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* 1. Position Applied for

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* 2. I identify my gender as

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* 3. Age

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* 4. What is your ethnicity?  Ethnic origin is not about nationality, place of birth or citizenship.  It is about the group to which you think you belong.  Please tick the appropriate box

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* 5. What is your sexual orientation?

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* 6. What is your religion or belief?

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* 7. Disability - The Equality Act defines a disabled person as someone who has a physical or mental impairment that has a substantial and long term adverse effect on their ability to perform day to day activities.  It also covers people who have been diagnosed HIV, Cancer or Multiple Sclerosis.  Does this definition apply to you?

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* 8. Are you married or in a civil partnership?

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* 9. Do you have any caring responsibilities?

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