Equality and Diversity Monitoring Form Equality and Diversity Monitoring form THIS SECTION WILL BE DETACHED FROM YOUR APPLICATION AND WILL NOT BE USED AS PART OF THE SELECTION PROCESS. All information contained on this form is Strictly Confidential Cornerstone’s Recruitment policy seeks to ensure equality of opportunity and treatment of all persons seeking employment. In addition to this, under the provisions of the Equality Act 2010 (and as amended), Cornerstone is required to demonstrate that our recruitment processes are fair and that we are not discriminating or disadvantaging anyone because of a protected characteristic (age, disability, gender reassignment, race, religion or belief, sex, sexual orientation, marriage and civil partnership, and pregnancy and maternity). To enable the Association to fulfil this commitment, records are kept covering the applicants’ protected characteristic. The information collected is used for monitoring purposes in an anonymised format to assist the association in analysing the profile and make up of individuals who apply, are shortlisted and appointed to each vacancy. The Association requests your co-operation to enable it to do this, but filling in this form is voluntary. Position applied for Age and Gender The Equality Act 2010 protects people against discrimination on the grounds of their age and gender.Please indicate your age 16-25 25-29 30-34 35-39 40-44 45-49 50-54 55-60 60-64 65+ Prefer not to say Please indicate your Gender Male Female Other Prefer not to say Marital Status The Equality Act 2010 protects people who are married or in a civil partnershipUntitled single, that is never married married and living with your husband/wife a civil partner in a legally-recognised Civil Partnership married and separated from your husband/wife divorced widowed in a legally-recognised Civil Partnership and separated from your civil partner formerly a civil partner, the Civil Partnership now legally dissolved living with someone as a couple Please indicate the option which best describes your sexual orientation Straight / Heterosexual Gay / Lesbian Bisexual Other sexual orientation Prefer not to say Disabilities The Equality Act 2010 protects disabled people including those with long term health conditions, learning disabilities and “hidden” disabilities such as dyslexia. If you advise us that you have a disability we can make reasonable adjustments to ensure that any selection processes, including the interview are fair and equitable.Do you consider yourself to have a disability or health condition? Yes No Prefer not to say If “Yes” please provide details.Ethnicity The Equality Act 2010 protects people against discrimination on the grounds of their race which includes colour, nationality, ethnic or national origin.To which of these ethnic groups do you feel you belong? White Black Mixed Asian Other ethnic group I prefer not to say Religion The Equality Act 2010 protects people against discrimination on the grounds of their religion or belief, including lack of belief.Please indicate your religion or belief. Christian Hindu Muslim Buddhist Jewish Sikh Other Atheist/ no religion Prefer not to say Thank you for participating in our monitoring programme.EmailThis field is for validation purposes and should be left unchanged.