Equal Opportunities Monitoring

Thank your for your application. if you indicated that you wanted it, a copy of your application has been sent to the email address you gave.

The Carers’ Resource operates an Equal Opportunities Policy. As part of this we would ask you to complete this form.

You do not need to complete any section if you do not wish to.

The information will be held for statistical monitoring purposes only and will not be associated with your application or other personal information.

Ethnic origin

Please choose the ethnic origin that you think best describes yourself (E.g.

Other ethnic origin

If you selected 'other' above you can give further detail here if you wish.

Religion

Please give your religious affiliation if applicable

Gender

Other gender

If you chose 'other' for your gender you can provide further detail here.

Sexuality

Are you a carer?

Do you have caring responsibilities for someone with an illness or disability?

Do you have a disability?

Do you consider yourself to have a disability, long term physical or mental health problem or any learning difficulties?

Name

This field is for validation purposes and should be left unchanged.