t
ransport.gov.scot
1
Equality and diversity
monitoring form
British
Any other white background
Pakistani
Any other Asian background
Any other black background
Any mixed background
Bangladeshi
Carribbean
Any other background
As an employer, it is the aim of the Scottish Government to become an exemplar in the
field of diversity and to broadly reflect the communities we serve. We also want to
ensure that our job opportunities are open to all. To help us achieve this, it is important
that we obtain accurate and complete data from every job applicant and employee.
All information gathered will be used only for the purposes of monitoring and collated
data will never be published where there are numbers less than five to ensure that
individuals cannot be identified.
Date of birth
Please select one category which best describes your national identity
Scottish
English
Welsh
Irish
Other
Prefer not to say
If other, how would you describe your national identity?
Please select one category which best describes your ethnic origin
White British
Indian
Chinese
African
Prefer not to say
transport.gov.scot
2
Please select one category which best describes your religion
Roman Catholic
Hindu
Sikh
Another faith, belief or religion
None
Other
Christian
Muslim
Pagan
Church of Scotland
Buddhist
Jewish
Prefer not to say
Please select one category which best describes your sexual orientation
Gay woman or lesbian
Other
Bisexual
Heterosexual or straight
Gay man
Prefer not to say
Disability
Do you have a health condition or disability?
Has it lasted or is it expected to last 12 months?
Does this have an adverse effect on your day-to-day activities?
Please select the category which best describes the nature of your health
condition/disability?
Yes No
Yes No
Yes No
Speech impairment
Physical capactity
Mental illness
Hearing impairment
Mobility
Severe disfigurement
Other
Visual impairment
Physical coordination
Learning difficulties
Prefer not to say
Equality and diversity monitoring form