| Title:* |
|
| Name:* |
|
| Address: |
|
| Postcode: |
|
| Email:* |
|
| Telephone: |
|
| Covering letter :* |
|
| Attach CV file: |
Please ensure CVs are supplied in Microsoft Word or PDF format |
| Experience : |
|
| |
|
Monitoring Form - Job Applications
JMW Solicitors is committed to ensuring that applicants and employees from all sections of the community are treated equally and not discriminated against on the grounds of gender, colour, race, nationality, marital status, religion or belief, sexual orientation, disability or age. This form assists us in monitoring who is applying for employment with us, our adherence to equal opportunities best practice and our progress towards identifying any barriers to diversity among our workforce. We ask some questions regarding disability which may also assist us in determining whether any reasonable adjustments are necessary to facilitate your interview. This form will be separated from your application on receipt, but if you are subsequently employed by JMW Solicitors then we may retain it on your personnel file. We would be grateful if you would complete this form. You are not obliged to answer all the questions but the more information you supply, the more effective our monitoring will be. All information supplied will be treated in the strictest confidence. Thank you for your assistance. |
| |
|
| Gender: |
Male
Female
If you are currently undergoing the process of gender reassignment, please tick your future gender. |
| |
|
| Nationality and/or ethnicity |
White
British - English, Scottish or Welsh
Irish
Black or Black British
Caribbean
African
Chinese or other ethnic group
Chinese
Any other ethnic group
Mixed race
White and Black Caribbean
White and Black African
White and Asian
Any other mixed background
Asian or Asian British
Indian
Pakistani
Bangladeshi
Any other mixed background |
| |
|
| Age: |
16-24
25-29
30-39
40-49
50-59
60 or over |
| |
|
| Sexual orientation: |
Heterosexual
Bisexual
Lesbian/Gay
Other
Prefer not to say |
| |
|
| Religion |
My religion is..
I am not religious
Prefer not to say |
| |
|
| |
The Disability Discrimination Act 1995 (DDA) 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, over 12 months. Do you consider yourself to have a disability under the DDA?
Yes
No
Used to have a disability but now recovered
Don’t know
Prefer not to say |
| |
|
| |
If you answered "Yes"above, please give brief details of your condition and please indicate whether you may require any adjustments to enable you to attend and participate in an interview or to carry out any selection tests. Disabled applicants are invited to contact JMW in confidence at any point during the recruitment process to discuss steps that could be taken to facilitate attendance and participation at an interview or in order to overcome any operational difficulties presented by the job.
|
| |
|
| Where did you hear about this job |
Newspaper
Friend
Recruitment company
JMW website
Other |
| |
|
| |
For the purposes of compliance with the Data Protection Act 1998, I hereby confirm that by completing this form I give my consent to JMW processing the data supplied above in connection with monitoring compliance with its equal opportunities obligations and policy. I also agree to the storage of this information on manual and computerised files. |
| |
Please tick if you do not wish to receive details of our products and services in the future by post, facsimile or email. |
| |
Please tick if you do not wish to receive details of similar products or services offered by other companies carefully selected by us by post, facsimile or email. |
| |
Please read our Privacy Policy which explains how we use and protect the information that you provide to us. |
| |
|
| |
|
