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Equalities Monitoring Form

Step 1 of 3

The Council is required to regularly monitor and report on a range of activities and processes such as training, internal and external recruitment. The information we are asking from you below is used solely for this purpose. The individual information supplied will be kept confidential on your personal file on Chris 21 and will not be shared, although you may be contacted about your answers, if you agree. The combined information will be used regularly to produce anonymised reports as part of the monitoring process described above and to fulfil our legal requirements as set out in the Public Sector Equality Duties.

Our continued ability to deliver equal opportunity employment depends on you giving us the information to do this. Please complete the form and forward to Human Resources.

Please Note - Questions 1, 2 and 3 MUST be answered. These are mandatory fields.

I wish all communication to be through the medium of Welsh
Step 2 of 3
Is your gender identity the same as the gender you were assigned at birth?
Do you consider yourself to be disabled?

Identifying as a disabled person can include people with hearing or sight impairments, people with mental health difficulties or learning disabilities, people with mobility impairments, or those who have long-term health conditions, for example: depression, diabetes, asthma, multiple sclerosis, HIV or cancer.

Do you regard yourself as belonging to any particular religion?
Are you or have you been a member of the Armed Forces?
Are you currently a Reservist?
Caring Responsibilities

Carers look after family, partners or friends in need of help because they are ill, frail or are disabled. The care they provide is unpaid. This definition includes young Carers and parent Carers of disabled children. The term Carer includes people who may or may not be living with the person they care for.

Do you consider yourself to be a Carer in line with the definition above?

Step 3 of 3

Language & Communication

Are you currently learning Welsh?

Please tell us whether you read, write or speak Welsh and to which level:

May we contact you regarding your Welsh Language Skills?
Do you read, write, speak or are learning another language?
Did you attend a Welsh medium school?
Would you like to improve your Welsh Language Skills?

Form Submitted

Thank you for completing the equalities monitoring form.

What happens next?

Your form will be reviewed, and appropriate action (if applicable) will be followed up with the relevant People Services advisor

When to contact us?

If you have made a mistake or need to change something in your request.

Thank you for taking the time to visit www.merthyr.gov.uk

Form Submitted

Thank you for completing the equalities monitoring form.

What happens next?

Your form will be reviewed, and appropriate action (if applicable) will be followed up with the relevant People Services advisor

When to contact us?

If you have made a mistake or need to change something in your request.

Thank you for taking the time to visit www.merthyr.gov.uk

Is there anything wrong with this page?

© Merthyr Tydfil County Borough Council