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The company requires all its employees to operate its policy of equal opportunity and not to discriminate against any person because of gender, ethnic background, national origin, religion, sexual orientation or disability.
Please assist the monitoring of this policy by completing this form. The information provided will only be used for monitoring purposes and is completely confidential.
x
For each of the headings below, please circle the description that best describes how you see yourself.
If you circle Prefer not to say (see table below), this will not affect your application at TLC: Talk, Listen, Change in any way.
GenderReligious groupIncome sourceSexual orientationAccess & CommunicationPrefer not to sayPrefer not to sayPrefer not to sayPrefer not to sayPrefer not to sayPrefer to self-describe (please state)Prefer to self-describe (please state)Prefer to self-describe (please state)Prefer to self-describe (please state)Prefer to self-describe (please state)MaleBuddhismFull time workAsexualNot applicableFemaleChristianityPart time workBisexualCommunication difficultyIntersexHinduismSelf employedGayHearing impairmentNon-binaryIslamReceiving BenefitsLesbianLearning difficultyPlease tick here if your gender if different from the sex you were assigned at birth
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Asian or Asian British Other Asian backgroundMixed White and AsianWhite - IrishPrefer to self-describe (please state)Black or Black British - AfricanMixed White and Black AfricanWhite Other White backgroundAsian or Asian British - BangladeshiBlack or Black British - CaribbeanMixed White and Black CaribbeanAsian or Asian British - ChineseBlack or Black British Other Black backgroundWhite - BritishAsian or Asian British - IndianMixed Other mixed backgroundWhite - European
Please return this form with your application form
EQUAL OPPORTUNITIES MONITORING FORM
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