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 originPrefer not to sayAsian / British Asian: IndianAsian / British Asian: PakistaniAsian / British Asian: BangladeshiChinese / British ChineseOther Asian or British AsianBlack / Black British: CarribeanBlack / Black British: AfricanOther Black or Black BritishMixed: White and Black CarribeanMixed: White and Black AfricanMixed: White and AsianOther mixedWhite BritishWhite IrishWhite East EuropeanGypsy or Irish TravellerOther WhiteOtherPlease choose the ethnic origin that you think best describes yourself (E.g. Other ethnic originIf you selected 'other' above you can give further detail here if you wish.ReligionPlease give your religious affiliation if applicableGenderMaleFemaleOtherOther genderIf you chose 'other' for your gender you can provide further detail here.SexualityHeterosexualLesbianGayBisexualAre you a carer?YesNoDo you have caring responsibilities for someone with an illness or disability?Do you have a disability?YesNoDo you consider yourself to have a disability, long term physical or mental health problem or any learning difficulties?NameThis field is for validation purposes and should be left unchanged.