Waddington Street Centre - Equal Opportunities Monitoring Form

Waddington Street Centre is committed to equal opportunities for all. Applications will be considered solely on individual merit and suitability.

We do not discriminate against applicants because of their race, creed, colour or nationality, or because of the age, sex, disability, sexual orientation, marital status, responsibility for dependants, lack of formal qualifications or HIV status.

In order to ensure that this policy is being effectively carried out, we would be grateful if all applicants would complete the attached monitoring sheet and return with their application. The information is completely confidential. The monitoring sheet will be kept separately from the application form to ensure confidentiality.

FIRST NAME(s):

SURNAME / FAMILY NAME:

POST APPLIED FOR: Finance Officer

Please tick the appropriate box:

Female	Male

Do you have a disability? Yes/No If yes, are you registered disabled? Yes/No

Ethnic Group

Choose your ethnic group.

If other please state

Age & Date of birth:

WHERE DID YOU HEAR ABOUT THIS VACANCY?

Advert (state where):

Other:

*PLEASE RETURN THIS FORM WITH YOUR APPLICATION*