East Park Equal Opportunities Form Introductory blurb here Equal Opportunities Form Gender How would you describe your gender? Female Male Transgender I prefer not to answer Other (please specify below) If other, please specify here Age What is your age? 16 - 25 26 - 40 41 - 50 51 - 60 61 - 75 Over 75 I prefer not to answer Ethnic Group What is your ethnic group? For this question, please choose one section and then, if required, the appropriate group in that section in order to indicate your ethnic group. White Mixed (any mixed background) Asian, Asian Scottish or Asian British Black, Black Scottish or Black British Other ethnic background (please specify below) I prefer not to answer this question Please click the appropriate group in the White section in order to indicate your ethnic group. Scottish Irish Other British Other white (please specify below) You have chosen "Other White". Please specify here Please click the appropriate group in the Asian, Asian Scottish or Asian British section in order to indicate your ethnic group. Indian Pakistani Bangladeshi Chinese Other Asian (please specify below) You have chosen "Other Asian". Please specify here. Please click the appropriate group in the Black, Black Scottish or Black British section in order to indicate your ethnic group. Caribbean African Other Black (please specify below) You have chosen "Other Black". Please specify here. You have chosen "Other ethnic background". Please specify here. Sexual Orientation How would you describe your sexual orientation? Heterosexual/Straight Gay man Lesbian Bisexual Other (please specify below) I prefer not to answer this question You clicked "Other". Please specify here. Religion Which of the following religions, religious denominations or bodies do you currently belong to? Non-religious (Atheist, Humanist, etc) Church of Scotland Roman Catholic Other Christian (please specify below) Buddhist Hindu Jewish Muslim Sikh Other religion (please specify below) I prefer not to answer this question You have chosen "Other Christian". Please specify here. You have chosen "Other religion". Please specify here. Disability Do you consider yourself to be have any long-standing illness or disability that affects the work you do? Yes No If yes, which type of impairment do you have? Physical Mental health Learning Visual Hearing Speech Other (please specify below) I prefer not to answer this question You have chosen "Other". Please specify here. Date of Birth and Age Date of birth Age SHOW SUMMARY Some required Fields are emptyPlease check the highlighted fields. Submit
