Staff Application Form - Final Sections Staff Application Form - Final Sections Personal information Name * Diversity Monitoring Please note this section will be removed before sending your application to the recruitment panel for shortlisting. The Citizens Advice service is committed to valuing diversity and promoting equality. We encourage and welcome applications from suitably qualified candidates from all backgrounds regardless of age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. In order to achieve these aims we need to know about the diversity of people who apply to work in the service. Please help us by providing the information requested in the form below. Data protection overview If you are happy to provide it, we will use this information for the sole purpose of allowing us to monitor equality of opportunity and treatment as necessary to maintain or promote equality within Citizens Advice Hart. The information you give us will be kept securely, will not be shared outside the service and is confidential. It will not be seen by anyone responsible for making recruitment decisions or have any impact on you directly. If you are successful in your application and we require this information for other purposes, you will be asked to provide it separately - i.e., this form will not be used for other purposes. If you would prefer not to answer any of the questions we ask, please leave them blank. If you would like us to stop using the information you provide, please contact us. Thank you for your co-operation. The following information will not be seen by the recruitment panel and will not affect your application. Age Under 2525 - 3435 - 4445 - 5455 - 6465 and over Which age bracket do you fit into? Gender FemaleMaleI prefer to use another term: Gender What best describes your gender? Select or write in a preferred term. Sexual orientation Heterosexual/StraightGay ManGay Woman/LesbianBisexualI prefer to use another term: Sexual orientation What is your sexual orientation? Select or write in a preferred term. Ethnic Origin A. White: English/Welsh/Scottish/Northern Irish/British A. White: Irish A. White: Gypsy or Irish Traveller A. Any other White backgroundA. Any other White background B. Mixed/multiple ethnic groups: White & Black Caribbean B. Mixed/multiple ethnic groups: White & Black African B. Mixed/multiple ethnic groups: White & Asian B: Any other Mixed/multiple ethnic backgroundB: Any other Mixed/multiple ethnic background C. Asian/Asian British: Indian C. Asian/Asian British: Pakistani C. Asian/Asian British: Bangladeshi C. Asian/Asian British: Chinese C: Any other Asian BackgroundC: Any other Asian Background D. Black/African/ Caribbean/Black British: African D. Black/African/ Caribbean/Black British: Caribbean D: Other Black/African/Caribbean backgroundD: Other Black/African/Caribbean background E. Other ethnic group: Arab E: Any other ethnic groupE: Any other ethnic group How would you describe yourself? Disability A disabled person is defined under the Equality Act 2010 as someone with a ‘physical or mental impairment which has a substantial and long-term adverse effect on that person’s ability to carry out normal day-to-day activities.’ Do you consider yourself to be disabled under the Equality Act 2010? YesNo The information on this form is for monitoring purposes only. If you require any reasonable adjustments to be made in the recruitment process or at work subsequently if appointed, please make sure you tell us separately from this form. We follow the social model of disability which believes that it is the barriers created by society which disable people. We will use reasonable adjustments wherever possible to remove those barriers. Gender Identity Is your gender identity the same as the gender you were assigned at birth? YesNo Religion or belief Which group below do you most identify with? No religion Christian (including all denominations) Buddhist Hindu Jewish Muslim Sikh Any other religion or beliefAny other religion or belief Declaration and Submission