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Equal Opportunity Monitoring Form

This document is an equal opportunity monitoring form from CCEA (Council for the Curriculum, Examinations and Assessment) in Northern Ireland. The form collects information about an applicant's gender, age, community background, ethnic origin, disability status, marital status, sexual orientation, dependents, and how they learned about the job vacancy. The information is collected to comply with fair employment laws and to ensure equality in CCEA's workforce and applicant pool. Completing the form is required for an application to be considered.

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muralide
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13 views2 pages

Equal Opportunity Monitoring Form

This document is an equal opportunity monitoring form from CCEA (Council for the Curriculum, Examinations and Assessment) in Northern Ireland. The form collects information about an applicant's gender, age, community background, ethnic origin, disability status, marital status, sexual orientation, dependents, and how they learned about the job vacancy. The information is collected to comply with fair employment laws and to ensure equality in CCEA's workforce and applicant pool. Completing the form is required for an application to be considered.

Uploaded by

muralide
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

EQUAL OPPORTUNITY MONITORING FORM

Equal opportunities on community background


Applicant reference number: EO/ICT/0411
(office use only)

In accordance with the Fair Employment & Treatment (NI) Order 1998, the Council is required to monitor the
community background of its workforce and applicants.
CCEA fully supports Equality for all people and is committed to the fulfilment of Section 75 of the Northern Ireland
Act 1998. The Act requires CCEA, in carrying out its functions, to have due regard to the need to promote equality
of opportunity:

• between persons of different religious belief, ethic origin, age, marital status or sexual orientation;
• between men and women generally;
• between persons with a disability and persons without;
and

• between persons with dependants and without.


To help us monitor the composition of the workforce and applicants for posts in order to ensure equality
among all categories please complete the sections below. The information you provide will be treated on a
strictly confidential basis however you may leave blank any question which you do not wish to answer.

1 Gender

Male Female

2 Age

Date of Birth: e.g. 24 04 61         

3 Community Background

Protestant Roman Catholic Other

If other, please specify      

4 Ethnic Origin

White Chinese Irish Traveller

Black Other

If other, please specify      

CCEA/FO/2108/01
5 Disability
Disability is defined in the Disability Discrimination Act 1995 as ‘A 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’. The
effect of the impairment is classed as long term if (a) it has lasted at least 12 months; or (b) the period for
which it lasts is likely to be at least 12 months; or (c) it is likely to last for the rest of the individual’s life. Please
note that it is the effect of the impairment without treatment which determines whether an individual meets this
definition.

Do you consider yourself to be disabled?

Yes No

If yes what is the nature of your disability?

     

6 Marital Status

Single Married Civil Partnership/Co-habiting

Seperated/Divorced Widowed

7 Sexual Orientation

Bisexual Gay Heterosexual Lesbian Do not wish to disclose

8 Dependants

Do you have dependants? Yes No

If yes, please indicate whether your dependants or the people you look after are:

Child/children Disabled person(s) Elderly person(s) Other

If other, please specify      

9 Method of Advertisement

Please indicate in which publication or by which other means you became aware of this vacancy:

Belfast Telegraph [Link] Job Centre

Sunday Life CCEA Website

If other, please specify      

This form must be completed for your application to be considered. Please complete and send with your application
form either by post to The Monitoring Officer, CCEA, 29 Clarendon Road, Clarendon Dock, Belfast, BT1 3BG or by
email to recruitment@[Link]

CCEA/FO/2108/01

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