artsdepot is committed to equal opportunities. In order to help us to monitor how effectively our recruitment procedure meets this aim, please complete this form and return it with your application. The information you provide will only be used to check how effectively our recruitment procedures are working. The form will be separated from your application as soon as we receive it and will not be passed on to anyone involved in shortlisting. Position applied for _____________________________________ Advertisement seen in _________________________________________ PLEASE TICK THE APPROPRIATE BOXES
ETHNIC ORIGIN I would describe myself as: Asian or Asian British
White or White British
Bangladeshi
British
Chinese
Greek Cypriot
Indian
Turkish Cypriot
Pakistani
Irish
Other Asian (please describe)_____________________
Other White (please describe)_______________________
Black or Black British
Other Ethnic Group
African
Other Ethnic Group (please describe) _____________________
Caribbean Other Black (please describe) ____________________ Mixed Background Asian and White Black African and White Black Caribbean and White Other Mixed (please describe)______________________
AGE 16 – 20
26 – 35
46 – 55
60 - 64
21 – 25
36 – 45
56 – 59
65 and over
GENDER DISABILITY
Female
Male
Would you describe yourself as having a disability?
Yes
No