Equal Opportunities and Diversity

Some of our clients request diversity and equal opportunities information in relation to candidates we submit for consideration. Please complete the form below, and we will collect and share the relevant details with the client as required. All information provided will be handled confidentially and used solely for monitoring and reporting purposes. You are not obliged to answer the questions on this form and you will not suffer any detriment if you choose not to do so.

Name

First Name

Last Name

Age

Gender

Community Background

Please indicate your religion or the religion to which you would be perceived to belong to.

Disability

Do you have a disability, impairment or health condition which affects your day-to-day activities?

Racial Group

Please state your nationality:

Ethnic Origin

Please describe your ethnic origin by ticking the appropriate box below:

Sexual Orientation

Please indicate your sexual orientation by ticking the appropriate box below: