Equal Opportunities Monitoring Form ( CONFIDENTIAL )
	In accordance with its equal opportunities statement, JMP Consultants Ltd will provide equal opportunities to all employees and job applicants and will not discriminate either directly or indirectly on the grounds of age, colour, disability, ethnic origin, marital status, nationality, national origin, religion, sex or sexual orientation. In order to enable the Company to ensure compliance with its policy statement, a system of monitoring has been set up. We have only asked for your name so that monitoring can take place both at the shortlisting for interview stage and at the appointment stage. Once an appointment has been made, the data given on this form will be stored on computer in an anonymous format and forwarded to the Deputy Company Secretary. The form will then be destroyed. All information provided will be treated in confidence and will be used solely by the company for the purpose of providing statistics for equal opportunities monitoring. The monitoring form does not form part of your application and will therefore be detached from it on receipt and stored separately. You may mail this form separately if you wish. Thank you for your assistance in completing this form.
Name
Post title
How did you hear about JMP?	select… Website  Advert  Contact  Other
JMP Office
Month of Application
Gender	select… Male  Female  Prefer not to say
Marital status	select… Married/civil partnership  Single  Other  Prefer not to say
Age band	select… 16 - 21  22 - 30  31 - 40  41 - 50  51 - 60  61 - 65  Over 65  Prefer not to say
Sexual orientation	select… Heterosexual  Homosexual  Bisexual  Transsexual  Prefer not to say
Disabilities	select… None  Physical disability  Mental disability  Prefer not to say
Race/nationality/ethnic origin	select… British  Irish  Any other white background (please specify)  White and Black Caribbean  White and Black African  White and Asian  Any other mixed background (please specify)  Indian  Pakistani  Bangladeshi  British  Any other Asian background (please specify)  Caribbean  African  Any other African background (please specify)  Chinese  Any other ethnic group (please specify)  Prefer not to say
Religion	select… Christian (Church of England,Catholic,Protestant,Other Christian)  Jewish  Sikh  Muslim  Hindu  Buddhist  None  Other religion (please specify)  Prefer not to say
I do not wish to provide this information
	For the purposes of compliance with the Data Protection Act 1998, I hereby confirm that by completing this form I give my consent to the Company processing the data supplied on this form for the purpose of equal opportunities monitoring. I understand that the data will be retained anonymously once an appointment has been made.