Equal Opportunity Monitoring
 

UPL IS AN EQUAL OPPORTUNITY EMPLOYER. 
It is the intention of UPL to ensure that all job applicants and employees are treated solely on the basis of their merits, abilities and potential, regardless of their gender, race, colour, nationality, ethnic or national origin, age, disability, religious or political beliefs, sexual orientation or any other irrelevant distinction.

Equal Opportunity Monitoring is used to assist us in managing the effectiveness of our policy and will not be taken into consideration for short-listing, interviewing or offers of employment.  The information that you supply will be kept strictly confidential.  It will not be seen or used during the selection process and will be used for statistical monitoring purposes only.

All applications for employment are monitored in accordance with UPL’s Equal Opportunity Policy.

  

Personal Details
Application for the post of
Title Surname First Name (s)
Gender Male Female Date of Birth - - DD/MM/YR Age

Do you have a disability which may limit your ability to perform any duties for the position you have applied for?
Yes No

If 'yes' please give details below

Nationality Do you need permission to work in the UK Yes No

Have you ever been convicted of a criminal offence
Yes No

If 'yes' please give details below specifying date of conviction, nature of offence and sentence imposed.

Your attention is drawn to the fact that under the Rehabilitation of Offenders Act 1974 you may be entitled to answer 'no' to this question even if you have , in the past, been subjected to criminal proceedings resulting in conviction(s)

Ethnic Origin
Choose one section from (a) to (f) then tick the appropriate box to indicate your background.
a) White b) Mixed
British
Irish
Any other white background (please write below)
White & Black Caribbean
White & Black African
White & Asian
Any other mixed background (please write below)
c) Asian or Asian British d) Black or Black British
Indian
Pakistani
Bangladeshi
Any other Asian background (please write below)
 Caribbean
African
Any other Black background
e) Chinese or Chinese British f) Any other origin not listed previously please write below
Chinese
Any other Chinese background (please write below)