This section will be detached from your application.
Adactus is committed to treating all employees/prospective employees, with dignity and respect, regardless of race, gender, disability, sexual orientation, religion or belief. In order to ensure that our Equality and Diversity policy is effective, we need to gather information regarding applicants and new employees. The information you provide will be treated in the strictest confidence. It will be held by the Personnel Section and will only be used for monitoring purposes and for the processing of your application.
Unique Identification
Number:
Full name
Title
eg Mr/Mrs/Ms/Miss		 National Insurance Number
Address
 
 
 
 
                                                                                      Postcode
Telephone number(s)
Work (if it can be used)
 
Home
Mobile
Email
Preferred Contact No. & Time
 
 
Post applied for Post Reference No
Other personal information (Please tick)
Gender                                   Male     Female     Transgender
Date of Birth
Sexual orientation                  Bisexual      Gay      Heterosexual      Lesbian      Prefer not to say
Religion or belief Buddhist Christian Hindu Jewish Muslim Sikh
  None Other (Please specify)
Ethnic origin (Please tick)
A. White      
British Irish White other  
 
B. Mixed
White & Black Caribbean White & Black African White & Asian  
Other mixed      
 
C. Asian or Asian British
Indian Pakistani Bangladeshi Other Asian
 
D. Black or Black British
Caribbean African Other Black  
 
E. Chinese or other ethnic group
Chinese Other    
Disability Discrimination Act

The Disability Discrimination Act 1995 & 2005 defines a person as having a disability if he/she has a physical or mental impairment which has a substantial and long term effect on his/her ability to carry out normal day to day duties.

Do you consider yourself to have a disability as defined above?      Yes           No

Please indicate any arrangements required to enable you to meet the person specification.

 

 

 

 

 

Please indicate any arrangements we should make to ensure you have an opportunity to attend and demonstrate your skills at a test or an interview eg sign language interpretation, wheelchair access etc.

 

 

 

 

 

 
How did you find out about this vacancy? (Please tick media)
Adactus website Other website (please specify)
Job Centre From existing employee Internal circular (internal employees only)
Newspaper/Journal advertisement (please specify)
Data Protection Act 1998

The personal data that you provide will be used for the purposes of monitoring the provision of equal opportunities within the Adactus Housing Group. It will enable Adactus to meet its statutory obligations under the Disability Discrimination Act 1995 and 2005 and its regulatory duties under Schedule 1 of the Housing Act 1996.

I agree to the processing of the information that I have provided in accordance with the Group’s registration with the Data Protection Information Commissioner.
Signed Date