EQUAL OPPORTUNITIES MONITORING FORM
Download the 
Volunteers Monitoring Form
Volunteering Position:
This monitoring information will help us check if our volunteering opportunities are reaching all sections of the community and that the final selection decision was made on fair grounds. All information will be held in strict confidence.
Gender: Male ( ) Female ( )
Age: Less than 35 ( ) 35 – 49 ( ) Over 50 ( )
Do you consider yourself to have a disability?
Ethnic Origin:
White ( ) Black Caribbean ( ) Black African ( ) Black other ( )
Please specify: _____________________
Bangladeshi ( ) Pakistani ( ) Somali ( ) Chinese ( ) Other ( )
Please specify: ______________________
NOTICE TO APPLICANTS:
If you are applying for work experience directly with young people, the provisions of the Rehabilitation of Offenders Act do not apply. This means that you are not entitled to withhold information about convictions which, for other purposes are ‘spent’ under the provision of the act. Failure to disclose such convictions could result in your dismissal later. Information will be treated as confidential and will be considered only in relation to applications for positions to which the order applies.
Have you ever been convicted of criminal offences?
If yes, give brief details below or in a sealed envelope marked for the attention of the Chair and send with this form.
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I understand that if I have used misleading information to gain volunteering experience with this organisation than I may be instantly asked to end my work experience.
Signed: Date: