Equal Opportunities Monitoring Form
**STRICTLY CONFIDENTIAL**
Archery GB embraces the spirit of all equality legislation and is committed to eradicating any form of
unlawful discrimination. We will not tolerate unfair discrimination either directly or indirectly, on the
grounds of: age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity,
race, religion or belief, sex and sexual orientation (together the Equality Act 2010 Protected Characteristics),
class or social background, parental status or political persuasion.
In order to ensure our policy is implemented effectively, we need to monitor its impact. Please complete
the questions on this sheet. This information is confidential and will be stored securely. The information will
be used solely for the purposes of monitoring the impact of our equality policy.
To complete this form, please mark X in the appropriate boxes to show your answer and provide written
text, if required, where indicated. If completing electronically please click the box to display an X.
1. What is your age?
☐ Under 18
☐ 45 – 54
☐ 18 – 24
☐ 55 – 64
☐ 25 – 34
☐ 65 – 74
2. Are you?
☐ Male
☐ Female
☐ Do not wish to disclose
☐ 35 – 44
☐ 75+
3. To which ethnic group do you consider yourself to belong?
Please choose the relevant category for you from A to E shown in the tables below and indicate your ethnic
background by marking the appropriate box in the column below your chosen category.
B Mixed/Multiple ethnic
A White
C Asian or Asian British
groups:
☐ British
☐ White & Black Caribbean
☐ Indian
☐ English
☐ Northern Irish
☐ White & Black African
☐ White & Asian
☐ Other (please specify)
…………………….……
☐ Pakistani
☐ Bangladeshi
☐ Scottish
☐ Other (please specify)
…………………….……
☐ Welsh
☐ Irish
☐ Gypsy or Irish Traveller
Other (please specify
…………………….…
☐ Chinese
D Black/ African/
Caribbean/ Black British:
☐ African
☐ Caribbean
☐ Other (please specify)
…………………….……
PTO
E Other ethnic group:
☐ Arab
☐ Other (please specify)
…………………….……
☐ F Do not wish to
disclose
Equal Opportunities Monitoring Form
**STRICTLY CONFIDENTIAL**
4. What is your religion?
☐ None
☐ Christian (including
Church of England,
Catholic, Protestant and all
other Christian
denominations)
Buddhist
☐ Hindu
☐ Sikh
☐ Jewish
☐ Other (please specify)
………………………….…
☐ Muslim
☐ Do not wish to disclose
5a. Do you consider yourself to have a disability?
The Equality Act 2010 defines disability as “a person has a disability if s/he has a physical or mental
impairment which has a substantial and long-term adverse effect on their ability to carry out normal dayto-day activities.”
☐ No
☐ Yes
☐ Do not wish to disclose
5b. If you have indicated yes, please mark all the boxes that apply to you:
☐ Visual impairment
☐ Learning disability/difficulty
☐ Hearing impairment
☐ Other (please specify)
……………………………………………
☐ Physical impairment
☐ Do not wish to disclose
6. What is your Sexual Orientation?
☐ Heterosexual
☐ Bisexual
☐ Lesbian
☐ Other (please specify)
……………………………………………
☐ Gay
☐ Do not wish to disclose
7. If you have undergone, are undergoing or intend to undergo Gender Reassignment are you?
☐ Transsexual with an acquired gender of male
☐ Transsexual with an acquired gender of female
☐ Do not wish to disclose
☐ Not Applicable
8. Are you?
☐ Archery GB Coach

☐ Archery GB Judge
☐ Do not wish to disclose
PLEASE RETURN COMPLETED FORMS TO:
ARCHERY GB, EQUALITY DATA, LILLESHALL NATIONAL SPORTS CENTRE, NEWPORT, SHROPSHIRE, TF10 9AT
Archery GB is the trading name of the Grand National Archery Society, a company
limited by guarantee no. 1342150 Registered in England.