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RECRUITMENT MONITORING FORM

WVSC welcome diversity in our workforce. We are committed to the active promotion of equal opportunity, both in the provision of services and as an employer.

THIS FORM IS CONFIDENTIAL AND WILL NOT BE SEEN BY THE SELECTION PANEL. However, it forms an integral part of the application form and must be completed in full and returned with the application form. The information will be used to help us monitor our equal opportunity policy in our recruitment procedures.

Post Applied for: Young Person’s Link Worker

Please tick one box in each of the following sections

Ethnic Group

|White | Asian or Asian British |

|British | | Indian | |

|Irish | | Pakistani | |

|Any other White background | | Bangladeshi | |

|Mixed | Any other Asian background | |

|White and Black Caribbean | | Black or Black British |

|White and Black African | | Caribbean | |

|White and Asian | | African | |

|Any other Mixed background | | | |

Sexual Orientation Gender / Gender identity

|Bisexual | | |Female | |

|Gay man | | |Gender fluid | |

|Heterosexual / Straight | | |Male | |

|Lesbian / Gay Woman | | |Non-binary | |

|Pansexual | | |Prefer not to say | |

|Other | | |Please also circle the relevant answer below |

|Prefer not to say | | |Is your gender different to the one you were |Yes |

| | | |assigned at birth |No |

| | | | |Prefer not to say |

Age Range Disability

|Under 25 | | | Do you consider yourself to have a |

| | | |disability? |

|25 - 34 | | | |

|35 - 49 | | |Yes | |

|50 -65 | | |No | |

|Over 65 | | |Prefer not to say | |

|Prefer not to say | | | | |

Where did you see this vacancy advertised?

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Application No.

Internal use only

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