Equal Opportunities Monitoring Form

Equal Opportunities Monitoring Form

Action for Community Development wants to meet the aims and commitments set out in its equality policy. This includes not discriminating under the Equality Act 2010, and building an accurate picture of the make-up of the workforce in encouraging equality and diversity.

The organisation needs your help and co-operation to enable it to do this, but filling in this form is voluntary. The information provided will be kept confidential and will be used for monitoring purposes only.

    Fill this in as part of the role you are applying for

    * Required field

    Asian: BangladeshiAsian: ChineseAsian: IndianAsian: PakistaniAsian: Any other Asian backgroundBlack: AfricanBlack: CaribbeanBlack: Any other Black backgroundMixed: Asian & WhiteMixed: Black African & WhiteMixed: Black Caribbean & WhiteMixed: Any other mixed ethnic backgroundWhite: British/English/Northern Irish/Scottish/WelshWhite: Gypsy or Irish TravellerWhite: RomaWhite: Any other White backgroundOther: ArabOther: Latin AmericanOther: Any other ethnic backgroundPrefer not to say

    ManWomanNon-binaryPrefer to self describePrefer not to say

    YesNoPrefer not to say

    16-2425-3435-4445-5455-64Prefer not to say

    The Equality Act 2010 defines a person with a disability as someone who has a physical or mental impairment that has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities.

    An effect is considered "substantial" if it is more than minor or trivial.

    An effect is considered "long-term" if it has lasted for at least 12 months, it is likely to last for at least 12 months, or it is likely to last for the rest of the life of the person.

    Normal day-to-day activities are not defined in the Act, but in general they are things that people do on a regular or daily basis, such as eating, walking, reading and writing.

    Disabilities protected by the Equality Act include mental health conditions such as depression and anxiety, learning difficulties such as dyslexia, neuro-behavioural conditions such as autism, and health conditions such as cancer and diabetes.

    YesNoPrefer not to say