Volunteer Equal Opportunities Monitoring Form



S4F is committed to being an equal opportunities employer and we would be grateful if you could complete the questions below. This information will solely be used for the purpose of monitoring our performance regarding equal opportunities to help us become a more inclusive employer. It will not be seen by anyone involved in interviewing or shortlisting.Role applied for: _________________________________________Location of role: _________________________________________Which of the following describes your gender? FORMCHECKBOX Male FORMCHECKBOX Female FORMCHECKBOX In another way Do you consider yourself to be a transgender person? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX Prefer not to say How would you describe your sexual orientation? FORMCHECKBOX Heterosexual/Straight FORMCHECKBOX Bisexual FORMCHECKBOX Gay/Lesbian FORMCHECKBOX In another way FORMCHECKBOX Prefer not to sayDo you have an impairment, health condition or learning difference that has a substantial or long-term impact on your ability to carry out day to day activities? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX Prefer not to say Are you currently? FORMCHECKBOX Cohabiting FORMCHECKBOX Divorced or civil partnership dissolved FORMCHECKBOX In a civil partnership FORMCHECKBOX Married FORMCHECKBOX Separated (but still legally married or in a civil partnership) FORMCHECKBOX Single (never married or never in a civil partnership) FORMCHECKBOX Widowed or a surviving partner from a civil partnership FORMCHECKBOX Prefer not to sayWhat is your Race or Ethnic Group? FORMCHECKBOX White FORMCHECKBOX White Scottish FORMCHECKBOX Gypsy or Traveller FORMCHECKBOX Other White background FORMCHECKBOX Black or Black British – Caribbean FORMCHECKBOX Black or Black British – African FORMCHECKBOX Other Black background FORMCHECKBOX Asian or Asian British – Indian FORMCHECKBOX Asian or Asian British – Pakistani FORMCHECKBOX Asian or Asian British – Bangladeshi FORMCHECKBOX Chinese FORMCHECKBOX Other Asian background FORMCHECKBOX Any mixed background FORMCHECKBOX Prefer not to sayDo you have a Religion or Belief? FORMCHECKBOX No Religion FORMCHECKBOX Buddhist FORMCHECKBOX Christian FORMCHECKBOX Christian – Church of Scotland FORMCHECKBOX Christian – Roman Catholic FORMCHECKBOX Christian – Presbyterian Church in Ireland FORMCHECKBOX Christian – Church of Ireland FORMCHECKBOX Christian – Methodist Church in Ireland FORMCHECKBOX Christian – Other denomination FORMCHECKBOX Hindu FORMCHECKBOX Jewish FORMCHECKBOX Muslim FORMCHECKBOX Sikh FORMCHECKBOX Spiritual FORMCHECKBOX Any other religion or belief FORMCHECKBOX Prefer not to sayWhich age group are you in? FORMCHECKBOX Under 25 FORMCHECKBOX 25 – 34 FORMCHECKBOX 35 – 44 FORMCHECKBOX 45 – 54 FORMCHECKBOX 55 – 64 FORMCHECKBOX 65+ FORMCHECKBOX Prefer not to say ................
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