| Private & Confidential | ||||||||||||
| SVHA | ||||||||||||
| EQUAL OPPORTUNITIES MONITORING INFORMATION | ||||||||||||
| (HOUSING) | ||||||||||||
|
Scottish Veterans Housing Association Limited aims to be an equal opportunities provider. Our aim is
to ensure that For this purpose the definition of disability is "A physical or mental impairment, which has substantial
and long term To ensure our policy is working, we would be grateful if you would complete this questionnaire for each Please note: This questionnaire will be used to produce depersonalised statistical reports for analysis Thank you for your co-operation. |
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| Sex: | Male | Female | ||||||||||
| Marital Status: | Married | Single | ||||||||||
| Separated/Divorced | ||||||||||||
| Please state nature of any considered | ||||||||||||
| disability: | ||||||||||||
| Ethnic Origin: | White | Indian | ||||||||||
| Black Carribean | Pakistani | |||||||||||
| Black African | Bangladeshi | |||||||||||
| Black (Other) | Chinese | |||||||||||
| Date of Birth: | Other | |||||||||||
| Age: Please enter in years | (Please Specify) | |||||||||||
| Surname: | Forenames: | |||||||||||
| Signed: | Date: | |||||||||||