Equal Opportunity Monitoring

GamCare is committed to being an inclusive employer, and we believe that a diverse workforce encourages innovation, creativity and positive challenge. We want to ensure that no direct or indirect discrimination occurs on the grounds of any protected characteristic under the Equalities Act 2010.

To help us ensure that this is the case, we would ask that you complete this short survey so we can gather some basic demographic information for the candidates applying to work at GamCare.

Your responses are anonymous and will not be connected with any of your records. We appreciate your time.

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* 1. Please provide the job title for the role you have applied for

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* 2. Are you:

Female

Male

Prefer not to answer

If you prefer to self-identify please specify here:

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

Yes

Prefer not to say

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* 4. What is your age range?

16 - 24

25 - 29

30 - 34

35 - 39

40 - 44

45 - 49

50 - 54

55 - 59

60 - 64

65+

Prefer not to say

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* 5. What is your ethnicity? (Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. These categories match the 2011 Census):

Asian or Asian British - Indian

Asian or Asian British - Pakistani

Asian or Asian British - Bangladeshi

Asian or Asian British - Chinese

Asian or Asian British - Any other Asian Background

Black, Black British, Caribbean or African - Caribbean

Black, Black British, Caribbean or African - African

Black, Black British, Caribbean or African - Any other Black, Black British or Caribbean Background

Mixed or Multiple Ethnic Groups - White & Black Caribbean

Mixed or Multiple Ethnic Groups - White & Black African

Mixed or Multiple Ethnic Groups - White & Asian

Mixed or Multiple Ethnic Groups - Any other mixed or multiple ethnic background

White - English, Welsh, Scottish, Northern Irish or British

White - Irish

White - Gypsy or Irish Traveller

White - Roma

White - Any other white background

Other Ethnic Group - Arab

Any other ethnic group - please specify:

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* 6. Do you consider yourself to have a disability or health condition?

Yes

Prefer not to say

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* 7. If yes, what is the effect or impact of your disability or health condition on your ability to give your best at work? (Please note, this information in this form is for monitoring purposes only. If you believe you need a 'reasonable adjustment’, then should your application be successful, please discuss this with your manager):

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* 8. What is your sexual orientation?

Heterosexual/ straight

Gay

Lesbian

Bisexual

Prefer not to say

Prefer to self-identify

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* 9. What is your religion or belief system?

No religion or belief system

Buddhist

Christian

Hindu

Jewish

Muslim

Sikh

Prefer not to say

Other (please specify)

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* 10. Do you have caring responsibilities?

Primary carer of a child/children (under 18)

Primary carer of disabled child/children

Primary carer of disabled adult (18 and over)

Primary carer of older person

Secondary carer (another person carries out the main caring role)

Prefer not to say

Other caring responsibility (please specify):