Impetus Equal Opportunities Recruitment Monitoring Form

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.

Question Title

* Position applying for

Question Title

* Name

Question Title

* Gender

Man

Woman

Non-binary

Prefer not to say

If you prefer to use your own term, please specify here

Question Title

* Age

16 - 24

25 - 29

30 - 34

35 - 39

40 - 44

45 - 49

50 - 54

55 - 59

60 - 64

65 +

Prefer not to say

Question Title

* Are you married or in a civil partnership?

Yes

Prefer not to say

Question Title

* 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.

Black, African, Caribbean or Black British

Asian or Asian British

White

Middle Eastern / Arab / North African

Latin American / Latino / Hispanic

Mixed or Multiple Ethnic background

Other ethnic group

Prefer not to say

Impetus Equal Opportunities Recruitment Monitoring Form

Question Title

* Position applying for

Question Title

* Name

Question Title

* Gender

Question Title

* Age

Question Title

* Are you married or in a civil partnership?

Question Title

* 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.

* 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.