Application for
Kitchen Porter
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General
Please answer all the following question(s).
1.
Have you been convicted of a criminal offence which is not yet spent within the terms of the Rehabilitation of Offenders Act 1974?
Yes
No
2.
Are you eligible to work in the UK?
Yes
No
3.
Salary Expectations? (please specify a figure)
4.
NI Q1 We are an Equal Opportunities Employer. We do not discriminate against our job applicants or employees and we aim to select the best person for the job. We monitor the community background and sex of our job applicants and employees in order to demonstrate our commitment to promoting equality of opportunity in employment and to comply with our duties under the Fair Employment & Treatment (NI) Order 1998. You are not obliged to answer the questions on this form and you will not suffer any penalty if you choose not to do so. Nevertheless, we encourage you to answer these questions. Your answers will be used by us to prepare and submit a monitoring return to the Equality Commission, but your identity will be kept anonymous. In all other regards your answers will be treated with the strictest confidence. We assure you that your answers will not be used by us to make any decisions affecting you, whether in a recruitment exercise or during the course of any employment with us. Community Background: Regardless of whether they actually practice a religion, most people in Northern Ireland are perceived to be members of either the Protestant or Roman Catholic communities. If you do not answer the question, we are encouraged to use the residuary method of making a determination, which means that we can make a determination as to your community background on the basis of the personal information supplied by you in your application form/personnel file.
I am a member of the Protestant community:
I am a member of the Roman Catholic community:
I am not a member of either the Protestant or the Roman Catholic communities:
5.
NI Q2 Please indicate your sex by ticking the appropriate box below: Note: If you answer this questionnaire you are obliged to do so truthfully as it is a criminal offence under the Fair Employment (Monitoring) Regulations (NI) 1999 to knowingly give false answers to these questions.
Male
Female
Other
Diversity
Please answer all the following question(s).
1.
Which age band are you in? (Please select one option only)
17 and under
18 to 24
25 to 34
35 to 44
45 to 54
55 to 64
65 to 74
75 to 84
85 or over
Prefer not to disclose
2.
Which gender do you identify with?
Female
Male
Transgender
Other or non- binary
Prefer not to disclose
3.
How would you describe your ethnic origin (or ‘What is your ethnic origin’?
Arab/British Arab
Asian/British Asian (subcategories: Bangladeshi, Chinese, Indian, Pakistani and other Asian background)
Black/Black British (subcategories: African, Caribbean and other Black background)
Gypsy/Traveller/Roma
Mixed Heritage
White – English, Welsh, Scottish, Northern Irish / British
White – Irish
White – Other
Other / self-describe (please specify)
Prefer not to disclose
4.
What is your religion or belief?
Christian
No religion or belief
Other religion or belief
Prefer not to disclose
Disability
Please answer all the following question(s).
1.
Do you consider yourself to be disabled ? (The Equality Act 2010 defines a person as disabled if they have a physical or mental impairment that has a substantial or long term affect on their ability to do normal daily activities)
Yes
No
I do not wish to disclose.
5. THANK YOU
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