Email: townclerk@gainsborough-tc.gov.uk

Telephone: 01427 811573

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Diversity Monitoring Form

Equality & Diversity

Gainsborough Town Council strives to being an Equal Opportunities Employer. The information you provide will support us to ensure that our recruitment processes are fair to all and allow us to attract diverse and talented candidates. You can select “prefer not to say” if you would rather not answer any question.

The information you provide in this section will:
• not be used as part of the selection process.
• be separated from the main body of your application on receipt.
• only be used for monitoring and statistical purposes. No information will be published which allows any individual to be identified.
What is your gender

Disability
Do you have any physical or mental health conditions or illnesses lasting or expected to last 12 months or more?
If you have answered yes to the question above, does your condition or illness/do any of your conditions or illnesses reduce your ability to carry out day-to-day activities?
If you have answered yes to the question above, does your condition or illness/do any of your conditions or illnesses reduce your ability to carry out day-to-day activities?

Ethnicity

Please choose one of the following options that most accurately describes your ethnic group or background.
White

Mixed / Multiple Ethnic Groups

Black African/Caribbean/Black British

Asian / Asian British

Other ethnic group

Age Group
What was your age group at your last birthday?
Sexual Orientation

Religion or belief