HR Online Application - Equal opportunities monitoring form (Employees)

Pilgrims Hospices is committed to providing equality of opportunity to all applicants. To ensure that our equal opportunities policies are operating effectively, we routinely monitor those who apply to us for employment. In order to do this, we would be grateful if you would answer the below questions.

This information is confidential and will not be made available to those involved in the selection process, nor will it be produced in any identifiable way. If you choose not to answer the questions this will not affect your application in any way. For more information please refer to our Privacy Policy.

1. Do you consider that you have a condition (medical or otherwise) which would be likely to have an effect on your ability to undertake your employment?*

If yes - please advise us of what, if any, reasonable adjustments you would need to enable you to perform effectively at a selection event or in subsequent volunteering.*

2. What is your nationality?*

If you prefer not to say, please type "Prefer not to say".

3. What is your ethnic origin?*

White - Please specify*

Asian or Asian British - Please specify*

Black or Black British*

Mixed - Please specify*

4. What is your gender?*

Gender identity

Have you ever identified as a transgender person or trans person? (for the purpose of this question, ‘transgender’ is defined as an individual who lives, or wants to live, full-time in the gender opposite to that which they were assigned at birth)*

5. What is your age?*

If you prefer not to say, please type "0".

6. To which religion/belief group do you belong?*

7. Which position are you applying for?*

Thank you for completing this form.

Equal opportunities monitoring form

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