Equal Opportunities - Recruitment

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Halo Staffing recognises and values the strength of a diverse workforce and wants to meet the aims and commitments set out in its Equal Opportunities and Diversity policy. This includes not discriminating under the Equality Act 2010, and building an accurate picture of the make-up of the workforce and its recruitment practices in encouraging equality and diversity.

To enable us to do this, we need your help and co-operation but filling in this form is voluntary. The information you provide within this form will stay confidential, and be stored securely with access only by limited, authorised personnel.

Gender(Required)

Please list here

Age(Required)

Are you married or in a civil partnership?(Required)

Yes

Prefer not to say

What is your sexual orientation?(Required)

If other, please write:

What is your religion or belief?(Required)

If other religion or belief, please write:

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.

White

English, Welsh, Scottish, Northern Irish or British

Irish

Gypsy or Irish Traveller

Roma

Any other White background (selecting this option will open a text box below)

Any other white background, please write:

Mixed or multiple ethnic groups

White and Black Caribbean

White and Black African

White and Asian

Any other Mixed or multiple ethnic background (selecting this option will open a text box below)

Any other mixed background, please write:

Black, Black British, Caribbean or African

Caribbean

African

Any other Black, Black British, or Caribbean background (selecting this option will open a text box below)

Any other Black/African/Caribbean background, please write:

Asian

Indian

Pakistani

Bangladeshi

Chinese

Any other Asian background (selecting this option will open a text box below)

Any other Asian background, please write:

Other ethnic group

Arab

Any other ethnic group (selecting this option will open a text box below)

Any other ethnic group, please write:

Other

Or, prefer not to answer

Do you consider yourself to have a disability or mental health condition?(Required)

Yes

Prefer not to say

If yes, please list:

What is the effect or impact of your disability or mental health condition on your ability to give your best at work?

If you have a disability, mental health or long-term health condition, do you feel confident disclosing it?(Required)

Yes

Uncertain

Not Applicable

What would make you feel more confident to disclose?(Required)

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.

Do you have caring responsibilities? If yes, please tick all that apply

Caring Responsibilities

Primary carer of a child/children (under 18)

Primary carer of a disabled child/children

Primary carer of a disabled adult (18 and over)

Primary carer of an older person

Caring Responsibilities

Secondary carer (another person carries out the main caring role)

None

Prefer not to say

What is your current working pattern?(Required)

Full-time

Part-time

Prefer not to say

What is your flexible working pattern?

What is your flexible working arrangement

Job-Share

Staggered hours

Term-time hours

Annualised hours

Flexi-time (A formal arrangement that allows you to vary your start and finish times within agreed limits, sometimes building up hours to take time off)

What is your flexible working arrangement

Compressed hours

Homeworking

Prefer not to say

None

Flexible shifts (Any agreed change to your working pattern, such as part-time hours, compressed hours, job sharing, or adjusted shifts)

If other, please write here: