Www.refugeewomen.co.uk
To assist in the monitoring of our practice, applicants for posts with WRW are asked to provide the information below. By completing the form, you will help us to better understand how we, as an employer, ensure equality of opportunity. You do not have to answer any or all the questions, but we do hope that you will. This form may be returned separately from your application, if you wish. The information provided will be treated in the strictest of confidence, will not be connected to an individual applicant and will not be available to members of the selection panel.If you have specific access requirements, please inform us when you return your CV and personal statementWhich best describes your gender?? Female? Male? Transgender? Non-Binary? Gender non-conforming? Prefer not to sayHow would you describe your sexual orientation?? Gay / Lesbian? Bisexual / Queer / Pansexual? Other? Heterosexual / Straight? Prefer not to sayWhat age category do you fall under?? 18 - 24? 25 - 34? 35 – 44? 45 - 54? 55 - 64? 65 +? Prefer not to sayEthnicity is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please tick the appropriate box.Arab? ArabAsian or Asian British? Bangladeshi? Chinese? Indian? Pakistani? Any other Asian background (please specify: __________)Black/Black British? African? Caribbean ? Black British? Any other Black background (please specify: ______________)Mixed race? Asian and White ? Black African and White? Black Caribbean and White? Any other Mixed / Multiple ethnic backgrounds (please specify: _________)White/White British: ? English / Welsh / Scottish / Northern Irish / British? Gypsy or Irish Traveller? Irish? Any other White background(please specify: _________________)? Any other ethnic group (please specify: _____________)? Prefer not to sayWhat is your religion or belief?? Buddhist? Christian? Hindu? Jewish? Muslim? Sikh? Other religion or belief ? No religion or belief? Prefer not to sayHave you ever claimed asylum in the UK or in another country? ? Yes ? No ? Prefer not to say Have you ever lived in a country other than your country of origin? ? Yes ? No ? Prefer not to say The Equality Act 2010 defines a disability as a "physical or mental impairment which has a substantial and long-term adverse effect on a person's ability to carry out normal day-to-day activities." An effect is long-term if it has lasted, or is likely to last, more than 12 months.Do you consider yourself to have a disability?? Yes? No ? Prefer not to sayIf yes, please indicate which category best describes your disability:? Hearing impairment ? Visual impairment (not corrected by spectacles or contact lenses) ? Other physical impairment ? Mental health issues? Learning difficulties ? Other (please specify: ___________)? Prefer not to sayDo you have caring responsibilities? If yes, please tick all that apply? None ? Primary carer of child/children (<18) ? Primary carer of disabled child/children ? Primary carer of disabled adult (18+) ? Primary carer of older person ? Secondary carer (another person carries out the main caring role)? Prefer not to sayHow did you hear about this vacancy?? Word of mouth ? Social media ? LinkedIn ? Search engine (Google, Yahoo etc) ? Job website (CharityJob etc)? Through one of your partner organisations (please specify: ________)? Other (please specify: ___________)? Prefer not to say ................
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