Equality, Diversity and Inclusion Monitoring

As part of Gasworks Dock Partnership's work on equality, diversity and inclusion we would like to understand more about people who apply for jobs at Cody Dock.

DEMOGRAPHICS

Age

Ethnic Origin

ETHNIC GROUP

Ethnic Group

If other please describe

ETHNIC GROUP

Ethnic Group

If other please describe

ETHNIC GROUP

Ethnic Group

If other please describe

ETHNIC GROUP

Ethnic Group

If other please describe

ETHNIC GROUP

Ethnic Group

If other please describe

HEALTH AND WELLBEING

Do you consider yourself to be a disabled person?

YesNo

Do you experience barriers of limitations in your day-to-day activities related to health conditions (including mental health) physical, sensory or cognitive differences?

Yes - substantial barriers or limitationsYes - some small barriers or limitationsNoPrefer not to say

If so please give a brief description:

GENDER

Which of the following best describes your gender identity

FemaleMaleNon-binaryI prefer to self-describeI prefer not to say

Please describe your gender if you ticked self-describe:

SEXUALITY

Which of the following best describes your gender identity

Asexualbi/bisexualGay/Lesbian/HomosexualStraight/HeterosexualPansexualI identify in another wayI prefer not to say

Please describe your sexuality if you identify in another way:

RELIGION

Which of the following best describes your gender identity

AtheistBuddistChristianHinduJewish MuslimSihkSpiritualAny other religion or beliefI prefer not to say

Please describe your sexuality if you identify in another way:

Contact Information