Equal Opportunities Monitoring Form
The London Library is committed to being an equal opportunity employer.  To help us monitor and achieve this please complete the six questions below and send it with your application. The information you provide is used for no other purpose and will be treated as strictly confidential.  This form will be separated from your application upon receipt and before selection of candidates takes place.

Monitoring Questions	Please insert answers below	
		
1.	Post applied for		
2.	Where did you hear about this vacancy? Please give as much detail as possible.		
		
3.	Nationality
Please tell us your nationality /
prefer not to say	

4.	Do you consider yourself to have a disability or long-term health condition? Please answer yes / no / prefer not to say		
		
5.	Gender monitoring
Would you describe yourself as male / female? Or prefer not to say?		
		
6.	Ethnicity monitoring
	How would you describe yourself?	Please choose ONE section from A to E and add your response below	
a)	Asian or Asian British
Indian
Pakistani
Bangladeshi
Any other Asian background (please specify)		
b)	Black or Black British
Caribbean
African
Any other Black background (please specify)		
c)	Chinese or other ethnic group
Chinese
Any other ethnic background (please specify)		
d)	Mixed
White and Black Caribbean
White and Black African
White and Asian
Any other mixed background (please specify)		
e)	White
British
Irish
Any other White background (please specify)		
f)	Prefer not to say

Thank you for your co-operation.