Copy of Equality and Diversity Monitoring Form - CEO

Welsh Triathlon’s purpose is to develop a triathlon community that enhances the well-being of current and future generations in Wales.

Our vision is to enhance well-being in Wales by driving a successful, accessible, and inclusive sporting community.

Why are we asking you for this information?

As part of our ongoing commitment to encouraging a diverse and effective workforce that reflects our diverse communities, it is vital we gather, monitor and analyse diversity information to ensure we build an accurate picture of the make-up of our workforce and treat all our employees and applicants fairly.

Any information provided on this form will be treated as strictly confidential. Responses will be collated into one report which will inform us about the people applying to work in our sport. We will store your information securely and in line with the requirements of The General Data Protection Regulation (GDPR) along with the Data Protection Act 2018 (DPA)

We would appreciate your cooperation in helping us make sure that we retain and attract a diverse and effective workforce.

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* 1. In what postcode are you located? (Please give the first part of your post code. e.g CF11)

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* 2. Where did you hear about this vacancy?.

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* 3. What is your age group?

18-24

25-34

35-44

45-54

55-64

65-74

75+

Prefer not to say

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* 4. What is your Nationality?.

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* 5. How would you describe your ethnic group?

White Welsh/English/Scottish/Northern Irish/British.

White Irish

White - Gypsy or Irish Traveller

Any other white background ( please specify below)

White and Black Caribbean.

White and Black African

White and Asian

Any other Mixed/Multiple Ethnic Groups ( Please specifiy below)

Pakistani

Bangladeshi

Chinese

Any other Asian/Asian British ( please specify below)

Black/African/Caribbean/Black British

Any other Black/African/Caribbean/Black British ( please specify below)

Arab

Any other Ethnic group ( please specify below)

Prefer not to say

Other (please specify)

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* 6. How do you identify gender?

Male (including transgender man)

Female (including transgender woman)

I would prefer not to answer this question

I identify in another way e.g. non binary (please specify)

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* 7. Is the gender you identify with the same as your sex at birth?

Yes

I would prefer not to answer this question

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* 8. Do you consider yourself to have a disability?

Yes, limited a little.

Yes, limited a lot.

No.

Prefer not to say

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* 9. How would you describe your impairment? Please tick all the boxes that apply to you.

Deaf or hard of hearing.

Blind or partially sighted.

Physical impairment ( I do not use a wheelchair)

Physical impairment - ( I am a permanent wheelchair user)

Physical impairment (I use a wheelchair to participate in sport)

Amputee

Learning difficulty ( e.g. movement co-ordination difficulty - dyspraxia, dyslexia etc)

Learning disability (e.g.downs syndrome etc)

Mental health condition (e.g. depression, stress etc.)

Long term illness (e.g. cancer, multiple sclerosis etc.)

I would prefer not to answer this question

I do not have an impairment

Other (please specify)

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* 10. Which of the following best describes you:

Bisexual

Gay Man

Gay Woman/Lesbian

Heterosexual/Straight Man

Heterosexual/Straight Woman

I would prefer not to answer this question

Other (please specify)

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* 11. What is your religion or belief?

No religion or belief.

Christian Christianity (any denomination)

Buddist

Hindu Hinduism

Jewish Judaism

Muslim Islam

Sikh Sikhism

I would prefer not to answer this question

Other philosophical or spiritual belief or religion (Please specify)

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* 12. Are you:

Married or in a civil partnership

Neither

I would prefer not to answer this question

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* 13. What is your main language?

English

Welsh

I would prefer not to answer this question

Other (please specify)

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* 14. Can you understand, speak, read or write Welsh?

Understand spoken Welsh.

Speak Welsh

Read Welsh

Write Welsh

None of the above

I am learning Welsh ( eg duo lingo)

I would prefer not to answer this question