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Equal Opps Monitoring Form 2
Equal Opps Monitoring Form 2
Female
( Yes )
Male
( )
20-29
( )
30-39
( )
40-49
( )
50-59
( )
60 or over
White
)
British
English
Irish
Scottish
Welsh
Any other White background, please state...
B.
( )
( )
( )
( )
European
Eastern
Northern/ Scandinavian
Mediterranean
Any other European background, please state.........................
C.
( )
( )
( )
( )
D.
( )
( )
( )
E.
( )
( )
F.
( )
( )
( )
( )
Dual Heritage
Asian and White
Black African and White
Black Caribbean and White
Any other mixed heritage origin, please state
4.
( )
( )
No