equal opportunities monitoring form

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EQUAL OPPORTUNITIES MONITORING
Keep Britain Tidy recognises and actively promotes the benefits of a diverse workforce and is committed to treating
all colleagues with dignity and respect regardless of race, gender, disability, age, sexual orientation, religion or belief.
We welcome applications from all sections of the community. Kindly indicate your responses to the following:
ETHNCITY
White
 British
 Irish
Mixed
 White and Black
 White and Black
Caribbean
African
Black or Black British
 Caribbean
 African
Asian or Asian British
 Indian
 Pakistani
Chinese or other Ethnic Group
 Chinese
*Please specify
GENDER
 Male
AGE
 16 -19
 Any other background*
 White and Asian
 Any other black background*
 Bangladeshi
 Transgender
 30 - 39
RELIGION OR BELIEF
Please specify:
DISABILITY
Do you consider yourself to have a disability?
If yes, kindly state the nature of your disability
 Any other Asian background*
 Other Ethnic Group
 Female
 20 – 29
 Any other mixed background*
 40 - 49
 50 - 59
 Prefer not to say
 No religion or belief
 No
 Yes
How did you become aware of this vacancy?
 KBT Website
 Charity Jobs
 Other media, kindly give details:
 Environmental Jobs
Kindly note, this form will be used solely for monitoring purposes only.
Thank you completing this
Updated March 2015
 60+
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