(Your GP will never be contacted without your permission)

You must provide references from your two most recent employers. The email you submit will be used to obtain a reference in the first instance. Both will be contacted, therefore please inform the referees of the fact that you have used their name. If you are unable to provide the required references, please discuss the matter with us and put N/A in the text boxes

This section MUST be filled in to help us ascertain areas you would be most suited to work in. This will not affect your application in general.

We are committed to ensuring that all job applicants and members of staff are treated equally, without discrimination because of gender, sexual orientation, marital or civil partner status, gender reassignment, race, colour, nationality, ethnic or national origin, religion or belief, disability, social mobility or age. This form is intended to help us maintain equal opportunities best practice and identify barriers to workforce equality and diversity.
Please complete this form and return it with your job application. The form will be separated from your application on receipt. The information on this form will be used for monitoring and auditing purposes only and will play no part in the recruitment process.
All questions are optional. You are not obliged to answer any of these questions but the more information you supply, the more effective our monitoring will be. All information supplied will be treated in the strictest confidence.

These categories are based on the Census 2011 categories and recommended by the Commission for Racial Equality.

Please describe your religion or other strongly-held belief.

The Equality Act 2010 defines a disabled person as someone who has a physical or mental impairment which has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities.