Diversity Monitoring Form

Citizens Advice 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. As part of your application for the post of Chief Executive, please help us by providing the following information.

All information will be treated confidentially and will be separated from your application form before making any selection decisions.

How we use this information

Citizens Advice will record the information given for the purposes of recruitment and selection monitoring. If you become an employee of Citizens Advice the information will be processed for the purposes of personnel administration only. The information will be retained for monitoring purposes only.

Thank you for your co-operation. This information will not affect your application.

Please note, fields marked with the red asterisk are mandatory.

If you are human, leave this field blank.

Your Full Name *

Age *

Gender *

Ethnic Origin * Ethnic Origin

Nationality *

Disability

The Citizens Advice service believes that people are disabled by the barriers society places in their way and not by their own impairments. We believe everyone has a role to play in society and we want the service to benefit from the widest range of talent available.

Do you consider yourself to be a disabled person or do you have a long-term health condition? *

What is your sexual orientation? *

Religion or belief - which group below do you most identify with? *

From which website, publication or other source did you FIRST learn of the post?

Data Protection Act 1998

As part of the recruitment procedure we may collect and store sensitive personal data about you. We are required by law to obtain your consent to such data being recorded. It is our policy to store data relating to recruitment procedures for up to a year after the date on which it is submitted. Any information of this nature will be treated confidentially. Sensitive personal data is defined as information relating to any of the following: racial or ethnic origin, political opinions, religious beliefs, trade union membership, health, sexuality or sex life, offences and/or convictions.

For the purposes of the Act the Data Controller is Richmond Citizens Advice Bureau Service.

By submitting this form you confirm that you give consent to your sensitive personal information being recorded and stored.

Date *

Please note this form will not be sent with your application to the recruitment panel dealing with shortlisting.

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Diversity Monitoring Form

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