Company Forms

Equal Opportunities Monitoring of Recruitment and Selection form

Two Counties Community Care Limited is an equal opportunities employer and the completion of this form is optional. You may choose to complete all, part or none of this form; however its completion will assist us in developing policy, procedure and practice in line with our equal opportunities policy.

The aim of our policy is to ensure that no employee or applicant receives less favourable treatment due to nationality, ethnic origin, religious belief, sex, disability, age or for any other discriminatory reason or if you are disadvantaged by conditions or requirements that cannot be shown to be justifiable.

Our selection criteria and procedures are frequently reviewed to ensure that individuals are selected, promoted and treated on the basis of their relevant merits and abilities.

All employees are given equal opportunities and are encouraged to progress through the organisation.

Please complete this form and click SUBMIT to send it to us via the internet. Thank you.

If you would prefer to complete and return by post or fax please click here to print a hard copy  ( Adobe PDF )

TCCC Limited is committed to ensuring that this policy is fully & fairly implemented and monitored. It will be used for no other reason, so we would appreciate if you could please provide the following information and tick the boxes that apply to you.

   
Post Applied For
Application Date
Personal Details :
Title
Miss Mrs Ms Mr Surname First Name
                  Email Retype Email
What is your Gender ?
Male    Female 
What is your Ethnic Origin ?
White
British
Irish
Any other White background [eg: Polish]
Mixed
White and Black Caribbean
White and Black African
White and Asian
Any other Mixed background
Asian or Asian British
Indian
Pakistani
Bangladeshi
Any other Asian background
Black
Caribean
African
Any other Black background
Chinese
Chinese
Other Ethnic Group
Other Ethnic Group
Please specify:
What is your religion ?
Christian
Jewish
None
Hindu
Sikh
I do not wish to state
Muslim
Buddhist
Other [please state]
Do you have a disability ?
As defined by the Disability Discrimination Act 1995, a disability is “a physical or mental impairment which has substantial and long-term adverse effect on a person’s ability to carry out normal day-to-day activities”.
Yes    No 
Type of disability
(please explain briefly)
Thank you for completing this form
Please remember to also complete and submit the TWO ADDITIONAL FORMS below to apply for a post
Use these documents only to apply online
Use these documents only to print out your application
Job Application Form ( HTML File )
Job Application Form ( Adobe PDF )
Medical Questionnaire ( HTML File )
Medical Questionnaire ( Adobe PDF )
  
  
Forms - April 2008
Policy Reference - 1:10, 1:16, 3:9, 3:10
Equal Opportunities
Form 3:7