This part of the application form will be detached before the selection process. The information will not be used in selection and the information will be treated in the strictest confidence.

Are you: MaleFemale
Are you: SingleMarriedOther (please specify)
Your age: 16-2425-3435-4445-5455 and over
Do you consider yourself to be: DisabledNot Disabled

Would you describe your ethnic origin as:
BangladeshiIndianPakistaniAny other Asian background*ChineseWhite and AsianWhite and Black AsianWhite and Black CarribeanAny other mixed background*White BritishIrishAny other White background*

How did you learn about the vacancy?
Local MediaNational MediaWebsiteInternal CommunicationsCasual EnquiryJob Centre

Under the data protection act, 1998 this data is classified as sensitive. Please indicate your approval to this information being recorded on a database and used for statistical purposes by ticking the appropriate box.

I give my consent for this information to be used for statistical purposes. I understand it will be recorded on a computer database and access to this will be security controlled.I do not wish to provide this information.