ࡱ > S U R bjbjqq 8V e e
" " e e e e e y y y y < y - x x x s F e x x x x x e e , , , x
e e , x , , , 7y y , 0 - , , e , x x , x x x x x , x x x - x x x x x x x x x x x x x " + : Equal Opportunities Monitoring Form
Name (optional) ______________________________________
AcOMP is committed to promoting equal opportunities, to valuing diversity and to processes and procedures that are fair, objective, transparent and free from discrimination.
As part of our ongoing commitment to work towards equal opportunities for all who apply for AcOMP membership we are asking all our members to fill in this form.
This information will be kept confidentially. We will use it to monitor diversity and how this changes over time.
Please tick the appropriate boxes. If you do not wish to comment on a particular question please leave it blank and go to the next question.
1. Date of birth
2. Gender3. Gender identity
Is your gender identity the same as the gender you were assigned at birth?Yes ( No ( Prefer not to say (
4. Ethnicity
How would you describe your ethnicity?
NB These categories do not refer to nationality
Black
Black British
Black African
Black Caribbean
Other Black background, please specify
(
(
(
(
White
White British
White Irish
Other White background, please specify
(
(
(
Asian
Asian British
Bangladeshi
Indian
Pakistani
Other Asian background, please specify
(
(
(
(
(
Mixed
Asian and White
Black African and White
Black Caribbean and White
Other Mixed background, please specify
Any other ethnic background
(
(
(
(
(
Other
Chinese
Arabic
Other background, please specify
Prefer not to say
(
(
(
(
5. Languages
Is English your first language (mother tongue)? Yes ( No (
6. Disability
Do you have a disability?Yes ( No (Prefer not to say (If you have answered yes please give a brief description of your disability:
7. Sexuality
How would you describe yourself?
Bisexual
Gay/Lesbian
Heterosexual
Prefer not to say
(
(
(
(8. Religion or faith
How would you describe your religion or faith (please specify denomination)
Christian _________________________
Muslim __________________________
Hindu __________________________
Sikh __________________________
Jewish __________________________
Buddhist __________________________
Other __________________________
(please specify)
I am not religious (
Prefer not to say (
Please add any further comments that you may wish to make:
# $ ) 4 5 M [ ^ _ f k p
- . / 0 5 ǹ՜}paUapF h#i hO CJ OJ QJ ^J hO CJ OJ QJ ^J h#i hb CJ OJ QJ ^J h#i hb OJ QJ ^J h#i h%, CJ OJ QJ ^J h%, hb 5CJ OJ QJ ^J h."' hb CJ OJ QJ aJ h CJ OJ QJ ^J aJ hF[ CJ OJ QJ ^J aJ hE CJ OJ QJ ^J aJ hb CJ OJ QJ ^J aJ hF[ hL 5OJ QJ ^J hF[ hb 5OJ QJ ^J $ % _ ` $
%
$If gdb gdb gd3
/ u j $If gdO $If gdb kd $$If s 4 0 ," O P
t 0 4 4
s a f4yth# / 0 < E Z [ { $If gdO $If gdb n kd $$If s 4 ," "
t 0 4 4
s a f4yth# 5 6 ; < ? @ D E X Y Z [ \ i J K L ²yl\PPPP hO CJ OJ QJ ^J h#i hO 5CJ OJ QJ ^J h#i hb OJ QJ ^J h#i h> CJ OJ QJ ^J hb CJ OJ QJ ^J h#i h#i CJ OJ QJ ^J h#i hb CJ OJ QJ ^J h%, hb 5CJ OJ QJ ^J h#i hO OJ QJ ^J h%, hO 5CJ OJ QJ ^J h#i hO CJ OJ QJ ^J " j h#i hO CJ OJ QJ ^J [ \ i k ` ` U U $If gd&v $If gdb kd6 $$If s 4 F n ," 4
t 0 4 4
s a f4yth# # $ K L N O Q R } } } } } $If gdp $If gd#i l kd $$If s 4 ," "
t 0 4 4
s a f4yth# L M O P R S U V X Y _ l
&
'
)
*
,
-
/
0
2
3
5
6
7
8
9
?
N
O
h
i
ֺ֭ hL hO 5CJ OJ QJ ^J h#i hO OJ QJ ^J h> CJ OJ QJ ^J h#i hO 5CJ OJ QJ ^J h#i hO CJ OJ QJ ^J hO CJ OJ QJ ^J j hO CJ OJ QJ ^J >R T U W X Y _ n $If gdO $If gdb $If gdp '
(
)
+
,
.
/
1
2
4
5
7
8
$If gdb $If gdO 8
9
?
