Impetus is committed to equality and diversity. This includes not discriminating under the Equality Act 2010 and building an accurate picture of the make-up of the organisation in encouraging equality, diversity and inclusion.  

We would appreciate your help and co-operation to enable us to do this, however, filling in this form is completely voluntary.  By completing and returning this form you are providing consent for us to process your personal data. 

The information you provide on this form will be separated from your application, stored securely and limited to only the HR and Operations team.

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* Position applying for

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* Name

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* Gender

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* Age

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* Are you married or in a civil partnership?

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* 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. Please tick the appropriate box. 

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