Quetzal Equality and Diversity Monitoring Form

Quetzal Equality and Diversity Monitoring Form
Information for the Applicant

Quetzal aims to have a workforce that reflects the diversity of talent, abilities, and skills of our communities. This means that in line with the Equality Act 2010, we will monitor the composition of our workforce to ensure that it is representative and that all staff is treated equally and fairly.

All information will be treated in confidence and the form will only be used to provide statistics for monitoring purposes.

The information you provide will be held in the strictest confidence and adhere to the provisions of the Data Protection Act 2018. Quetzal is committed to protecting the privacy and security of your personal data.

NOTE: Volunteer roles are exempt from The Equality Act 2010. Due to the nature of our work, we only recruit females to avoid traumatisation of our service users.
Name

First NameLast Name
Age
What is your age range? Please select from the dropdown
Gender Identity
What is your gender identity? Please select from the dropdown
I prefer to describe my gender in another way
Please state your preferred self-description of your gender in the box above.
Is your gender identity the same as assigned to you at birth?
Ethnicity
Asian or Asian British
Any other Asian background:
Please describe
Black or Black British
Any other Black/African/Caribbean background
Please describe
Mixed/Multiple Ethnic Groups
Any other Mixed/Multiple Ethnic Group background
Please describe
White
Any other White background
Please describe
Other Ethnic Group
Any other Ethnic Group
Please describe
Nationality
Country of Origin/Nationality/Country you most associate yourself with. I would describe my nationality as:
Religion or Belief
Which category best describes your religion or belief?
Other
Please specify
Sexual Orientation
Which of the following options best describes your sexual orientation?
Other
Please specify
Disability
The Equality Act 2010 defines disability as "a physical or mental impairment which has a substantial & long-term effect on a person’s ability to carry out normal day to day activities".

An effect is long-term if it has lasted, or is likely to last, over 12 months.
Do you consider that you have a disability under the Equality Act definition?
*If Yes, please indicate the nature of your disability below If yes, please
If the category in which you would closely associate yourself is not given above, please optionally also tell us how you would describe yourself:
Reasonable Adjustments
Please advise of any reasonable adjustments you require for the purposes of the recruitment.
Thank you for assisting us by completing the Questionnaire.
Important information:

The information on this form is collected for the purpose of recruitment monitoring and is confidential.
Should be Empty:

Quetzal Equality and Diversity Monitoring Form

Age

Gender Identity

Ethnicity

Nationality

Religion or Belief

Sexual Orientation

Disability

Reasonable Adjustments