Job Application Form Please select a valid form.Diversity monitoring information formMonitoring Information Which role are you applying for? * Age * Under 25 25-34 35-44 45-54 55-64 65 and over Prefer not to sayGender * Male Female I prefer to use another term Prefer not to saySexual Orientation * Heterosexual/Straight Gay Man Gay Woman/Lesbian Bisexual I prefer to use another term Prefer not to sayEthnic Origin * White British White Irish White Gypsy or Irish Traveller Any other White background White and Black Caribbean White and Black African White and Asian Other Mixed/multiple ethnic background Indian Pakistani Bangladeshi Chinese Any other Asian background Black Caribbean Black African Other Black/African/Caribbean background Arab Any other ethnic group Prefer not to sayDo you consider yourself to be disabled under the Equality Act 2010? * Yes No Prefer not to sayA disabled person is defined under the Equality Act 2010 as someone with a ‘physical or mental impairment which has a substantial and long term adverse effect on that person’s ability to carry out normal day-to-day activities.’The information on this form is for monitoring purposes only. We follow the social model of disability which believes that it is the barriers created by society which disable people. If you require any additional support or equipment in relation to the recruitment process or that would enable you to carry out the role, please tell us on the application form or during the interview.Is your gender identity the same as the gender you were assigned at birth? * Yes No Prefer not to sayReligion or belief * No religion Christian (including all denominations) Buddhist Hindu Jewish Muslim Sikh Any other religion or belief Prefer not to say How did you hear about this opportunity? * If you have given us any information about your health, disability or access requirements, under data protection law we need your explicit consent to hold or use that information. We will only use it in order to allow us to make reasonable adjustments and/or to keep you safe, and it will be held securely.Consent I give my consent for this information to be used by Citizens Advice Barnet Captcha If you are human, leave this field blank. Submit
