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The HRA is committed to meeting our responsibilities contained within the Equality Act 2010, in order to assess how well we are achieving this we need to seek equality information from our members.

Please complete the form on this page to help us gather this information. When doing so be assured that this information will be held and used in compliance with Data Protection law dealing with "sensitive personal data", including information on disability and ethnic origin.

We will not share your name outside the team that centrally administers the recruitment of committee members. Your declarations will be anonymised and retained for 10 years and then securely destroyed/deleted. Further information is available at

Note: It is not compulsory to complete any section if you do not wish to disclose the information requested.

Rehabilitation of Offenders Act 1974

The Rehabilitation of Offenders Act helps rehabilitated ex-offenders back into work by allowing them not to declare criminal convictions to employers after the rehabilitation period set by the Court has elapsed and the convictions become ‘spent’. During the rehabilitation period, convictions are referred to as ‘unspent’ convictions and must be declared to employers.

Before you can be considered for appointment with the NHS we need to be satisfied about your character and suitability.

The NHS aims to promote equality of opportunity and is committed to treating all applicants for positions fairly and on merit regardless of race, gender, marital status, religion, disability, sexual orientation or age. The NHS undertakes not to discriminate unfairly against applicants on the basis of a criminal conviction or other information declared.  

REC members equal opportunities monitoring form

Please Indicate the age range you fit into
I would describe my ethnic origin as:
Please select the option which best describes your sexuality
Please indicate your religion or belief
Do you consider yourself to have a disability?
Please state the type of impairment which applies to you. People may experience more than one type of impairment, in which case you may indicate more than one. If none of the categories apply, please mark ‘other’.
Have you any unspent criminal convictions or bindovers, or any cautions, warnings or reprimands?

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