IVC Evidensia - Customer Experience & Retention Specialist

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Northern Ireland Further Application Questions

We are an Equal Opportunities Employer. We do not discriminate on grounds of religious or similar philosophical 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 applicants and employees, as required by the Fair Employment and Treatment (NI) Order 1998. We are therefore asking you to indicate your community background by selecting the appropriate responses below. You are not obliged to answer the questions on this form, and you will not suffer any penalty if you choose not to do so. Nevertheless, we encourage you to answer these questions. Your answers will be used by us to prepare and submit a monitoring return to the Equality Commission, but your identity will be kept anonymous. In all other regards your answers will be treated with the strictest confidence. We assure you that your answers will not be used by us to make any decisions affecting you. If you do not complete this questionnaire, we are encouraged to use the 'residuary' method, which means that we can make a determination on the basis of personal information on file/application form. Note: If you answer this questionnaire you are obliged to do so truthfully as it is a criminal offence under the Fair Employment (Monitoring) Regulations (NI) 1999 to knowingly give false answers to these questions.

Community Background
- I am a member of the Roman Catholic community
- I am a member of the Protestant community
- I am a member of neither the Protestant or Roman Catholic community
Please indicate your gender
- Male
- Female

Equal Opportunities Survey for IVC Evidensia

We invite you to complete this optional survey to help us evaluate our diversity and inclusion efforts. Submission of the information on this form is strictly voluntary and refusal to provide it will not subject you to any adverse treatment or affect your job application. Information obtained will be kept separate from your name or job application. This information will be kept secure and confidential and will be used solely to evaluate our diversity and inclusion efforts.

What is your age range?
- 17 or younger
- 18-20
- 21-29
- 30-39
- 40-49
- 50-59
- 60 or older
- Prefer not to say
Do you consider yourself to have a disibility under the Equality Act 2010?
- Yes
- No
- Prefer not to say
If you answered yes above, please tick all options applicable below
- Vision (eg due to blindness or partial sight)
- Hearing (eg due to deafness or partial hearing)
- Mobility, walking short distances, stairs, lifting heavy objects
- Long standing illness
- Mental health
- Stamina or difficulty breathing
- Social or behavioural ie: Autism, ADHD or Asperger's
- Learning or concentrating, or memory
- Other
- Prefer not to say
I identify my ethnicity as
Select all that apply
- White / Caucasian
- Hispanic, Latino, or Spanish origin
- Black or African American
- Asian
- Native Hawaiian or other Pacific Islander
- Indigenous Peoples, First Nations, Native American, or Alaska Native
- Middle Eastern or North African
- Some other race, ethnicity, or origin
- Prefer not to say
What is your gender?
- Female
- Male
- Other
- Prefer not to say
What gender do you identify as?
- Female
- Male
- Non-binary
- Prefer not to say
What is your religion of belief?
- No religion
- Christian
- Muslim
- Hindu
- Sikh
- Jewish
- Buddhist
- Other
- Prefer not to say
How would you describe your sexual orientation?
- Heterosexual / Straight
- Gay or Lesbian
- Bisexual
- Other
- Prefer not to say
Do you have any caring responsibilities?
- Yes
- No
- Prefer not to say

- Yes, IVC Evidensia can contact me about future job opportunities for up to 2 years
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