Equality and Diversity Monitoring Form

Image of two people sat at a table in a canteen setting, chatting over a cup of tea, highlighting companionship services.

Equality and Diversity Monitoring Form

Home Carers Ltd aims to meet our commitments as 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 organisation 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 organisation’s Human Resources section.
Name
Are you married or in a civil partnership? (Required)
Age
Do you consider yourself to have a disability or health condition?
The information in this form is for monitoring purposes only. If you believe you need a ‘reasonable adjustment’ to attend the interview, then please discuss this with your manager, or the HR Manager running the recruitment process if you are a job applicant.
What is your religion or belief?
Do you have caring responsibilities? If yes, please tick all that apply.