EQUAL OPPORTUNITIES FORMThis sheet does not form part of the selection process. It will be retained by Human Resources pur...
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Equal opportunities form 2012

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Equal opportunities form 2012

  1. 1. EQUAL OPPORTUNITIES FORMThis sheet does not form part of the selection process. It will be retained by Human Resources purely formonitoring purposes. Hill+Knowlton Strategies recognises and actively promotes the benefits of a diverseworkforce and is committed to treating all employees with dignity and respect regardless of race, gender,disability, age, sexual orientation, religion or belief. We therefore welcome applications from all sectionsof the community. Name Date of Birth ¨ Male ¨ Female ¨ Other (Please specify) Gender I would describe my ethnic origin as:Asian or Asian British Mixed Other Ethnic Group ¨ Bangladeshi ¨ White & Asian ¨ Chinese ¨ Indian ¨ White & Black African ¨ Other ethnic group ¨ Pakistani ¨ White & Black Caribbean ¨ Other Asian background ¨ Other mixed backgroundBlack or Black British White ¨ African ¨ British ¨ Caribbean ¨ Irish ¨ Other Black background ¨ Other White background Please select the option which best describes your sexuality ¨ Lesbian ¨ Heterosexual ¨ Gay ¨ I do not wish to disclose this ¨ Bisexual Please indicate your religion or belief ¨ Atheism ¨ Jainism ¨ Judaism ¨ Buddhism ¨ Sikhism ¨ Hinduism ¨ Christianity ¨ Other (Please specify) ¨ I do not wish to disclose this ¨ IslamDo you consider yourself to have a ¨ Yesdisability? ¨ NoPlease state the type of impairment which applies to you. People may experience more than one type ofimpairment, in which case you may indicate more than one. If none of the categories apply, please mark‘other’ ¨ Physical Impairment ¨ Learning Disability/Difficulty ¨ Sensory Impairment ¨ Long-standing illness ¨ Mental Health Condition ¨ Other (please specify)

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