P
Q
4 ) ) ) $If gdb kd $$If s 4 ֈ j ," 7 j
t 0 4 4
s a f4yth# Q
j
k
. / 7 8 [ $If gdO $If gdb
& ? re h> 5CJ OJ QJ ^J h#i h= OJ QJ ^J h#i h= CJ OJ QJ ^J j h= CJ OJ QJ ^J h= CJ OJ QJ ^J hL h= 5CJ OJ QJ ^J h#i hO OJ QJ ^J hL hO 5CJ OJ QJ ^J j hO CJ OJ QJ ^J hO CJ OJ QJ ^J h#i hO CJ OJ QJ ^J %[ \ $If gdb $If gdO
G < < 1 1 $If gd= $If gdb kd~ $$If s 4 r j ," 7 j x
t 0 4 4
s a f4yth# & @ S X m m b b b W W W $If gd= $If gdO kdd $$If s 4 F ," n
t 0 4 4
s a f4yth# ? @ D E R S V W X k l m n 0 1 3 4 6 7 9 : < = Q ǺtgW h%, h%, 5CJ OJ QJ ^J h#i hz_< OJ QJ ^J h#i hz_< CJ OJ QJ ^J j hz_< CJ OJ QJ ^J hz_< CJ OJ QJ ^J h%, hz_< 5CJ OJ QJ ^J hO CJ OJ QJ ^J h#i hO OJ QJ ^J hL hO 5CJ OJ QJ ^J j h= CJ OJ QJ ^J h= CJ OJ QJ ^J hO 5CJ OJ QJ ^J m n X M B B $If gdb $If gdO kd$ $$If s 4 \ j f," =
t 0 4 4
s a f4yth# , - . / { { { { { { $If gd= $If gdb n kd $$If s 4 ," "
t 0 4 4
s a f4yth# / 0 2 3 5 6 8 9 ; < = b kd $$If s 4 F
," K
t 0 4 4
s a f4yth# $If gd=
= R } l kdJ $$If s 4 ," "
t 0 4 4
s a f4yth# $If gdz_< $If gdb Q R
E F G 9 : ; S T U V W p q r s t u ǻr h#i h%, OJ QJ ^J h%, h%, 5CJ OJ QJ ^J j hz_< CJ OJ QJ ^J h#i hz_< OJ QJ ^J h%, hz_< 5CJ OJ QJ ^J hz_< CJ OJ QJ ^J h#i hL OJ QJ ^J h#i h%, CJ OJ QJ ^J h%, CJ OJ QJ ^J h%, hL 5CJ OJ QJ ^J '
} $If gdb $If gdz_< l kd $$If s 4 ," "
t 0 4 4
s a f4yth# E F } $If gdb $If gdz_< l kdf $$If s 4 ," "
t 0 4 4
s a f4yth# F G } $If gdb $If gdz_< l kd $$If s 4 ," "
t 0 4 4
s a f4yth# } $If gdb $If gdz_< l kd $$If s 4 ," "
t 0 4 4
s a f4yth# } $If gdb $If gdz_< l kd
$$If s 4 ," "
t 0 4 4
s a f4yth# ( 9 : } $If gdb $If gdz_< l kd
$$If s 4 ," "
t 0 4 4
s a f4yth# : ; U V } $If gdb $If gdz_< l kd, $$If s 4 ," "
t 0 4 4
s a f4yth# V W X r s } $If gdb $If gdz_< l kd $$If s 4 ," "
t 0 4 4
s a f4yth# s t u $If gdb l kdH $$If s 4 ," "
t 0 4 4
s a f4yth# gd3 l kd $$If s 4 ," "
t 0 4 4
s a f4yth# hb hb CJ OJ QJ ^J aJ 6 1h/R :pO1 . A!"#$% $$If !v h5 O5P#v O#vP:V s 4
t 0 5 O5P4
s f4yth# $$If !v h5 "#v ":V s 4
t 0 5 "4
s f4yth# $$If !v h5 554#v #v#v4:V s 4
t 0 5 5544
s f4yth# $$If !v h5 "#v ":V s 4
t 0 5 "4
s f4yth# $$If !v h5 575j 55 5#v #v7#vj #v#v #v:V s 4
t 0 5 575j 55 54
s f4yth# $$If !v h5 575j 55x #v #v7#vj #v#vx :V s 4
t 0 5 575j 55x 4
s f4yth# $$If !v h5 5n5 #v #vn#v :V s 4
t 0 ,5 5n5 4
s f4yth# $$If !v h5 555=#v #v#v#v=:V s 4
t 0 ,5 555=4
s f4yth# $$If !v h5 "#v ":V s 4
t 0 5 "4
s f4yth# $$If !v h5 K55#v K#v#v:V s 4
t 0 5 K554
s f4yth# $$If !v h5 "#v ":V s 4
t 0 5 "4
s f4yth# $$If !v h5 "#v ":V s 4
t 0 5 "4
s f4yth# $$If !v h5 "#v ":V s 4
t 0 5 "4
s f4yth# $$If !v h5 "#v ":V s 4
t 0 5 "4
s f4yth# $$If !v h5 "#v ":V s 4
t 0 5 "4
s f4yth# $$If !v h5 "#v ":V s 4
t 0 5 "4
s f4yth# $$If !v h5 "#v ":V s 4
t 0 5 "4
s f4yth# $$If !v h5 "#v ":V s 4
t 0 5 "4
s f4yth# $$If !v h5 "#v ":V s 4
t 0 5 "4
s f4yth# $$If !v h5 "#v ":V s 4
t 0 5 "4
s f4yth# $$If !v h5 "#v ":V s 4
