Equality & Diversity Form - City of Wolverhampton College

Thank you for your interest in a career with us. Please ensure that you complete the below form in order to submit your application.

Equality & Diversity Monitoring Form

We are committed to protecting the welfare of learners and expect all who work with, or on behalf of us, to share this commitment. As a result, all roles within the college are governed by Independent Safeguarding Authority (ISA) regulations.

We are committed to promoting equal opportunities in all our activities and to encouraging access to the college from all groups. We are working to create an environment in which we value cultural diversity and individual difference in an atmosphere free from harassment and discrimination. We take seriously our legal and moral obligations in terms of equal opportunities. We welcome discussion with groups and individuals on ways in which we can improve our policies and practice in terms of equal opportunities.

We will not accept any form of behaviour or activity that discriminates for any reason.

We will not disadvantage or treat less favourably anyone applying for a job or employee because of conditions or requirements which cannot be justified. We will make reasonable adjustments to our arrangements and premises with a view to avoiding any disadvantages for disabled people.

We will use the information on this form for monitoring purposes only. We will then remove this from the application form before the shortlisting and interview process.

Reference number for the post:

Position applied for:

Application number: (for internal purposes)

Name:

National Insurance Number:

Date of birth:

Additional Questions

If yes, please give details:

As all staff have access to learners, posts are exempt from the conditions of the Rehabilitation of Offenders Act 1974 and so you must declare all convictions, cautions and bind-overs, including those seen as ‘spent’.

Name:

Relationship:

Address

Apt, suite, etc.

Country

City

State

Zip code

Phone Number:

Name:

Relationship:

Address:

Apt, suite, etc.

Country

City

State

Zip code

Phone Number:

Are you

Male

Female

Is your gender identity the same as on your birth certificate?

Yes

Prefer not to say

Are you currently undergoing gender reassignment or recognition?

Yes

Marital or civil-partnership status:

Married

In a civil partnership

Not married (includes single, widowed or divorced)

Prefer not to say

Religion or belief:

Nationality:

Citizen of the European Union or UK

Other

If other, please give details:

Do you need a work permit?

Yes

Are you currently carrying out any work under a work permit?

Yes

Passport Number:

Ethnic background - staff individualised record (SIR) 17 code used:

Disability Discrimination Act - staff individualised record (SIR) 17 code used. Are you disabled?

Do you have an impairment which may affect your employment that you would like us to know about? If so please give details.

If you meet the essential requirements for the role, you may be guaranteed an interview under our \'Guaranteed Interview Scheme\'. Please provide details of special arrangements to be made for you to be able to attend an interview, should you qualify.

Caring responsibilities

Yes

Is there anyone who relies on you for care and that you help with their daily routine?

If yes, please say who you provide care for:

Please say where you saw this post advertised.

	Yes	No
Do you hold a driving licence?
Do you have regular use of a car and would you be prepared to use it for work puposes?
Do you have any current of previous convictions?