Form – Ethnicity

Private information

Passionate About Care Limited is committed to equality of opportunity and fair treatment in all respects of employment. We aim to provide a working and learning environment which is free from unfair discrimination and promotes equality on the basis of a number of ‘protected characteristics’. We ask for information on your ‘protected characteristics’ in order to help us monitor our performance on equality. In line with Government policy, and in accordance with the provisions of GDPR, the information you provide will be held confidentially and it will help us to comply with the law under relevant Acts and to ensure that our employment policies and practices are fair and effective.

IMPORTANT – Please note: You do not have to complete this form. The information is given on a voluntary basis and the information provided will only be used for the monitoring purpose. Please do not enter any identifying marks on this form, so that your information remains confidential. This information will be stored on a computer.

Ethnic information

Please indicate your Ethnic Origin

Asian or Asian British
Mixed
Other Ethnic Background
Black or Black British
White
Withhold

Please indicate your Gender

Gender

Please indicate your Sexual Orientation

Sexual orientation

Please indicate your Religion or Belief

Religion or Belief

Please indicate your Marital Status

Marital Status

As per Equality Act 2010: Do you have a disability

Under the terms of the Act, a disability is defined as a ‘physical or mental impairment which has a substantial and long-term effect on a person’s ability to carry out day-to-day activities’.

Caring Responsibilities: Do you have any care responsibilities for another person

Children U16
Sick / Elderly
Disabled