Equal Opportunity Monitoring

YouthLink Scotland is committed to equality of opportunity for all job applicants and employees. In order to ensure we are meeting our aims, please answer the questions below and return this form with your application. This information is used solely for monitoring purposes and will not be used in the selection process in accordance with the Data Protection Act 1998.

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* 1. Gender

Male

Female

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* 2. Date of Birth: (dd/mm/yyyy)

Date of birth:

Date

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* 3. Ethnic Origin

White

Asian, Asian Scottish or Asian British

African, Caribbean or Black

I do not wish to identify my ethnic group at this stage

Other ethnic group (please state)

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* 4. Ethnicity - White

Scottish

English

Welsh

Northern Irish

British

Irish

Any other white ethnic group

Other (please specify)

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* 5. Ethnicity - Asian, Asian Scottish or Asian British

Pakistani, Pakistani Scottish or Pakistani British

Indian, Indian Scottish or Indian British

Bangladeshi, Bangladeshi Scottish or Bangladeshi British

Chinese, Chinese Scottish or Chinese British

Other please state

Other (please specify)

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* 6. Ethnicity - African, Caribbean or Black

African, African Scottish or African British

Caribbean, Caribbean Scottish or Caribbean British

Black, Black Scottish or Black British

Other please state

Other (please specify)

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* 7. Are there any special arrangements or adjustments that need to be made to enable you to participate in the selection process?

Yes

If yes, please give details.