Equality and Diversity Monitoring Form

Please note the completion of this form is voluntary.


Lincolnshire YMCA Ltd believes that there should be no discrimination because of age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex, sexual orientation. Lincolnshire YMCA Ltd will take appropriate steps to ensure that all applicants are reviewed on the basis of ability and the requirements of the promoted role. Your answers will be treated confidentially and will not affect your application in any way.


To ensure that the equal opportunities policy is effective monitoring of applications will be carried out. This necessitates the collection of information regarding the applicant’s ethnic origin, sex, gender identity, marital status, disability, religion, belief, and sexual orientation.

All information will be treated as strictly confidential and in accordance with the Data Protection Act 1998 as amended, re-enacted or consolidated from time to time including without limitation the implementation of the General Data Protection Regulation 2018. The monitoring form will be detached from your application form, stored separately and only be used to provide statistics for monitoring purposes.

Personal Details

Gender Identity

If you identify as transsexual, transgender (in that you have effected a permanent change of gender identity) or as intersex which group do you identify with?

Marital Status

Sexual Orientation

Ethnic Origin


Do you consider yourself to have a disability under the Equality Act 2010?
In the Act, a person has a disability if:

  • they have a physical or mental impairment
  • the impairment has a substantial and long-term adverse effect on their ability to perform normal day-to-day activities

For the purposes of the Act, these words have the following meanings:

  • 'substantial' means more than minor or trivial
  • 'long-term' means that the effect of the impairment has lasted or is likely to last for at least twelve months (there are special rules covering recurring or fluctuating conditions)
  • 'normal day-to-day activities' include everyday things like eating, washing, walking and going shopping

This information is provided for monitoring purposes only – if you need any reasonable adjustments you should arrange these separately.

Religion or Belief

Thank you for completing this form.