EQUAL OPPORTUNITIES
Carr Gomm is committed to ensuing that all applicants and members of staff are treated equally,
without discrimination on the grounds of gender, sexual orientation, marital or civil partner status,
gender reassignment, race, colour, nationality, ethnic origin, religion or belief, disability or age. This
form is intended to help us maintain equal opportunities best practice and identify barriers to
workforce equality and diversity.
In order to enable us to regularly monitor and assess whether equal opportunity is being achieved,
we ask you to complete this form. It will be separated from your application and will not be used for
selection purposes but only for statistical monitoring.
POST APPLIED
FOR
Trustee
SURNAME
FIRSTNAME
AGE
DATE OF BIRTH
GENDER
DISABILITY
FEMALE
/
/
MALE
DO YOU CONSIDER YOURSELF AS HAVING A DISABILITY IN
ACCORDANCE WITH THE EQUALITY ACT 2010?
YES
NO
(The Equality Act 2010 defines a disability as a “physical or mental impairment which has a substantial
and long-term adverse effect on a person’s ability to carry out normal day-to-day activities.” An effect
is long-term if it has lasted, or is likely to last, more than 12 months.)
ETHNIC
GROUP
WHICH OF THE FOLLOWING BEST DESCRIBES YOUR ETHNIC
GROUP?
WHITE
MIXED RACE
ASIAN OR ASIAN BRITISH
BLACK OR BLACK BRITISH
CHINESE AND OTHER
GROUPS
ARE YOU ELIGIBLE TO WORK IN THE
UK?
YES
NO
HOW DID YOU FIND OUT ABOUT CARR GOMM?
PRESS & JOURNAL
S1JOBS
DUNDEE COURIER
SCOTTISHJOBS.COM
METRO
GOODMOVES
FALKIRK HERALD
HERALD
JOB CENTRE
PERTHSHIRE ADVERTISER
GUMTREE
CARR GOMM WEBSITE
OTHER (Please Specify):
Thank you for your co-operation
All information given will be treated as confidential