LOCAL GOVERNMENT ASSOCIATION
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First Name
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Last Name
Preferred name
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Pronouns
They / Them / Theirs
She / Her / Hers
He / Him / His
Other
Other pronouns
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Email
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Password
Password must have at least 10 characters with at least one capital letter, at least one lower case letter, at least one number and one special character.
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Password Confirmation
My Diversity Data
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Legal gender (as per your passport)
Male
Female
The LGA aims to have an inclusive environment for all staff, by identifying and removing barriers in our practices. Completing this monitoring form will help us achieve this and help the LGA meet our obligations under the Equality Act 2010. While it is voluntary to disclose this information, doing so will enable us to better understand the composition of our workforce and examine our practices fully. Your answers will be treated in the strictest confidence, and all data disclosed will comply with the Data Protection Act 1998. All responses will be treated confidentially and will be treated in strict confidence and will only be held and processed in accordance with our Fair Processing Notice To find out more about the work the LGA is doing to promote EDI in the workplace, please contact EDI@lga.gov.uk or visit Equality, Diversity and Inclusion at the LGA (sharepoint.com)
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Gender identity
Male
Female
Non-Binary
Other / I prefer to use my own term
Prefer not to say
Other gender terms
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Gender assignment
Yes, I identify as transgender
No, i am not transgender
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Ethnicity
Asian Bangladeshi
Asian British
Asian Chinese
Asian Indian
Asian Other Asian
Asian Pakistani
Black African
Black British
Black Caribbean
Black Other Background
Mixed White & Black Caribbean
Mixed Other Background
Mixed White & Asian
Mixed White & Black African
White British
White English
White Irish
White Northern Irish
White Other Background
White Scottish
White Welsh
Any other Ethnic group
Arab
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Other ethnicity
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Sexual orientation
Bisexual
Gay or Lesbian
Heterosexual or Straight
Other
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Other sexual orientation
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Religious beliefs
Any other religion or belief
Buddhist
Christian – all denominations
Hindu
Jewish
Muslim
No Religion
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Sikh
Other beliefs
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Caring responsibilities
None
A combination of any of the below
Carer of a disabled adult (18+)
Carer of an adult (18-64 years old)
Carer of an older person (65+)
Emergency Fostering
Fostering for Adoption
Short term Foster carer
Long term Foster carer
Parent and Child Fostering
Parent/Guardian – child S.E.N.D
Parent/Guardian – child/children
Parent/Guardian – disabled child
Secondary carer
Prefer not to say
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Do you consider yourself to have a disability as defined by the The Equality Act 2010?
Yes
No
Prefer not to say
The Equality Act 2010 defines a disability as a physical or mental impairment, which has a substantial and adverse long-term effect on your ability to carry out normal day to day activities. 'substantial’ is more than minor or trivial, eg it takes much longer than it usually would to complete a daily task like getting dressed. ‘long-term’ means 12 months or more
If you have answered yes in the above question, which best describes your impairment or disability? Please select all that apply.
Learning disability
Long standing illness
Mental health condition
Physical impairment
Sensory impairment
Other type of disability
Prefer not to say
Other disability
If other, please specify
If yes, would you like your application to be considered under the Disability Confident scheme?
Yes
No
More information on the Disability Confident Scheme can be found on our website
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You may not consider yourself to have a disability or impairment as defined under the disability section above, however you may experience a condition that presents at specific times, or for any other reason
Yes
No
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Do you consider this to be the case for you?
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We are committed to supporting young people leaving care into employment. Are you a care leaver?
Yes
No
Prefer not to say
A care leaver is a young person aged 16- 25 who has been looked-after for at least 13 weeks in total since the age of 14
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Are you a person who is care experienced?
Yes
No
Prefer not to say
The term care-experienced refers to anyone who has been or is currently in care or from a looked-after background at any stage in their life, no matter how short, including adopted children who were previously looked-after
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