Official website of Brentford Football Club

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Brentford FC Equality and Diversity Monitoring Form

Brentford FC aim to be the most inclusive football club in the country. As part of our efforts to achieve this, we want to be able to collect and analyse data in our people processes to ensure we are reaching as diverse a range of candidates as possible. In order to do that, we would appreciate your time in completing this short survey which asks questions about who you are. All information is given in confidence and will not be shared outside of those who use the data to effect positive change within our people practices.

Gender: Female Male Non-binary Prefer not to say Other

If other, please specify:

Age Range: Age 18 to 24 Age 25 to 29 Age 30 to 34 Age 35 to 39 Age 40 to 44 Age 45 to 49 Age 50 to 54 Age 55 to 59 Age 60 to 64 Age 65+ Prefer not to say

Which of the following options best describes how you think of yourself? Bisexual Gay man Gay woman/lesbian Heterosexual/straight Prefer not to say Other

If other, please specify:

Do you identify as transgender? Yes No Prefer not to say

Equality Act 2010 definition of disability Under the Equality Act 2010, a person is considered to have a disability 'if they have a physical or mental impairment, and the impairment has a substantial and long-term adverse effect on his or her ability to carry out normal day-to-day activities’. ‘Substantial' is defined by the Act as 'more than minor or trivial'. An impairment is considered to have a long-term effect if: • it has lasted for at least 12 months • it is likely to last for at least 12 months, or • it is likely to last for the rest of the person’s life. Do you have a disability? Yes No Prefer not to say

If the answer is yes, please specify below: Hearing impairment Visual impairment Physical impairment - ambulant Physical impairment - wheelchair user Learning impairment / disability Learning difficulty Social/communication impairment Long term illness Mental Health condition Prefer not to say Other

If other, please specify:

Ethnic group White British Other White Background British Indian Indian British Pakistani British Bangladeshi Bangladeshi British Chinese Chinese British Sri Lankan Sri Lankan Nepalese Other Asian Background British Caribbean Caribbean British African Black African Other African Background Other Black Background Arab British Arab Other Arab Background Dual Heritage White and Black African Dual Heritage White and Black Caribbean Dual Heritage White and South Asian Dual Heritage White and East Asian Dual Heritage and White Other Other Dual Heritage Gypsy, Roma or Irish Traveller Prefer not to say Other

If other, please specify:

Religion or Belief: Atheist Buddhist Christian (Anglican) Christian (Baptist) Christian (Methodist) Christian (Roman Catholic) Hindu Jewish (Liberal) Jewish (Orthodox) Muslim (Shia) Muslim (Sunni) Sikh Non-religious Prefer not to say Other

If other, please specify:

Marriage/Civil Partnership: Married or in a Civil Partnership Neither Prefer not to say

Are you currently pregnant or taking parental leave? Yes No Prefer not to say

Do you require any specific adjustments during the recruitment process? Yes No Other

If other, please specify:

If you have an error when submitting please try uploading a different file type.

If you have any questions regarding the role or the application form please contact Sam Meakin on smeakin@brentfordfc.com

Non-Executive Director

Brentford FC Equality and Diversity Monitoring Form