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Equality and diversity monitoring

Haskins Garden Centres wants to meet the aims and commitments set out in its equality policy. This includes not discriminating under the Equality Act 2010, and building an accurate picture of the make-up of the workforce in encouraging equality and diversity.

The Company needs your help and co-operation to enable it to do this, but filling in this form is voluntary. The information you provide will stay confidential, and be stored securely and limited to only some staff in the company’s Human Resources department.

At which Haskins Garden Centre is the position you applied for?

Gender:MaleFemalePrefer not to say

Are you married or in a civil partnership?:YesNoPrefer not to say

Age:




What is your ethnicity?
Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please tick the appropriate box:

White:
Any other white background, please write in:

Mixed/multiple ethnic groups:
Any other mixed background, please write in:

Asian/Asian British:
Any other Asian background, please write in:

Black/ African/ Caribbean/ Black British:
Any other Black/African/Caribbean background, please write in:

Other ethnic group:
Any other ethnic group, please write in:




Do you consider yourself to have a disability or health condition? YesNoPrefer not to say

What is the effect or impact of your disability or health condition on your ability to give your best at work?


The information in this form is for monitoring purposes only. If you believe you need a ‘reasonable adjustment’, then please discuss this with your manager, or the manager running the recruitment process if you are a job applicant.

What is your sexual orientation?
If other, please write in:

What is your religion or belief?
If other religion or belief, please write in:

What is your current working pattern?

What is your preferred flexible working arrangement?
If other, please write in:

Do you have caring responsibilities? (please tick all that apply)

NoPrimary carer of a child/children (under 18)Primary carer of disabled child/childrenPrimary carer of disabled adult (18 and over)Primary carer of older personSecondary carer (another person carries out the main caring role)Prefer not to say