Inclusivity at Shoosmiths
Shoosmiths promotes equality of opportunity. This means that everyone who works for the Firm is treated
equally, whatever their gender, age, ethnic origin, nationality, marital status, disability, sexual orientation or
religious beliefs.
We need to ensure that our policy is working in practice, and that there is no discrimination in the way we take
on new members of staff:
To do this we need to look at:
 How we advertise
 How we select people for interviews
 How we interview
 Who is offered a job
 What we do after an interview
By completing the attached form, you can help us make sure that the way we employ staff is fair and unbiased.
The information you choose to provide will be treated as personal, sensitive data and subject to the associated
restrictions as to who sees this information. In other words, the only people who will see this data are HR staff
who will record the information to enable us to monitor our recruitment practices. At no time will this information
be used as a part of the recruitment decision-making process.
In summary, all information that is provided by you on this voluntary basis will allow us to undertake the checks
recommended by the Commission for Racial Equality, The Equal Opportunities Commission and The Law
Society to ensure we are an equal opportunities employer.
Thank you
Name
__________________________________
Date
________________
Position applied for
__________________________________
Location
________________
Gender
□ Male
□ Female
Age
_____
Country of Birth __________________
First Language __________________
Nationality
2nd Nationality __________________
__________________
Ethnic Origin
Please consider the options below and tick ONE box in SECTION A and ONE box in SECTION B.
Section A – What is your ethnic group?
Asian or Asian British
□ Bangladeshi
□ Indian
□ Pakistani
□ Any other Asian background
Chinese or other ethnic group
□ Chinese
□ Any other ethnic group
Black or Black British
□ African
□ Caribbean
□ Any other Black background
Mixed
□ White & Asian
□ White & Black African
□ White and Black Caribbean
□ Any other mixed background
White
□ British
□ Irish
□ Any other White background
□ Prefer not to say
Section B - Which group do you most identify with?
□ British or Mixed British
□ English
□ Irish
□ Scottish
□ Welsh
□ Another group
□ Prefer not to say
Do you have a disability? (As defined by the DDA 1995)
□ Yes
□ No
Registration No. _______________
□ Prefer not to say
Please indicate which one of these most clearly describes your disability
□ Epilepsy
□ Non-hearing with speech
□ Non-sighted
□ Restricted limb usage
Other: Please describe
□ Hearing in one ear
□ Non-hearing without speech
□ Partially-sighted
□ Prefer not to say
Religion
_____________________
□ Prefer not to say
Sexual Orientation
□ Opposite sex
□ Opposite and same sex
□ Same sex
□ Prefer not to say
Marital Status
□ Civil Partnership
□ Civil Widow(er)
□ Dissolved
□ Separated
Thank you
□ Divorced
□ Married
□ Co-Habiting
□ Single
□ Prefer not to say