Equal Opportunities Monitoring Form

Equal Opportunities Form
FAILURE TO RETURN WILL RESULT IN DISQUALIFICATION- THIS WILL ONLY BE VIEWED BY THE MONITORING OFFICER
Please select as appropriate
This information will be used only for monitoring the effectiveness of the Employers equal opportunities policy and to comply with obligations under the requirements of the Fair Employment and Treatment (Northern Ireland) Order 1998. It will not play a part in the appointment process and will be treated in the strictest confidence.
Community Background
Marital Status
Do you have dependants?
Ethnic Origin
DISABILITY
Under the Disability Discrimination Act 1995 a person is considered to have a disability if he/she has a physical or mental impairment which has a substantial and long-term adverse effect on his/her ability to carry our normal day to day activities. Please note that it is the effect of the impairment, without treatment, which determines if an individual meets the definition of disability.
Do you consider yourself to have a disability?
Thank you.