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Northern Ireland's Leading Health & Social Care Organisation

MONITORING FORM
FOR MONITORING PURPOSES ONLY

We are an Equal Opportunities employer. We do not discriminate on grounds of religious belief or political opinion. We practice equality of opportunity in employment and select the best person for the job.
To demonstrate our commitment to equality of opportunity in employment we need to monitor the community background of our employees, as required by the Fair Employment and Treatment (NI) Order 1998.
Regardless of whether we practice religion, most of us in Northern Ireland come from either a Protestant or Catholic community background.
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Your Name
We are therefore asking you to indicate your community background by ticking the appropriate box below:(Required)
Could you please indicate whether you are:(Required)
Your Name(Required)
If you do not complete this questionnaire, we are encouraged to use the ‘residuary’ method which means that we make a determination on the basis of personal information on file/application form.
Please note: It is a criminal offence under the legislation for a person to ‘give false information in connection with the preparation of the monitoring return’.

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