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HAMPSHIRE COUNTY COUNCIL CONFIDENTIAL - page 7 / 8

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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

English / Welsh / Scottish / Northern Irish / British

White & Black Caribbean

Indian

Irish

White & Black African

Pakistani

Other White background *

White & Asian

Bangladeshi

Gypsy/Irish Traveller

Other Mixed / Multiple Ethnic background *

Other Asian background *

Chinese

D

Black & Black British

E

Arab or any other ethnic group

Caribbean

Arab

I do not wish to disclose

my ethnic origin to

African

Any other ethnic group *

Hampshire County Council

Other Black background *

CONFIDENTIAL

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