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CONFIDENTIAL

Equalities Monitoring Form

We would be grateful if you would complete the following in order for us to monitor equalities information and ensure that we are treating all candidates fairly and appropriately.

This information will be treated confidentially and will not be used in any part of the selection process.

School/ Children’s Centre:

Post applying for:

Name:

Date of Birth:

Gender:

Male

Female

Nationality:

British

Irish

Other EU country

Other Non EU country

Ethnicity:

Please indicate your ethnic origin:

A

White

B

Mixed

C

Asian & Asian British

British

White & Black Caribbean

Indian

Irish

White & Black African

Pakistani

Other White background *

White & Asian

Bangladeshi

Other Mixed background *

Other Asian background *

D

Black & Black British

E

Chinese or other group

Caribbean

Chinese

I do not wish to disclose

my ethnic origin to

African

Any other background *

Hampshire County Council

Other Black background *

* Please indicate any other ethnic background:

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