Citizens Advice Taunton Staff, Trustee and Volunteer Diversity Form

This form is for applicants for employment, as well as existing personnel.

The Citizens Advice service is committed to valuing diversity and promoting equality. In order to achieve these aims we need to know about the diversity of people who work for and who apply to work in the service. Please help us by providing the information requested in the form below

Data Protection Overview

This information is anonymous and we do not record your IP address. If you are happy to provide it, we will use this aggregated information for the purposes of:

1) allowing us to monitor equality of opportunity and treatment as necessary to maintain or promote equality within Citizens Advice; and

2) offering insight to potential partners in funding and service provision.

The information you give us will be kept securely.

If you would prefer not to answer any of the questions we ask, please leave them blank.

Question Title

* 1. What is your current role?

Staff

Trustee

Volunteer

Applicant

Question Title

* 2. Which age bracket do you fit into?

Under 25

25-34

35-44

45-54

55-64

65 and over

Prefer not to say

Question Title

* 3. What best describes your gender?

Female

Male

Prefer not to say

I prefer to use another term.

Question Title

* 4. Do you identify as trans? Citizens Advice guidance uses trans as an umbrella term to describe people whose identity is not the same as the sex they were assigned at birth. People under the trans umbrella may describe themselves using one or more of a wide variety of terms – including transgender.

Not applicable

Female to Male

Male to Female

Prefer not to say

Prefer a different term, please specify if you would like to.

Question Title

* 5. What is your ethnic origin?

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* 6. Are you a person living with a 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?

Yes

Question Title

* 7. What is your sexual orientation?

Bisexual

Gay man

Gay woman/Lesbian

Heterosexual or straight

Prefer not to say

If you identify using a different term and would like to share it please do so here.

Question Title

* 8. Religion or Belief. Which group below do you most identify with?

Buddhist

Christian - Including all denominations

Hindu

Jewish

Muslim

No religion

Sikh

Prefer not to say

Other (please specify)

Thank you for completing the form, to the extent you have chosen to.