Equal Opportunity Monitoring Form

We recognize and actively promotes the diverse workforce and is committed to treating all job applicants and employees with dignity and respect regardless of race, gender, disability, age, sexual orientation, religion and belief. This form is intended to help us maintain equal opportunities, best practice and identify barriers to workforce equality and diversity.

The information will be treated as confidential and will not be used in selection, but for monitoring purposes only. 

1.  Gender:  O Male   O Female     O Prefer not to say                              

2.   Date of Birth: _______________________ (Please leave blank if you prefer not to answer)

3. Age Group:

O 16 - 29

O 20-24

O 25-29

O 30-34

O 35-39

O 40-44

O 45-49

O 50-54

O 55-59

O 60-64

O 65+

O Prefer not to say

4. Sexual Orientation: O Heterosexual / straight   O Bisexual   O Gay   O Lesbian                                                                                 O Prefer not to say

........................................