Jack Petchey Foundation is committed to equal opportunities and to eliminating conscious or unconscious bias in and through our work. The questions set out in this form help us to establish if there are different success rates between people based on gender, age, ethnicity, sexuality, faith or disability and, if so, enable us to take action to address this. Your answers will be treated confidentially, will not be seen by the shortlisting panel and will not affect your application in any way.

The Jack Petchey Foundation will always keep your personal information private and hold it securely. We are committed to being open and honest, to acting with integrity and to complying with the spirit, as well as the letter, of data protection law. Our Privacy Policy is available on our website and sets out how we collect, process and store personal data, and how you can let us know if you want us to change the way we store and use your personal data. Please note that we will keep your job applications on file for up to 12 months for unsuccessful applicants and for longer for applicants who become employees.

Question Title

* 1. Vacancy Title

Question Title

* 2. What is your Gender?

Question Title

* 3. Is your Gender Identity the same as assigned to you at birth?

Question Title

* 4. What is your Age?

Question Title

* 5. What is your Ethnicity?

Question Title

* 6. Disability 

Do you consider yourself to have a disability or impairment that has (or would have without treatment) a long term adverse effect on your ability to carry out one or more day to day activities?

Question Title

* 7. If you have a disabiiity, please indicate the nature of your disability

Question Title

* 8. If you have a Disability, please advise of any reasonable adjustments you require for the purposes of the recruitment exercise:

Question Title

* 9. Please indicate your Religion or Belief

Question Title

* 10. Please indicate your Marital Status

Question Title

* 11. Please indicate your Sexual Orientation 

Question Title

* 12. Caring Responsibilities - Do you currently have caring responsibilities?

Question Title

* 13. If you have Caring Responsibilities, please indicate the nature of your main caring responsibilities:

T