Equal Opportunities and Diversity Monitoring Form

Equal Opportunities and Diversity Monitoring Form

The Bannau Brycheiniog National Park Authority strives to operate a policy of equal opportunity and not discriminate against any person because of gender, age, disability, marital status, sexual orientation, religion or national origin.  To enable us to monitor equal opportunities will you please provide the details below.  This information will only be used for the monitoring of Equal Opportunities and the purposes of the Equality Act 2010.

Full Name
Position applied for
*If you are currently undergoing the process of gender reassignment, please indicate your future gender
Welsh speaker
Age range
Marital Status
Ethnic Origin
Religious Belief / Faith
Sexual Orientation
Disability Monitoring

The current Authority Equal Opportunities and Diversity Monitoring requirement has been extended in line with current guidance to include voluntary declarations of disability

What do we mean by a “disability”?
A person has a disability if s/he has a physical or mental impairment which has a substantial and long-term adverse effect on that person\’s ability to carry out normal day-to-day activities.

Examples of disabilities
The list to the right is of conditions of impairment that may cause somebody to describe themselves as “having a disability”. This list is not exhaustive and should be sued for guidance only.
Hearing, speech or visual impairment: (if you wear glasses or contact lenses this is not considered a disability)

Co-ordination, dexterity or mobility: e.g. polio, spinal cord injury, repetitive strain injury.

Mental health: e.g. schizophrenia, depression

Speech impairment: e.g. stammering

Learning disabilities: e.g. Down’s Syndrome

Other physical or mental conditions: e.g. diabetes, epilepsy, arthritis, cardiovascular conditions, haemophilia, asthma. Cancer, facia disfigurement, sickle cell dyslexia etc


For the purposes of compliance with the Data Protection Act 1998, I understand that this information may be stored and processed as part of the Brecon Beacons National Park Authority monitoring of equal opportunities and i give my consent for my data to be used for this purpose.