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Personal Details

First Name *

Last Name *

Email Address *

Mobile Number *

Telephone Number

Upload your CV *

Address Information

Street Address *

City *

County *

Country *

Postcode *

More About You

Are you over the age of 18? * Yes No

Do you have the right to work in the UK? * Yes No

Do you have the right documentation to work in the UK? * Yes No

Do you need sponsorship from DEBRA to work in the UK? * Yes No

Equal Opportunities

DEBRA are committed to the fair treatment of its staff, potential staff, regardless of race, gender, religion, sexual orientation, responsibilities for dependants, age, physical/mental disability, or offending background. The information you give on this form will help us comply with our policy of ensuring equality in our services to you. We recognise that some people may regard some of this information as personal and we have, therefore, included an option in most questions for ‘prefer not to say’. All information that we collect around equality and diversity will be treated confidentially in accordance with the Data Protection Act and will be stored on the appropriate HR database. Access to this information will be restricted to staff involved in the processing and monitoring of this data. It will be used to provide statistical information only. In completing the form below, you consent to us using your data for this purpose.

To which gender identity do you most identify?

What is your age range?

Relationship Status

What is your nationality?

What is your ethnicity? (Please choose the most appropriate option to indicate your cultural background)

Other (please specify)

What is your religion or belief?

Other (please specify)

Do you consider yourself to have a disability as defined in the Disability Discrimination Act (1995)?

If you have a medical condition, the Disability Discrimination Act (1995) requires employers to make reasonable adjustments to the job content or working environment. To achieve this, we need to know whether you are covered. Definition of Disability: “A physical or mental impairment which has a substantial and long-term effect on a person’s ability to carry out normal day-to-day activities in a non-work environment.”

What is your sexual orientation? (As per the Employment Equality (Sexual Orientation) Regulations (2003))

Other (please specify)

Pregnancy and Maternity: Maternity is defined in the Equality Act as the 26 weeks after giving birth

There are 6 million carers in the United Kingdom and nearly one in eight workers are carers. With an ageing population and an expected increase of 60% of carers in the next 30 years, we would like to monitor the number of people with caring responsibilities.

Do you have caring responsibilities?

Other (please specify)