Monitoring Form

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Monitoring Form

Recruitment Monitoring Form

Email:

Application for the Post Of

Job Reference

What Is your Ethnic Group? To demonstrate our commitment to equality of opportunity we need to monitor the community background of our employees, as required by the Fair Employment Act 1989

I am a member of the Catholic Community

I am a member of the Protestant Community

Gender

Male

Female

Disability : Defined as "physical or mental impairment, which has a substantial and long term adverse effect on a person's ability to carry out normal day to day activities" - Do you consider yourself disabled?

Yes

Age Group

16-25

26-35

36-45

46-55

56-65

66-70

Over 70

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