Equal opportunities monitoring form	
We are committed to having a workforce that promotes equality and celebrates diversity. To help us monitor and achieve this, we gather and use information about job applicants and our workforce to continually improve our employment policies and to remove barriers to and within employment. The information you give is confidentially managed and does not affect your job application.
It will help us if you provide as much information as possible, but if you do not wish to answer any questions please leave them blank.	
Job number:										
Where did you see this job advertised?	Cornwall Council Website	

What age group are you (years)?	
Up to 20		20-25		26-30		31-35		36-40		41-45		46-50			
51-55		56-60		61-65		Over 65			

What is your title?	
Mr		Mrs		Miss		Ms			
Other (please specify):																		

How do you describe your gender?	
Male		Female			

What is your marital status?	
Single		Married		Divorced		Widowed		Civil Partnership			

How do you describe your religion or belief (if any)?	
Buddhism		Christianity		Hinduism		Islam			
Judaism		Sikhism		Non belief		Withheld			
Other (please specify):																		

Do you consider yourself to have a disability?	
Yes		No			
If your answer is ‘yes’, it would help us to know any barriers you have faced when dealing with us. Please also use this space to make suggestions on how we can improve.	

	

How do you describe your ethnic origin?	
Please read through carefully before selecting the ethnic group that you feel most closely reflects your background.	

White	
British		Cornish		Irish			
Gypsy		Roma		Travellers of Irish Heritage			
Other white background (please specify):													

Mixed	
White & Asian		White & Black African		White & Black Caribbean			
Mixed Cornish			
Other mixed background (please specify):													

Black or Black British	
African		Caribbean		Cornish			
Other Cornish background (please specify):												

Asian	
Bangladeshi		Chinese		Indian		Pakistani		
Cornish								
Other Asian background (please specify):