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YOUR WELLBEING AT WORK
LOOKING AFTER YOUR STAFF
Supporting You into Work

Home
Your Wellbeing at Work
- In Work Support – North, West and South West Wales
- Your Stories
Looking After Your Staff
Supporting You Into Work
- Employability Training
- Your Stories
About RCS
Resources
- Wellbeing Monthly Planners
- In Work Support Flipbooks
Our Impact
Contact RCS
English
Cymraeg

Application Monitoring Form

RCS is committed to encouraging equality, diversity and inclusion in the workplace, and eliminating unlawful discrimination.

The aim is for our workforce to be truly representative of all sections of society and our customers, and for each employee to feel respected and able to give their best.

It is useful for us to collect data from our applicants to monitor that this is happening with our recruitment process and we use this data to report annually to evaluate our progress against this.

Filling in this form is voluntary.

The information provided will be kept confidentially and will be used for monitoring purposes only in line with UK GDPR and is not seen as part of the recruitment process.

Please could you complete the following information about yourself return form to recruitment@RCS-wales.co.uk

Age Age Under 18 19-24 25-35 36-45 46-55 56-65 65+ Prefer not to say

New Field New Field Disability Hidden

Do you consider yourself to have a long term health condition? Do you consider yourself to have a long term health condition? Yes No Prefer not to say

Sexuality Sexuality Heterosexual Gay Lesbian Bi sexual Other Prefer not to say

Gender Gender Male Female Identify as another gender Prefer not to say

Do you identify now as the same gender as you were at birth? Do you identify now as the same gender as you were at birth? Yes No Prefer not to say

New Field New Field Marital Status Hidden

Are you married or in a civil partnership? Are you married or in a civil partnership? Yes No Prefer not to say

New Field New Field Ethnicity Hidden

Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please tick the appropriate box. Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please tick the appropriate box. White Mixed / multiple ethnic groups Asian Other ethnic groups

White White Welsh English Northern Irish Scottish British Irish Gypsy or Irish Traveller Other Prefer not to say

Mixed / multiple ethnic groups Mixed / multiple ethnic groups White and black Caribbean White and black African White and Asian Other Prefer not to say

Asian Asian Indian Pakistani Chinese Bangladeshi Other Prefer not to say

Other ethnic groups Other ethnic groups African Caribbean Arab Other Prefer not to say

What is your religion or belief? What is your religion or belief? No religion or belief Christian Hindu Buddhist Jewish Muslim Sikh Prefer not to say Other

Do you have caring responsibilities? If yes, please tick all that apply Do you have caring responsibilities? If yes, please tick all that apply None Primary carer of disabled adult (18 and over) Primary carer of a child/children (under 18) Primary carer of older person Primary carer of disabled child/children Secondary carer (another person carries out the main caring role) Prefer not to say Other

If the form does not submit, please check your email has been entered correctly.

RCS is a community interest company, registered with Companies House, 06560162, at 69-71 Wellington Road, Rhyl, Denbighshire, Wales, LL18 1BE.