Assessor & Electoral Registration Officer
for Grampian Valuation Joint Board
EQUAL OPPORTUNITIES MONITORING
Grampian Valuation Joint Board wants to meet the aims and commitments set out in its equality
policy. This includes not discriminating under the Equality Act 2010, and building an accurate picture
of the make-up of the workforce in encouraging equality and diversity.
The organisation needs your help and co-operation to enable it to do this, but filling in this form is
voluntary.
In accordance with the requirements of the Data Protection Act 2018, you are advised that the
information provided in this form will be used for equal opportunities monitoring purposes only. The
information you provide will stay confidential, and be stored securely and limited to only some staff in
the organisation. Further details on how your personal data will be used, shared and disposed of,
along with your rights is available at www.grampian-vjb.gov.uk/privacy-notice
Please
return the completed form in an envelope marked “Strictly confidential” to
Equal Opportunities Monitoring, Grampian Assessor & ERO, Woodhill House, Aberdeen
AB16 5GE or send it in a separate email from your application form, marked “Strictly
confidential”, to assessor@grampian-vjb.gov.uk
Gender
Male
Female
Prefer not to say
Are you married or in a civil partnership? Yes
No
Prefer not to say
Age
25-29
30-34
35-39
40-44
45-49
50-54
60-64
65+
Prefer not to say
What
is your ethnicity?
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
English
Welsh
Scottish
Northern Irish
Irish
British
Gypsy or Irish Traveller
Prefer not to say
Any other white background ……………………………………………
Mixed / multiple ethnic groups
White and Black Caribbean
White and Black African
White and Asian
Prefer not to say
Any other mixed background ………………………………………………………
Asian / Asian British
Indian
Pakistani
Bangladeshi
Chinese
Prefer not to say
Any other Asian background ……………………………………………..
Black / African / Caribbean / Black British
African
Caribbean
Prefer not to say
Any other Black / African / Caribbean background ………………………………………………………….
Other ethnic group
Arab
Prefer not to say
Any other ethnic group …………………...................................
Do you consider yourself to have a disability or health condition?
Yes
No
Prefer not to say
What is the effect or impact of your disability or health condition on your ability to give your best at
work?
……………………………………………………………………………………………………………………
The information in this form is for monitoring purposes only. If you believe you need a “reasonable
adjustment”, then please discuss this with your manager, or the manager running the recruitment
process if you are a job applicant.
What is your sexual orientation?
Heterosexual
Gay woman/lesbian
Gay man
Bisexual
Prefer not to say
Other …………………………………………………………..
What is your religion or belief?
No religion or belief
Buddhist
Christian
Hindu
Jewish
Muslim
Sikh
Prefer not to say
Other …………………………………………