t 0 5 "4
s f4yth# j 6 6 6 6 6 6 6 6 6 v v v v v v v v v 6 6 6 6 6 6 > 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 h H 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 2 0 @ P ` p 2 ( 0 @ P ` p 0 @ P ` p 0 @ P ` p 0 @ P ` p 0 @ P ` p 0 @ P ` p 8 X V ~ OJ PJ QJ _HmH nH sH tH J ` J b N o r m a l d CJ _HaJ mH sH tH D A D
D e f a u l t P a r a g r a p h F o n t R i@ R 0 T a b l e N o r m a l 4
l 4 a ( k (
0 N o L i s t H ` H 3
N o S p a c i n g CJ _HaJ mH sH tH D D b L i s t P a r a g r a p h
^m$ PK ! [Content_Types].xmlj0Eжr(Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi} ;~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭? PK ! ֧ 6 _rels/.relsj0 }Q%v/C/} (h"O
= C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_ 6LR7`0̞O,En7Lib/Se е PK ! ky theme/theme/themeManager.xml M
@}w7c(Ebˮ CAǠҟ7՛K
Y,
e.|,H ,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+&
8 PK ! P theme/theme/theme1.xmlYOo6w toc'vuر-Mn iP@I}úama[إ4:l ЯGRX^6؊>$ !)O^rC$y@ /yH*)UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSe bORD۫qu gZo~ٺlAplxpT0+[}`j zA V2Fi@qv֬5\|ʜ̭NleXd sjcs7f
W+Ն7` g ȘJj|h(KD-
dXiJ؇(x$( :;˹! I_TS 1?E ??ZBΪmU/ ?~xY'y5g&/ɋ>GMGeD3Vq%'#q$8K )fw 9:ĵ
x}rxwr:\TZaG*y8IjbRc|XŻǿI
u3KGnD 1NIBs
RuK>V.E L+M2#'fi ~V vl{u8z H
* :( W ☕
~JTe\O*tHGHY }KNP*ݾ˦ TѼ9/#A7qZ $*c?qUnwN%Oi4 =3ڗP
1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g-
eW
)6-rC Sj
id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q% p%m&]caS l=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f
Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ .uχYC6OMf3or$5N HT[XF64T,ќM0E)`#5XY`פ ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R 3U~7+#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vp IYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07% < ҍ PK !
ѐ ' theme/theme/_rels/themeManager.xml.relsM
0wooӺ&݈Э5
6?$Q
,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{ P8g/ ]QAsم(#L[ PK- ! [Content_Types].xmlPK- ! ֧ 6 + _rels/.relsPK- ! ky theme/theme/themeManager.xmlPK- ! P theme/theme/theme1.xmlPK- !
ѐ ' theme/theme/_rels/themeManager.xml.relsPK ]
V 5 L
? Q
*
/ [ R 8
Q
[ m / = F : V s
! " # $ % & ' ( ) L # A A @ 0 (
B
S ?
) 4 ^ _ ` f k p 4 : t
}N %, O1 L7 Q6< z_< A q d
@
x @ U n k n o w n G * Ax T i m e s N e w R o m a n 5 S y m b o l 3. * Cx A r i a l 7. [ @ V e r d a n a ; W i n g d i n g s 7. @ C a l i b r i A $ B C a m b r i a M a t h " h ++ ! r0
3Q HX $P b 2 ! x x S t e l l a G S t e l l a G Oh +'0
p x
StellaG Normal StellaG 3 Microsoft Office Word @ G @ ? @ A C D E F G H I K L M N O P Q T R o o t E n t r y F PRHyV D a t a
, 1 T a b l e 4 W o r d D o c u m e n t 8V S u m m a r y I n f o r m a t i o n ( B D o c u m e n t S u m m a r y I n f o r m a t i o n 8 J C o m p O b j y
F' Microsoft Office Word 97-2003 Document
MSWordDoc Word.Document.8 9q