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COVID-19
Tees Valley COVID-19 Virtual Ward
Our Services
SPLW
About us
Our Story
CQC
Our Plans
Our people
Join our Team
Latest news
Casebooks
Newsletter
Contact us
Privacy Notice
H&SH updates
Stakeholder area
Resources
COVID-19
Tees Valley COVID-19 Virtual Ward
Equality & Diversity
Hartlepool and Stockton Health is committed to recruiting, retaining and developing a workforce reflects the diverse communities we serve. It is vital that we monitor and analyse diversity information so that we can ensure that our HR processes are fair, transparent and promote equality of opportunity for all staff.
Your co-operation in providing us with accurate data will help us ensure we design and use policies and processes that attract and retain a diverse and talented workforce.
Any information you provide in this form:
Will be used for statistical purposes only
Will not influence the assessment of your application and will not be seen by anybody directly involved in the selection process
No information will be published which allows any individual to be identified.
We would appreciate your co-operation in completing this form to help us better understand how we, as an employer, ensure equality of opportunity for all.
*
Indicates required field
Gender
*
Male
Female
Prefer not to say
Age
*
29 or under
30 to 39
40-49
50-59
60-64
65 or over
Prefer not to say
Are you married or in a civil partnership?
*
Married
Civil Partnership
Prefer not to say
Ethnicity
*
Bangladeshi
Pakistani
Chinese
Indian
Any other Asian background
African
Caribbean
Other Black/African/Caribbean background
White and Asian
White and Black African
White and Black Caribbean
Any other mixed/multiple ethnic background
White
Arab
Any other ethnic group
Prefer not to say
Please select one only
Do you consider yourself to be disabled?
*
Yes
No
Prefer not to say
Which of the following best describes how you think of yourself?
*
Heterosexual / Straight
Gay / Lesbian
Bisexual
Other
Prefer not to say
Religion or belief
*
No religion
Buddhist
Christian
Hindu
Jewish
Muslim
Sikh
Any other religion
Prefer not to say
What is your current work pattern?
*
Full-time
Part-time
Job share
Other
Prefer not to say
Do you have caring responsibilities?
*
None
Primary carer of a child/children (under 18)
Primary carer of disabled child/children
Primary carer of disabled adult (18 and over)
Primary carer of older person (65 and over)
Secondary carer
Prefer not to say
Please tick all that apply
Where did you hear about this job?
*
From a Hartlepool & Stockton Health employee
From the NHS jobs website
On the Hartlepool & Stockton Health Website
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