In accordance with our equal opportunities policy, the organisation will provide equal opportunities to all employees and job applicants and will not discriminate either directly or indirectly on the grounds of race, colour, ethnic origin, nationality, national origin, sex, marital status, disability, sexual orientation, religion or age. We ask all candidates to complete and return this Equal Opportunities Monitoring form The data given on this form will be stored on computer in an anonymised format and the form will then be destroyed approximately 6 months later. You may decide not to answer one or any of these questions but if you do respond, all information provided will be treated in confidence and will be used solely by the Human Resources department for the purpose of providing statistics for equal opportunities monitoring. The monitoring form does not form part of your application and will therefore be detached from it on receipt and stored separately. You can mail this form to us separately if you wish. In each section listed below, please choose one option by marking 'X' in the appropriate box. Post Applied For Service —Please choose an option—West (Hawick)DunsCentral (Galashiels/Selkirk/Jedburgh) AGE —Please choose an option—Under 1818-2425-2930-3435-3940-4445-4950-5455-5960-65Over 65Prefer not to say DISABILITY The Equality Act 2010 defines a disability as a physical or mental impairment that has a substantial and long-term adverse effect on an individual’s ability to carry out normal day-to-day activities. Do you consider that you have a disability? YesNoPrefer not to say GENDER MaleFemaleOtherPrefer not to say MARITAL OR CIVIL PARTNERSHIP STATUS MarriedIn a registered civil partnershipSingleSeparatedDivorcedWidowedCo-habitingPrefer not to say ETHNIC GROUP Asian / Asian British BangladeshiChineseIndianPakistaniOther Asian background (please specify) Black / Black British AfricanCaribbeanIndianPakistaniOther Black background (please specify) Mixed Ethnic Group White and AsianWhite and Black AfricanWhite and Black CaribbeanOther Mixed background (please specify) White White BritishWhite IrishWhite and Black CaribbeanOther White background (please specify) Other Ethnic Group (please specify) Prefer not to say SEXUAL ORIENTATION BisexualHeterosexualHomosexual / Gay / LesbianOtherPrefer not to say RELIGION OR BELIEF BuddhistHinduMuslimSikhChristianJewishNo religionPrefer not to say RELIGION OR BELIEFOther religion or belief (please specify) Date Please leave this field empty.