Form 2.
Equal Opportunities Monitoring Form

Please fill in the Equal Opportunities Monitoring form below.

Equal Opportunities Monitoring

In accordance with its policy on equal opportunities in employment, Fresh Start will provide equal opportunities to any employee or job applicant and will not discriminate either directly or indirectly because of race, sex, sexual orientation, gender reassignment, religion or belief, marital or civil partnership status, age, disability, or pregnancy and maternity. In order to assess how successful this policy is we have set up a system of monitoring all applications. We would therefore be grateful if you would complete the questions on this form. We have asked for your name to enable us to monitor applications from enquiry stage through to appointment. All information will be treated in confidence and will not be seen by staff directly involved in the appointment. The questionnaire will be detached from your application form, stored separately and used only to provide statistics for monitoring purposes. Thank you for your assistance.

Ethnic Origin

Relates to a sense of identity/belonging on the basis of race/culture.) I would describe myself as (choose ONE section from A to E, and then tick the appropriate box to indicate your cultural background
Please specify ethnic origin here if you have selected 'other' to any of the above

Data Protection

Information from this application may be processed for purposes registered by the employer under the Data Protection Act 1998. Individuals have, on written request [and on payment of a fee] the right of access to personal data held about them. I hereby give my consent to Fresh Start processing the data supplied in this form for the purpose of recruitment and selection.