appropriate to you. A disability or health problem does not preclude full consideration for the job, as any reasonable adjustments to the role will be explored. This information may need to be shared with the recruitment panel in order for them to consider any such adjustments. However, your permission will be sought before any disclosure is made.
|
I do not have a disability |
o |
I need personal care support |
o |
|
I have dyslexia |
o |
I have mental health difficulties |
o |
|
I am a wheelchair user/have mobility difficulties |
o |
I have an unseen disability (e.g. diabetes, epilepsy/special needs |
o |
|
I am deaf/have a hearing impairment |
o |
I have a disability that is not listed |
o |
|
I am blind/partially sighted |
o |
Other – Please provide details below |
o |
Details:
