Equal Opportunities

4com wants to meet the aims and commitments set out in our equality policy. This includes not discriminating under the Equality Act 2010, and building an accurate picture of the make-up of the workforce in encouraging equality and diversity.

The organisation needs your help and co-operation to enable it to do this, but filling in this form is voluntary.

The information you provide will stay confidential, and be stored securely and limited to only some staff in the organisation’s Human Resources section.

Gender
ManWomanNon-binaryPrefer not to say

If you prefer to use your own term, please specify here

Are you married or in a civil partnership?
YesNoPrefer not to say

Age
16-2425-2930-3435-3940-4445-4950-5455-5960-6465+Prefer not to say

What is your ethnicity?

Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong.

Any other ethnic group, please write in:

Do you consider yourself to have a disability or health condition?
YesNoPrefer not to say

What is the effect or impact of your disability or health condition on your ability to give your best at work? Please write in here:

The information in this form is for monitoring purposes only. If you believe you need a 'reasonable adjustment', then please discuss this with your manager, or the manager running the recruitment process if you are a job applicant.

What is your sexual orientation?
HeterosexualGay woman/lesbianGay manBisexualPrefer not to say

If you prefer to use your own term, please specify here

What is your religion or belief?
No religion or beliefBuddhistChristianHinduJewishMuslimSikhPrefer not to say

* If other religion or belief, please write in:

What is your current working pattern?
Full-timePart-timePrefer not to say

What is your flexible working arrangement?
NoneFlexi-timeStaggered hoursTerm-time hoursAnnualised hoursJob-shareFlexible shiftsCompressed hoursHomeworkingPrefer not to say

If other, please write in:

Do you have caring responsibilities? If yes, please tick all that apply
NonePrimary carer of a child/children (under 18)Primary carer of disabled child/childrenPrimary carer of disabled adult (18 and over)Primary carer of older personSecondary carer (another person carries out the main caring role)Prefer not to say